The Value of Interdisciplinary Pain Management in Complex Regional Pain Syndrome Type I: A Prospective Outcome Study
| Autor: | Thomas C. Chelimsky, Mark V. Boswell, Seth N Willen, Gurwant Singh, Jeffrey W. Janata |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Occupational therapy
medicine.medical_specialty Rehabilitation business.industry Pain tolerance medicine.medical_treatment Gross motor skill medicine.disease Group psychotherapy Anesthesiology and Pain Medicine Complex regional pain syndrome Physical medicine and rehabilitation Allodynia medicine Physical therapy Anxiety medicine.symptom business |
| Zdroj: | Pain Physician. :203-209 |
| ISSN: | 2150-1149 1533-3159 |
| DOI: | 10.36076/ppj.2004/7/203 |
| Popis: | BACKGROUND Complex regional pain syndrome (CRPS) type I is a symptom complex of severe, chronic limb pain, often associated with allodynia, vasomotor, and sudomotor changes. Optimal management of this condition is not well understood. The role of a traditional, comprehensive pain management program with long-term follow-up has not been evaluated. OBJECTIVE To define the benefit of the interdisciplinary approach in patients with CRPS type I. DESIGN Prospective, case series, outcomes evaluation. METHODS Patients with a diagnosis of CRPS type I entering the University Pain Center's intensive, outpatient pain management program were enrolled in an objective assessment study through the duration of the program, with a follow-up of 2 years. This program involved 4 weeks of interdisciplinary management comprised of 20 sessions of physical therapy, 20 sessions of occupational therapy, 12 sessions of water therapy, 20 sessions of group psychotherapy, stellate ganglion blocks, and drug therapy. OUTCOME MEASURES Specific objective measurements of upper extremity function, sensation and strength over time, and functional status 2 years after program completion. RESULTS Upper extremity weight tolerance increased dramatically by 29-pounds (p |
| Databáze: | OpenAIRE |
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