🔥The 9th Round of Easy Loan, Earn $40 Reward is in progress❗️ ⏰ Promotion Period: January 15th - Feburary 15th, 2025 👉 Register now and check more details at gate.io/campaigns/358

Loss and Return of Ticklishness in Functional Neurological Disorder (wiley.com). A patient several years told me she lost ticklishness on the side of her functional weakness. 1/n Movement Disorders Clinical Practice Glenn Nielsen Francesca Morgante Will Nash

it likely tells us something about interoception, agency and sensory processing in FND and can help explain these mechanisms to people wtih FND 3/3

Movement Disorders Clinical Practice Glenn Nielsen Francesca Morgante Will Nash Another one told me it returned when better so we explored the symptom, which turned out to be not uncommon in FND. In 38 patients it was localised or generalised. There was a inconsistent relationship with sensory symptoms and frequent descriptions of loss of body ownership 2/n

Watch this video to learn more on why e are supporting Plants First Healthcare Campaign, calling for hospitals to take action for human and planetary health by adopting a ‘plant-based by default’ approach. Plant Based Health Professionals UK youtube.com/watch?v=KTxWPk…

Many people with FND lose ticklishness, often only in affected limbs, occasionally returning when improving. This offers insights into mechanisms of agency, sensory processing and interception, which are known to be altered in FND. Coebergh Glenn Nielsen fran

A study in Nature claimed exercise damaged people with post-exertional malaise from #LongCovid. We found this is NOT supported by their evidence: patients were deconditioned, the exercise was extreme, and there were no proper controls #MEcfs nature.com/articles/s4146…

This editorial links to @Coeberghjan ‘s article on Hoover’s sign, pointing out that it’s a sign of disordered agency. FND is the commonest cause, but there are others, like apraxia and even feigning 2/ pn.bmj.com/content/early/…

And Stoyan Popkirov noticed that staring at your hand for 30 seconds could reproduce sensory symptoms in people with FND in a way that could be therapeutically useful, if too common to be diagnostically useful 3/ bsky.app/profile/popkir… pn.bmj.com/content/early/…

New Physio4FMD output sciencedirect.com/science/articl… In this planned post hoc analysis, we looked for baseline predictors of 12-month outcome Louise Marston Jon Stone Alan Carson

Our climate change challenge is to reduce the polluting effects of healthcare whilst retaining the highest quality of both care and innovation.” SPiQE Coebergh

A study in Nature claimed exercise damaged people with post-exertional malaise from #LongCovid. A second critique, from specialists in muscle, say pain after exercise is not specific to covid-19, and exercise IS helpful in muscle recovery. rdcu.be/eaOtl

Two replies to: Muscle abnormalities worsen after post-exertional malaise in long COVID | Nature Communications suggest maybe the 184 citations in one year should re-consider the conclusions but X notes say: Authors of the study refute these claims. 1/n

When you reply in a medical journal you are not entitled to a further reply to the response. As X notes say: 1. Objective findings in people experiencing PEM differed fundamentally from those caused by deconditioning. The flaw is they mean deconditioning is complete bed rest 2/n

Deconditioning is more subtle than complete bed rest. Appelman et al. suggest participants are not different to an average American in step count. America has high rates of obesity and the Netherlands does not. Many Dutch people cycle every day (poorly captured in step count) 3/n

General fitness builds up over many weeks and is not reflected in step count in last week. The controls might possibly cycle faster and are fitter? X says: 2. Matched healthy controls did not experience PEM. But controls were clearly not matched. 4/n

Replying in a medical journal is slow and unlikely the authors of 184 citations will read it. I really hope the conclusion by Appelman et al: "These [findings] explain the symptomatology of PEM in long COVID" is not deemed valid, until better research with matched controls 5/5

Does living 1-3 miles from a golf course increase your risk of Parkinson's? This isn’t about golf folks—it’s about pesticides, environmental exposures, and preventable risks hiding in plain sight. A new study by Brittany Krzyzanowski and colleagues in JAMA Network Open is eye

In our new commentary, we debate the uncritical adoption of biomarker-based diagnoses in cognitive disorders. We highlight issues of standardization, accuracy & equity, warning that normalizing biomarkers as routine may not reflect responsible innovation. neurology.org/doi/10.1212/CP…

Patients #mecfs need hope and expert care. Reframe beliefs and about the illness. People can RECOVER #mecfs #longcovid NICE recommendations can for severe ME/CFS may reinforce immobility, agency, and the chance to recover bmj.com/content/389/bm…

Have a “free to access” link for this now pn.bmj.com/cgi/content/fu…