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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >The Effectiveness of Fluidotherapy in Poststroke Complex Regional Pain Syndrome: A Randomized Controlled Study
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The Effectiveness of Fluidotherapy in Poststroke Complex Regional Pain Syndrome: A Randomized Controlled Study

机译：流动疗法在初期复杂的区域疼痛综合征中的有效性：随机对照研究

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Objective: To evaluate whether combining fluidotherapy to conventional rehabilitation program provides additional improvements on pain severity, upper extremity functions, and edema volume in patients with poststroke complex regional pain syndrome (CRPS). Design: Randomized controlled trial. Setting: Training and research hospital. Participants: Thirty hemiplegic patients with subacute stage CRPS type-1 of the upper extremity. Interventions: The patients randomly divided into 2 groups. Both groups received a 3 week conventional rehabilitation program (5 days/week, 2-4 hours/day). Experimental group received 15 sessions additional fluidotherapy application to the affected upper extremity (40 degrees C, 20 minutes in continuous mode, 5 sessions/week). Main Outcome Measures: We evaluated the distal upper arm edema with a volumeter. Other used clinical assessment scales were Brunnstrom recovery stages of the arm and hand for motor recovery, motor items of the functional independence measure for functional status, visual analog scale for pain severity, and the painDETECT questionnaire for presence and the severity of neuropathic pain. Results: The mean age of the participants was 64.3 +/- 11.66 (28-84). At the post-treatment evaluation, significant improvements were revealed regarding to the edema volume, pain visual analog scale, painDETECT and functional independence measure scores, and the Brunnstrom stages of upper extremity and hand in both groups (P <.05). But among the parameters mentioned above, only the decrease in edema volume and the painDETECT scores were greater in fluidotherapy group than the control group (P <.05). Conclusions: Addition of the fluidotherapy to the conventional rehabilitation program provides better improvements on neuropathic pain and edema volume in subacute stage poststroke CRPS.
机译：目的：评价流动疗法是否与常规康复计划相结合，对患者止血症患者的疼痛严重程度，上肢功能和水肿体积进行了额外的改进，术语复杂的区域疼痛综合征（CRP）。设计：随机对照试验。环境：培训和研究医院。参与者：三十个偏瘫患者亚急性阶段CRPS-1的上肢。干预措施：患者随机分为2组。两组都收到了3周的传统康复计划（5天/周，2-4小时/天）。实验组接受了15次会话额外的流动疗法应用于受影响的上肢（40摄氏度，连续模式下20分钟，5个课程/周）。主要观察指标：我们评估了具有容积的远端上臂水肿。其他二手临床评估尺度是手臂的Brunnstrom恢复阶段，用于电动机恢复，功能独立性的电机项目功能状态，视觉模拟规模疼痛严重程度，以及止痛调查问卷的存在和神经病疼痛的严重程度。结果：参与者的平均年龄为64.3 +/- 11.66（28-84）。在治疗后的评估中，关于水肿体积，疼痛视觉模拟规模，止痛和功能独立度量评分以及两组上肢和手的Brunnstrom阶段，揭示了显着的改进（P <.05）。但在上述参数中，流体疗法组中仅降低水肿体积和疼痛分数比对照组更大（P <.05）。结论：对传统康复计划的流动疗法提供了更好地改善亚急性阶段失败CRP中的神经病疼痛和水肿体积。

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