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首页> 外文期刊>The Open Pain Journal >Physiotherapy Interventions and the Outcomes for Complex Regional Pain Syndrome (CRPS) Type 1 on the South Island of New Zealand – A Longitudinal, Prospective Case Series
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Physiotherapy Interventions and the Outcomes for Complex Regional Pain Syndrome (CRPS) Type 1 on the South Island of New Zealand – A Longitudinal, Prospective Case Series

机译：新西兰南岛复杂区域疼痛综合征（CRPS）1型纵向，潜在案例系列的物理治疗干预及其成果

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Physiotherapy is considered in pain medicine to be a key element in the management of Complex Regional Pain Syndrome (CRPS). This is the first paper to document and categorise all physiotherapy intervention methods used as well as evaluate the outcomes of a case series of 18 CRPS patients attending physiotherapy in a prospective, longitudinal study across a region. Outcomes were measured across the region of the South Island of New Zealand over 1 year through independent telephonic interviewing of the pain experience with the McGill Pain Questionnaire-short form, function with Foot Function Index for the lower limb or Disability of the Arm Shoulder and Hand for the upper limb, and quality of life with the World Health Organisation Disability Schedule. Clinical records were accessed for each CRPS participant following discharge from physiotherapy to categorise the intervention methods used. Seventeen participants received intervention for both functional restoration with pain modulation and only one participant received functional restoration with no pain modulation; 12 also received immobilisation with 10 receiving passive interventions. All outcome measures improved significantly by 6 months and were maintained at 1 year. Eighty five percent had their diagnosis of CRPS confirmed within 3 months of their injury; half had fracture as the precipitating injury for their onset of CRPS with a third following soft tissue injury and 11% following surgery. Physiotherapists showed a high variation with the intervention methods used and showed a greater proportion of intervention methods focusing on functional restoration followed by pain modulating interventions. Future research is necessary to define what physiotherapy interventions are efficacious in the management of CRPS.
机译：在止痛药中考虑了物理疗法，成为复杂的区域疼痛综合征（CRPS）管理中的关键因素。这是第一篇文档和分类所有物理治疗干预方法的论文，以及评估在一个地区的前瞻性，纵向研究中出席物理治疗的18个CRP患者的案例系列的结果。通过独立电话面试对新西兰南岛南岛的地区测量结果，通过独立电话访谈与麦吉尔疼痛调查问卷形式短的形式，具有脚部曲折的脚部功能指数的功能，手臂肩部和手对于上肢，与世界卫生组织残疾时间表的生活质量。在从物理疗法排出后，对每个CRP参与者进行临床记录，以对所用干预方法进行分类。十七位参与者接受了疼痛调制的功能修复的干预，只有一个参与者接受了无疼痛调制的功能修复; 12还接受了10个接受被动干预的固定化。所有结果措施均明显改善6个月，并在1年内维持。百分之八十五只5％的CRP诊断在其伤害3个月内确诊;一半的骨折作为沉淀损伤的损伤，其发病患者，其在软组织损伤后的第三种，手术后11％。物理治疗师与使用的干预方法显示出高度的变化，并显示出更大比例的介入方法，其致力于功能恢复，然后进行疼痛调节干预措施。未来的研究是确定在CRP管理中有效的物理治疗干预措施。

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