FUNCTIONAL NEUROLOGICAL DISORDER AND CHIROPRACTIC: TWO CASE REPORTS

Abstract

Functional Neurological Disorder (FND) is a complex condition characterised by neurological symptoms that cannot be explained by a structural or organic disease. Traditional interventions often emphasise psychological and physiotherapeutic approaches. This case series explores the efficacy of an integrative treatment combining Chiropractic care, Vestibular Rehabilitation (VR), and Sensory Motor activities in two patients diagnosed with FND.

Two patients (one female, age 15 and one male, age 48) with confirmed FND were treated. Each presented with distinct neurological complaints including motor weaknesses, sensory disturbances, and movement disorders. An individualised treatment regimen was designed for each patient combining Chiropractic Adjustments, tailored VR exercises, and specific sensory motor activities. The intervention spanned 3-36 weeks, and outcomes were evaluated based on symptom reduction and functional improvement.

Both patients achieved complete resolution. The movement disorders, such as psychogenic non-epileptic seizures, tremors and dystonia, were reported as achieving complete remission. The results of these two cases suggest that an integrative approach, melding Chiropractic care with Vestibular Rehabilitation and Sensory Motor activities, may offer a promising avenue for the management of FND. Larger controlled studies are warranted to validate these findings and to further explore the underlying mechanisms behind this synergistic therapeutic approach.

The clinical presentation and treatment course of each patient is presented, including the specific VR and Chiropractic techniques used, and report on their outcomes with discussion of the potential mechanisms by which VR and Chiropractic treatment may be effective for individuals with FND.