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What is the STEPS Physiotherapy Framework?
The STEPS Physiotherapy Framework was developed to provide structure for the rehabilitation of people with Functional Neurological Disorder (FND).
Many clinicians understand the diagnosis of FND but feel uncertain about how to approach rehabilitation in a structured and progressive way.
STEPS provides a practical roadmap to help guide clinical reasoning throughout the rehabilitation journey, supporting decisions around:
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Where to start
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What to prioritise
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How to progress treatment
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How to recognise meaningful change
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How to support long-term self-management

The STEPS Stages


Build understanding, confidence and readiness for rehabilitation.
Retrain more automatic and efficient movement patterns.

Transfer gains achieved in therapy into everyday life and meaningful activities.


Increase participation, confidence, challenge and independence.
Develop confidence and strategies for recognising and managing setbacks.
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