scholarly journals Efficacy and Effectiveness of Physical Agent Modalities in Complex Regional Pain Syndrome Type I: A Scoping Review

2021 ◽  
Vol 11 (4) ◽  
pp. 1857
Author(s):  
Antimo Moretti ◽  
Francesca Gimigliano ◽  
Marco Paoletta ◽  
Sara Liguori ◽  
Giuseppe Toro ◽  
...  
Keyword(s):  
Electromagnetic Field ◽  
Physical Therapy ◽  
Complex Regional Pain Syndrome ◽  
Scoping Review ◽  
Pain Syndrome ◽  
Type I ◽  
Syndrome Type ◽  
Physical Agent ◽  
Clinical Scenarios ◽  
Field Therapy

Complex regional pain syndrome type I (CRPS-I) is a rare condition with huge variability in triggering factors and clinical scenarios. The complexity of the pathophysiology of this condition fosters the proposal of several therapeutic options with different mechanisms of action in both research and clinical practice. An interdisciplinary and multimodal approach, including pharmacological and non-pharmacological interventions, particularly physical therapy, is recommended by international guidelines, but the benefits and harms of available interventions are poorly known. In this scoping review, the clinical rationale for use of physical agent modalities for patients with CRPS-I will be presented. We found 10 studies addressing the role of electromagnetic field therapy, electrotherapy, and laser therapy. Our findings suggest that physical therapy modalities, in particular transcutaneous electrical nerve stimulation (TENS) and pulsed electromagnetic field therapy (PEMF), may contribute to reduce pain and improve function in patients with CRPS-1.

The efficiency of electromagnetic field treatment in Complex Regional Pain Syndrome Type I

2004 ◽  
Vol 26 (9) ◽  
pp. 537-545 ◽  
Author(s):  
Abubekir Durmus ◽  
Aysegul Cakmak ◽  
Rian Disci ◽  
Lutfiye Muslumanoglu
Keyword(s):  
Electromagnetic Field ◽  
Complex Regional Pain Syndrome ◽  
Pain Syndrome ◽  
Type I ◽  
Syndrome Type

Impact of Spinal Cord Stimulation on Sensory Characteristics in Complex Regional Pain Syndrome Type I

2001 ◽  
Vol 95 (1) ◽  
pp. 72-80 ◽  
Author(s):  
Marius A. Kemler ◽  
Jos P. H. Reulen ◽  
Gerard A. M. Barendse ◽  
Maarten van Kleef ◽  
Henrica C. W. de Vet ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Physical Therapy ◽  
Complex Regional Pain Syndrome ◽  
Pain Syndrome ◽  
Mechanical Hyperalgesia ◽  
Type I ◽  
Syndrome Type ◽  
Detection Thresholds ◽  
Pain Thresholds ◽  
To Receive

Background A randomized trial was performed to assess the effect of spinal cord stimulation (SCS) on detection and pain thresholds for pressure, warmth, and cold and on the extent of mechanical hyperalgesia in patients with chronic complex regional pain syndrome type I. Methods Fifty-four chronic complex regional pain syndrome type I patients were randomized to receive both SCS and physical therapy (SCS+PT; n = 36), or to receive only physical therapy (PT; n = 18). Twenty-four SCS+PT patients responded positively to trial stimulation and underwent SCS implantation. During a 12-month follow-up period, six quantitative sensory testing sessions were performed. The main analysis compared 24 SCS patients with 29 nonimplanted patients--one PT patient was excluded. Results SCS showed no effect on detection thresholds for warmth and cold or on pain thresholds for any sensation. The pressure detection threshold initially increased by SCS, but after 3 months, pressure detection thresholds returned to normal. Mechanical hyperalgesia, both dynamic and static, was reduced slightly with SCS. Conclusions Although SCS has previously been shown to cause a significant pain reduction in complex regional pain syndrome type I, the treatment has no long-term effect on detection and pain thresholds for pressure, warmth, or cold. The treatment seems to have only minimal influence on mechanical hyperalgesia.

Adjuvant physical therapy versus occupational therapy in patients with reflex sympathetic dystrophy/complex regional pain syndrome type I

2000 ◽  
Vol 81 (1) ◽  
pp. 49-56 ◽  
Author(s):  
H. Margreet Oerlemans ◽  
Rob A. B. Oostendorp ◽  
Theo de Boo ◽  
Lyckle van der Laan ◽  
Johan L. Severens ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Occupational Therapy ◽  
Complex Regional Pain Syndrome ◽  
Reflex Sympathetic Dystrophy ◽  
Pain Syndrome ◽  
Type I ◽  
Syndrome Type

Effect of spinal cord stimulation in Type I complex regional pain syndrome with 2 rare severe cutaneous manifestations

2009 ◽  
Vol 110 (2) ◽  
pp. 274-278
Author(s):  
Kim Rijkers ◽  
Jasper van Aalst ◽  
Erkan Kurt ◽  
Marc A. Daemen ◽  
Emile A. M. Beuls ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Complex Regional Pain Syndrome ◽  
Female Patient ◽  
Spinal Cord Stimulation ◽  
Scientific Literature ◽  
Pain Syndrome ◽  
Type I ◽  
Syndrome Type ◽  
Cutaneous Manifestations ◽  
Giant Bullae

The authors present the case of a 49-year-old female patient with complex regional pain syndrome–Type I (CRPSI) who was suffering from nonhealing wounds and giant bullae, which dramatically improved after spinal cord stimulation (SCS). The scientific literature concerning severe cutaneous manifestations of CRPS-I and their treatment is reviewed. Nonhealing wounds and bullae are rare manifestations of CRPS-I that are extremely difficult to treat. Immediate improvement of both wounds and bullae after SCS, such as in this case, has not been reported previously in literature. Considering the rapidly progressive nature of these severe skin manifestations, immediate treatment, possibly with SCS, is mandatory.

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