综合治疗仅累及腕手部的脑卒中后复杂性区域疼痛综合征1例报道

doi:10.3969/j.issn.1006-9771.2019.01.013

Abstract

Abstract: Objective To summarize the development and treatment for complex regional pain syndrome (CRPS) type I only involv-ing hand after stroke.
Methods One patient accepted comprehensive rehabilitation for six weeks. He was assessed with Visual Analogue Scale (VAS) of pain and modified Barthel Index, his hand volume and fingers circumference, and passive range of motion (PROM) of fingers and wrist was measured, before and after treatment.
Results The score of VAS, and the hand volume and the fingers circumference decreased, while PROM and the score of modified Barthel Index increased after treatment.
Conclusion Post-stroke CRPS type I can only affect the wrist and hand. Comprehensive rehabilitation may improve the function and activities of daily living.

Key words: stroke, complex regional pain syndrome, rehabilitation

CLC Number:

R743.3

JIN Li-xia, WANG Yu-yuan, HUA Yan, SUN Li-min, BAI Yu-long. Therapy of Complex Regional Pain Syndrome on Single Hand post Stroke: Case Report[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(1): 97-100.

References

[1] Marinus J, Moseley G L, Birklein F, et al.Clinical features and pathophysiology of complex regional pain syndrome[J]. Lancet Neurol, 2011, 10(7): 637-648.
[2] Sandroni P, Benrud-Larson L M, Mcclelland R L, et al. Complex regional pain syndrome type I: incidence and prevalence in Olmsted county, a population- based study[J]. Pain, 2003, 103(1-2): 199-207.
[3] de Mos M, de Bruijn A G, Huygen F J, et al. The incidence of complex regional pain syndrome: a population-based study[J]. Pain, 2007, 129(1-2): 12-20.
[4] Kim Y W, Kim Y, Kim J M, et al.Is poststroke complex regional pain syndrome the combination of shoulder pain and soft tissue injury of the wrist?: A prospective observational study: STROBE of ultrasonographic findings in complex regional pain syndrome[J]. Medicine (Baltimore), 2016, 95(31): e4388.
[5] Kocabas H, Levendoglu F, Ozerbil O M, et al.Complex regional pain syndrome in stroke patients[J]. Int J Rehabil Res, 2007, 30(1): 33-38.
[6] Ringer R, Wertli M, Bachmann L M, et al.Concordance of qualitative bone scintigraphy results with presence of clinical complex regional pain syndrome 1: meta- analysis of test accuracy studies[J]. Eur J Pain, 2012, 16(10): 1347-1356.
[7] Wertli M M, Brunner F, Steurer J, et al.Usefulness of bone scintigraphy for the diagnosis of complex regional pain syndrome 1: a systematic review and Bayesian meta-analysis[J]. PLoS One, 2017, 12(3): e173688.
[8] Alsharif A, Akel A Y, Sheikh-Ali R F, et al. Is there a correlation between symptoms and bone scintigraphic findings in patients with complex regional pain syndrome?[J]. Ann Nucl Med, 2012, 26(8): 665-669.
[9] Nitzsche E U.Nuclear medicine imaging for diagnosis of CRPS I[J]. Handchir Mikrochir Plast Chir, 2011, 43(1): 20-24.
[10] Wertli M M, Kessels A G, Perez R S, et al.Rational pain management in complex regional pain syndrome 1 (CRPS 1) –a network meta-analysis[J]. Pain Med, 2014, 15(9): 1575-1589.
[11] Pertoldi S, Di Benedetto P.Shoulder-hand syndrome after stroke. A complex regional pain syndrome[J]. Eura Medicophys, 2005, 41(4): 283-292.
[12] Adami S, Fossaluzza V, Gatti D, et al.Bisphosphonate therapy of reflex sympathetic dystrophy syndrome[J]. Ann Rheum Dis, 1997, 56(3): 201-204.
[13] Robinson J N, Sandom J, Chapman P T.Efficacy of pamidronate in complex regional pain syndrome type I[J]. Pain Med, 2004, 5(3): 276-280.
[14] Gatti D, Rossini M, Adami S.Management of patients with complex regional pain syndrome type I[J]. Osteoporos Int, 2016, 27(8): 2423-2431.
[15] 郝鹏,杜传超,程华,等. 维生素C 对复杂性区域疼痛综合征预防效果的 Meta 分析[J]. 创伤外科杂志, 2016, 18(10): 595-598.
[16] Pleger B, Janssen F, Schwenkreis P, et al.Repetitive transcranial magnetic stimulation of the motor cortex attenuates pain perception in complex regional pain syndrome type I[J]. Neurosci Lett, 2004, 356(2): 87-90.
[17] Picarelli H, Teixeira M J, de Andrade D C, et al. Repetitive transcranial magnetic stimulation is efficacious as an add-on to pharmacological therapy in complex regional pain syndrome (CRPS) type I[J]. J Pain, 2010, 11(11): 1203-1210.
[18] Sato K, Fukumori S, Matsusaki T, et al.Nonimmersive virtual reality mirror visual feedback therapy and its application for the treatment of complex regional pain syndrome: an open-label pilot study[J]. Pain Med, 2010, 11(4): 622-629.
[19] Pervane V S, Nakipoglu Y G, Sezgin O D, et al.Effects of mirror therapy in stroke patients with complex regional pain syndrome type 1: a randomized controlled study[J]. Arch Phys Med Rehabil, 2016, 97(4): 575-581.
[20] Smart K M, Wand B M, O'Connell N E. Physiotherapy for pain and disability in adults with complex regional pain syndrome (CRPS) types I and II[J]. Cochrane Database Syst Rev, 2016, 2: D10853.
[21] Cacchio A, de Blasis E, de Blasis V, et al. Mirror therapy in complex regional pain syndrome type 1 of the upper limb in stroke patients[J]. Neurorehabil Neural Repair, 2009, 23(8): 792-799.
[22] 华艳,白玉龙. 镜像疗法在复杂区域性疼痛综合征治疗中的应用进展[J]. 中国康复医学杂志, 2018, 33(1): 109-113.
[23] Safaz I, Tok F, Taskaynatan M A, et al.Manual lymphatic drainage in management of edema in a case with CRPS: why the(y) wait?[J]. Rheumatol Int, 2011, 31(3): 387-390.
[24] Duman I, Ozdemir A, Tan A K, et al.The efficacy of manual lymphatic drainage therapy in the management of limb edema secondary to reflex sympathetic dystrophy[J]. Rheumatol Int, 2009, 29(7): 759-763.

Therapy of Complex Regional Pain Syndrome on Single Hand post Stroke: Case Report

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