Evidence map›Paper›PMID 33163563›Full record

ArticleMovement disorders clinical practice2020

Clinical Correlates of Functional Motor Disorders: An Italian Multicenter Study.

Michele Tinazzi, Francesca Morgante, Enrico Marcuzzo, Roberto Erro, Paolo Barone, Roberto Ceravolo, Sonia Mazzucchi, Andrea Pilotto, Alessandro Padovani, Luigi M Romito and 26 more

3 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Movement disorders clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05345340 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Effectiveness of Telemedicine on Health Outcomes (Clinical, Humanistic, Economic) in the Management of Patients With Functional Motor Disorder: Randomised Controlled Clinical Trial

TypeinterventionalSponsorUniversita di VeronaRan2022 to 2024Enrolled62ConditionsFunctional Movement DisorderArmsTelemedicine, Usual care
NCT06274281 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Implementing a Digital Telerehabilitation Protocol and Non-motor Outcomes, and Quality of Life in Patients With Functional Motor Disorders: a Feasibility 2-arm Parallel Randomized Controlled Clinical Trial

TypeinterventionalSponsorUniversita di VeronaRan2024 to 2026Enrolled30ConditionsFunctional Movement DisorderArmsDigital Telerehabilitation, Usual care
NCT06328790 unknown statusnot on this mapstarted 2023, after this paper: background citation

A Window Into the Mind-brain-body Interplay: Development of Diagnostic, Prognostic Biomarkers and Rehabilitation Strategies in Functional Motor Disorders

TypeobservationalSponsorMichele Tinazzi, MD, PhDRan2023 to 2025Enrolled450ConditionsFunctional Motor DisordersArmsMultidisciplinary Rehabilitation Training, Cross-sectional study on patients with FMD and patients with structural/organic diseases, Cross-sectional study on patients with FMD and healthy controls (HC)
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pain and functional neurological disorder: a systematic review and meta-analysis.Journal of neurology, neurosurgery, and psychiatry · 2024
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Review
  11. Observational
  12. Polyelectromyography Under Propofol to Differentiate Functional from Idiopathic Dystonia: A Pilot Study.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

36 authors at 20 institutions in 2 countries.

Michele TinazziNeurology Unit, Movement Disorders Division, Department of Neurosciences Biomedicine and Movement Sciences University of Verona Verona Italy.
Francesca MorganteNeurosciences Research Centre, Molecular and Clinical Sciences Neurosciences Research Centre Molecular and Clinical Sciences Research Institute, St George's University of London London United Kingdom.ORCID https://orcid.org/0000-0002-9834-3639
Enrico MarcuzzoNeurology Unit, Movement Disorders Division, Department of Neurosciences Biomedicine and Movement Sciences University of Verona Verona Italy.
Roberto ErroCenter for Neurodegenerative Diseases, Department of Medicine, Surgery and Dentistry-Scuola Medica Salernitana University of Salerno Baronissi Italy.ORCID https://orcid.org/0000-0002-7800-7419
Paolo BaroneCenter for Neurodegenerative Diseases, Department of Medicine, Surgery and Dentistry-Scuola Medica Salernitana University of Salerno Baronissi Italy.
Roberto CeravoloNeurology Unit, Department of Clinical and Experimental Medicine University of Pisa Pisa Italy.ORCID https://orcid.org/0000-0003-1412-9406
Sonia MazzucchiNeurology Unit, Department of Clinical and Experimental Medicine University of Pisa Pisa Italy.
Andrea PilottoDepartment of Clinical and Experimental Sciences University of Brescia Brescia Italy.ORCID https://orcid.org/0000-0003-2029-6606
Alessandro PadovaniDepartment of Clinical and Experimental Sciences University of Brescia Brescia Italy.
Luigi M RomitoParkinson and Movement Disorders Unit Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy.ORCID https://orcid.org/0000-0002-6772-1035
Roberto EleopraParkinson and Movement Disorders Unit Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy.
Mario ZappiaDepartment G.F. Ingrassia, Section of Neurosciences University of Catania Catania Italy.
Alessandra NicolettiDepartment G.F. Ingrassia, Section of Neurosciences University of Catania Catania Italy.
Carlo DallocchioDepartment of Medical Area Neurology Unit, ASST Pavia Pavia Italy.
Carla ArbasinoDepartment of Medical Area Neurology Unit, ASST Pavia Pavia Italy.
Francesco BonoBotulinum Toxin Center Neurology Unit A.O.U. Mater Domini Catanzaro Italy.
Angelo PascarellaBotulinum Toxin Center Neurology Unit A.O.U. Mater Domini Catanzaro Italy.
Benedetta DemartiniAldo Ravelli Research Center for Neurotechnology and Experimental Brain Therapeutics, Department of Health Sciences University of Milan Milan Italy.
Orsola GambiniAldo Ravelli Research Center for Neurotechnology and Experimental Brain Therapeutics, Department of Health Sciences University of Milan Milan Italy.
Nicola ModugnoIRCCS Neuromed Pozzilli Italy.
Enrica OlivolaIRCCS Neuromed Pozzilli Italy.
Vincenzo Di StefanoDepartment of Neuroscience, Imaging and Clinical Sciences University G. d'Annunzio Chieti-Pescara Italy.
Alberto AlbaneseDepartment of Neurology IRCCS Humanitas Research Hospital Rozzano Italy.ORCID https://orcid.org/0000-0002-5864-0006
Gina FerrazzanoDepartment of Human Neurosciences Università La Sapienza Rome Italy.
Alessandro TessitoreDepartment of Advanced Medical and Surgery Sciences University of Campania - Luigi Vanvitelli Naples Italy.ORCID https://orcid.org/0000-0003-1740-8566
Maurizio ZibettiDepartment of Neuroscience-Rita Levi Montalcini University of Turin Turin Italy.
Giovanna Calandra-BuonauraDepartment of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy.
Martina PetraccaMovement Disorder Unit Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Marcello EspositoClinical Neurophysiology Unit Cardarelli Hospital Naples Italy.
Antonio PisaniDepartment of Systems Medicine University of Rome Tor Vergata Rome Italy.ORCID https://orcid.org/0000-0002-8432-594X
Paolo ManganottiClinical Neurology Unit, Department of Medical Surgical and Health Services, University of Trieste Trieste Italy.
Fabrizio StocchiUniversity and Institute of Research and Medical Care San Raffaele Roma Rome Italy.
Mario Coletti MojaMauriziano Hospital Umberto I Turin Italy.ORCID https://orcid.org/0000-0002-8452-683X
Angelo AntoniniMovement Disorders Unit, Department of Neuroscience University of Padua Padua Italy.ORCID https://orcid.org/0000-0003-1040-2807
Giovanni DefazioDepartment of Medical Sciences and Public Health University of Cagliari Cagliari Italy.
Christian GeroinNeurology Unit, Movement Disorders Division, Department of Neurosciences Biomedicine and Movement Sciences University of Verona Verona Italy.ORCID https://orcid.org/0000-0001-6095-1930
University of Verona · ITAzienda Ospedaliero Universitario Mater Domini · ITFondazione IRCCS Istituto Neurologico Carlo Besta · ITIstituto Neurologico Mediterraneo · ITUniversity of Catania · ITUniversity of Milan · ITUniversity of Pavia · ITUniversity of Pisa · ITUniversity of Salerno · ITAgostino Gemelli University Polyclinic · ITA. O. Ordine Mauriziano di Torino · ITFondazione Europea Ricerca Biomedica · ITInstitute of Neurological Sciences · ITIRCCS Humanitas Research Hospital · ITOspedale Antonio Cardarelli · ITSan Raffaele University of Rome · ITSapienza University of Rome · ITUniversity of Brescia · ITUniversity of Cagliari · ITUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFunctional motor disorders (FMDs) are abnormal movements that are significantly altered by distractive maneuvers and are incongruent with movement disorders seen in typical neurological diseases.

objectiveThe objectives of this article are to (1) describe the clinical manifestations of FMDs, including nonmotor symptoms and occurrence of other functional neurological disorders (FND); and (2) to report the frequency of isolated and combined FMDs and their relationship with demographic and clinical variables.

methodsFor this multicenter, observational study, we enrolled consecutive outpatients with a definite diagnosis of FMDs attending 25 tertiary movement disorders centers in Italy. Each patient underwent a detailed clinical evaluation with a definition of the phenotype and number of FMDs (isolated, combined) and an assessment of associated neurological and psychiatric symptoms.

resultsOf 410 FMDs (71% females; mean age, 47 ± 16.1 years) the most common phenotypes were weakness and tremor. People with FMDs had higher educational levels than the general population and frequent nonmotor symptoms, especially anxiety, fatigue, and pain. Almost half of the patients with FMDs had other FNDs, such as sensory symptoms, nonepileptic seizures, and visual symptoms. Patients with combined FMDs showed a higher burden of nonmotor symptoms and more frequent FNDs. Multivariate regression analysis showed that a diagnosis of combined FMDs was more likely to be delivered by a movement disorders neurologist. Also, FMD duration, pain, insomnia, diagnosis of somatoform disease, and treatment with antipsychotics were all significantly associated with combined FMDs.

conclusionsOur findings highlight the need for multidimensional assessments in patients with FMDs given the high frequency of nonmotor symptoms and other FNDs, especially in patients with combined FMDs.

Indexed as

functional neurological disorders, functional dystonia, functional tremor, functional weakness, diagnosis

Identifiers

PMID33163563
PMCPMC7604660
OpenAlexW3081208803

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.