{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T23:34:27Z","timestamp":1791243267332,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T00:00:00Z","timestamp":1691107200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disord Clin Pract"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Treating functional movement disorder (FMD) with motor retraining is effective but resource intensive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Identify patient, disease, and program variables associated with favorable treatment outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of the 1\u2009week intensive outpatient FMD program at Mayo Clinic in Minnesota from February 2019 to August 2021. Outcomes included patient\u2010reported measures (Canadian Occupational Performance Measure\u2010Performance and Satisfaction subscales [COPM\u2010P and COPM\u2010S, range 0\u201310] and Global Rating of Change [GROC, \u22127 to +7]) and a retrospective investigator\u2010rated scale (0\u20133, worse\/not improved to significantly improved\/resolved). Linear regression models identified variables predicting favorable outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants (n\u2009=\u2009201, 74% female, mean age\u2009=\u200946) had median FMD duration of 24\u2009months. The commonest FMD subtypes were gait disorder (65%), tremor (41%) and weakness (17%); 53% had \u22652 subtypes. Most patients (88%) completed a therapeutic screening process before program entry. Patient\u2010reported outcomes at the end of the week improved substantially (COPM\u2010P average change 3.8\u2009\u00b1\u20091.9; GROC post\u2010program average 5.5\u2009\u00b1\u20091.7). Available investigator\u2010rated outcomes from short\u2010term follow\u2010up were also positive (102\/122 [84%] moderately to significantly improved\/resolved). Factors predicting greater improvement in COPM\u2010P were completing therapeutic screening, higher number of non\u2010motor symptoms, shorter FMD duration, earlier program entry, lower baseline COPM scores, and (among screened patients) higher GROC between therapeutic screening and program start.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with diverse FMD subtypes improved substantially over a 1\u2009week period. Utilization of therapeutic screening and greater improvement between therapeutic screening and program start were novel predictors of favorable outcomes. Non\u2010motor symptoms did not preclude positive responses, although patients with predominant non\u2010motor burden were excluded.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mdc3.13844","type":"journal-article","created":{"date-parts":[[2023,7,14]],"date-time":"2023-07-14T08:01:05Z","timestamp":1689321665000},"page":"1377-1387","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Outpatient Motor Retraining for Functional Movement Disorder: Predictors of a Favorable Short\u2010Term Response"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9871-038X","authenticated-orcid":false,"given":"Marcus N.","family":"Callister","sequence":"first","affiliation":[{"name":"Department of Neurology Mayo Clinic  Scottsdale Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly C.","family":"Klanderman","sequence":"additional","affiliation":[{"name":"Department of 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