REFERENCE · RECOVERY TECHNIQUES

Functional Dystonia or Fixed Posturing: Detailed Recovery and Care Pages

This folder expands the brief descriptions on the [functional dystonia or fixed posturing recovery page](../04-functional-dystonia.md). Each detailed page describes the appearance most likely to fit, relevant anatomy in clinical and everyday language, clinician selection and procedure, supporter guidance, progression and regression, safety limits and the evidence boundary.

Original list: 10 entries

10 original entries map to 10 core pages: two merges (positioning with release; sensory contact with desensitization) offset two splits (mirror/EMG; complications/equipment). Three additional review/care pages brought the document total to 13. These are document counts, not counts of independently proven treatments. See the history audit.

Comfortable supported positioning: Supported Positioning and Non-Forceful Release for Functional Dystonia.
Alignment away from sustained end range: Position and Gravity Change for Functional Dystonia.
External-focus movement: External Focus and Automatic Movement for Functional Dystonia.
Graded weight-bearing: Graded Weight-Bearing and Functional Use for Functional Dystonia.
Return to ordinary sensory experience: Graded Sensory Reintroduction for Functional Dystonia.
Desensitization: Graded Sensory Reintroduction for Functional Dystonia.
Reduce protective co-contraction: Supported Positioning and Non-Forceful Release for Functional Dystonia.
Mirror or EMG feedback: Mirror and Visual Feedback for Functional Dystonia; Surface-EMG Biofeedback for Functional Dystonia.
Electrical stimulation: Electrical Stimulation as an Adjunct for Functional Dystonia.
Pain, contracture and equipment management: Pain, Skin, Joint-Range and Contracture Management for Functional Dystonia; Splint, Orthosis, Footwear and Mobility-Equipment Review for Functional Dystonia.

Additional treatment-review and care pages

These extend the collection but are not additional entries in the original list.

Specialist Botulinum-Toxin Review for Functional Dystonia — Additional specialist treatment review. New standalone specialist-option page; it was not a numbered original entry. The page states that the small pilot trial does not support routine injection.
Episode, Flare and Relapse Planning for Functional Dystonia — Additional care-planning guidance. Develops the original unnumbered episode/flare guidance; it is not an additional distinct rehabilitation technique.
Individualized Multidisciplinary Treatment for Functional Dystonia — Additional coordinated-care guidance. Develops the original clinician discussion of multidisciplinary care; it is not an additional distinct exercise.

These pages cover selectable components and care guidance, not a thirteen-step protocol. A person may need one, several or none. A fixed posture may include functional motor symptoms, pain, sensory hypersensitivity, oedema, skin risk or an established contracture; each requires its own assessment. Functional and nonfunctional dystonia can also coexist.

The visible posture is not the only valid outcome. Safer transfers, protected skin, more tolerable footwear, greater participation, less pain or a reliable flare plan can matter even when the posture remains. A technique failing does not measure effort, motivation, acceptance or potential for future improvement.

Evidence is limited. Most component-level recommendations come from professional consensus. The collection identifies case-series and programme-level evidence separately and describes the small botulinum-toxin/CBT pilot trial without turning it into a general treatment promise.