TY - JOUR
T1 - Physical and occupational therapies in complex regional pain syndrome Type I
AU - Geertzen, Jan H.B.
AU - Harden, Robert N
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2007/12/18
Y1 - 2007/12/18
N2 - In patients with CRPS-I there are varying manifestations in the development and progression of the syndrome. It may lead to minimal impairment (i.e., loss of strength or pain with exposure to cold) or it may lead to major impairment, resulting in chronic invalidism. In extreme cases CRPS-I may even lead to amputation. There is a lack of knowledge in the efficacy of most treatments, time dependent symptoms of CRPS-I, natural course, prognostic factors and psychological and psychosomatic aspects of CRPS-I. In general the scientific background for therapy and for paramedical treatment particular is lacking. It may appear strange that without much evidence rehabilitation has such an important emphasis in these guidelines. The fact of the matter is that there are essentially no evidence-based therapies, and to not treat patients until 'hard science' is available is nihilistic. The rehabilitation method, especially physical and occupational therapies (PT and OT), provide a varied and balanced empirical approach, which at the present moment is the only way to proceed. In this paper a review of all published PT and OT papers are discussed.
AB - In patients with CRPS-I there are varying manifestations in the development and progression of the syndrome. It may lead to minimal impairment (i.e., loss of strength or pain with exposure to cold) or it may lead to major impairment, resulting in chronic invalidism. In extreme cases CRPS-I may even lead to amputation. There is a lack of knowledge in the efficacy of most treatments, time dependent symptoms of CRPS-I, natural course, prognostic factors and psychological and psychosomatic aspects of CRPS-I. In general the scientific background for therapy and for paramedical treatment particular is lacking. It may appear strange that without much evidence rehabilitation has such an important emphasis in these guidelines. The fact of the matter is that there are essentially no evidence-based therapies, and to not treat patients until 'hard science' is available is nihilistic. The rehabilitation method, especially physical and occupational therapies (PT and OT), provide a varied and balanced empirical approach, which at the present moment is the only way to proceed. In this paper a review of all published PT and OT papers are discussed.
KW - CRPS type I
KW - Evidence based
KW - Occupational therapy
KW - Physical therapy review
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U2 - 10.1300/J426v02n03_11
DO - 10.1300/J426v02n03_11
M3 - Article
AN - SCOPUS:38049159742
VL - 2
SP - 51
EP - 55
JO - Journal of Neuropathic Pain and Symptom Palliation
JF - Journal of Neuropathic Pain and Symptom Palliation
SN - 1543-7698
IS - 3
ER -