Funktionelle neurologische Bewegungsstörungen

Funktionelle neurologische Bewegungsstörungen gehören zu den häufigsten neurologischen Erkrankungen, führen oft zu einer erheblichen Einschränkung der Lebensqualität der Betroffenen und zu einer massiven finanziellen Belastung des Gesundheitssystems. Die Diagnose wird klinisch anhand positiver Diagnosekriterien gestellt, was apparative, kostenintensive Zusatzdiagnostik meist unnötig macht. Gehäuft kommt es allerdings zu einer erheblichen Verzögerung der Diagnose und damit verbunden, der Einleitung einer krankheitsspezifischen Therapie. In unserem Artikel möchten wir die Hauptpfeiler der klinischen Diagnose – die Inkongruenz und Inkonsistenz – die allen funktionellen Bewegungsstörungen gemeinsam ist, erläutern und darauf aufbauend die unterschiedlichen Subgruppen mit ihren individuellen klinischen Charakteristika und den dazugehörigen Untersuchungstechniken praxisnah erklären. Dies soll dazu beitragen, dass die Diagnose schnell und sicher gestellt werden kann. Außerdem ergeben sich aus den aufgeführten klinischen Charakteristika für die Therapie bedeutsame Strategien, z. B. die Modulation von Aufmerksamkeit, die in der Physio- und Psychotherapie zur Anwendung gebracht, aber vor allem durch die Patienten selbst genutzt werden können.

Publication History

Article published online:
15 December 2025

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