Clinical Research Directory

Inclusion Criteria: * Clinically established diagnosis of FND or an equivalent term * Investigations are accepted as complete by the patient and treating physician * Walking difficulty that prevents crossing the road unaided at a traffic light pedestrian crossing * Lower limb functional weakness * 30 days or more since first onset of functional motor symptoms * Tinetti POMA score \< 21/28 Exclusion Criteria: * Age \< 21 years * Living with a parent or guardian who provides primary emotional support and assistance with most daily tasks * Medical instability precluding safe participation in physical therapy * Cognitive or communication impairment precluding informed consent or the ability to effectively engage in education aspects of the trial with family support * Untreated and severe psychiatric illness affecting the ability to safely participate * Co-existing non-FND neurological or musculoskeletal impairments restricting walking independence * A primary diagnosis of chronic pain or chronic fatigue syndrome * Pain significantly limiting standing or walking * Prior treatment for FND that included Transcranial Magnetic Stimulation (TMS) * Contraindicated to TMS as determined using a standard safety screening checklist