[논문]Physical Therapy and Rehabilitation of Complex Regional Pain Syndrome in Shoulder Prosthesis

Celik, Derya; Demirhan, Mehmet

doi:10.3344/kjp.2010.23.4.258

Physical Therapy and Rehabilitation of Complex Regional Pain Syndrome in Shoulder Prosthesis 원문보기

The Korean journal of pain, v.23 no.4, 2010년, pp.258 - 261

Celik, Derya (Orthopedics and Traumatology, Istanbul University, Istanbul Medical Faculty) , Demirhan, Mehmet (Orthopedics and Traumatology, Istanbul University, Istanbul Medical Faculty)

Abstract ▼ AI-Helper

We report a 66-year-old woman with complex regional pain syndrome (CRPS) 1 treated with combined medical and active physical therapy. She was diagnosed with CRPS 1 following partial shoulder prosthesis due to proximal humerus fracture. Despite continuous medication and physical therapy, there was no improvement in her pain and functional outcome. Her overall pain was decreased by stellate ganglion block 3 times in two weeks conducted during the second month of the follow-up period. Following the ganglion blockades, pain and the other symptoms were decreased intermittently but range of motion (ROM) and functional status were not satisfied as much as expected. After the third month of follow-up, her passive and active ROM of the shoulder joint was increased after application of manipulation under general anesthesia. In conclusion, because CRPS 1 remains one of the most difficult pain syndromes, early diagnosis and treatment are important to have adequate functional results from physical therapy. Manipulation under general anesthesia may be an additional effective treatment tool to obtain functional improvement in some patients diagnosed with CRPS 1.

주제어

AI 본문요약
AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

문제 정의

In this study, we aimed to evaluate the clinical outcome of a conservetiv얀 rehabilitation program for the treatment of CRPS after shoulder prosthesis.

제안 방법

After 3 months, passive flexion, abduction, external rotation and internal rotation were 120°, 90°, 40° and 50°, respectively, and active were 40°, 20: 20° and 50°, respectively. Functional status of the patient was assessed by Constant Score.
program were not enough. Manipulation was applied under general anesthesia by her surgeon, and an intensive rehabilitation program was started 3 times a week. Manipulation under anesthesia was applied once and th얀 proced니 re was forceful fMxion, abduction and external rotation, respectively.

성능/효과

It is necessary to provide these patients with a multidisciplinary approach and understand that the treatment is most importantly directed toward restoration of full function of the affected area. In conclusion, to diagnose CRPS as early as possible and treat more effectively and accurately is important to apply effective physical therapy and attain good functional insults.

참고문헌 (10)

1 Baron R Mcmahon SB Koltzenburg M Complex regional pain syndrome Text book of pain 2006 5th ed Elsevier, Churchill Livingstone 1011 1027
2 Doury P Dequeker J Klippel JH Dieppe PA Algodystrophy/Reflex sympathetic dystrophy syndrome Rheumatology 1998 London Mosby 1 8
3 de Mos M Huygen FJ van der Hoeven-Borgman M Dieleman JP Ch Stricker BH Sturkenboom MC Outcome of the complex regional pain syndrome Clin J Pain 2009 25 590 597 19692800

상세보기
4 Schwartzman RJ Erwin KL Alexander GM The natural history of complex regional pain syndrome Clin J Pain 2009 25 273 280 19590474

상세보기
5 Sigtermans MJ van Hilten JJ Bauer MC Arbous MS Marinus J Sarton EY Ketamine produces effective and long-term pain relief in patients with Complex Regional Pain Syndrome Type 1 Pain 2009 145 304 311 19604642

상세보기
6 Everett A Mclean B Plunkett A Buckenmaier C A unique presentation of complex regional pain syndrome type I treated with a continuous sciatic peripheral nerve block and parenteral ketamine infusion: a case report Pain Med 2009 10 1136 1139 19744217

상세보기
7 Finch PM Knudsen L Drummond PD Reduction of allodynia in patients with complex regional pain syndrome: a double-blind placebo-controlled trial of topical ketamine Pain 2009 146 18 25 19703730

상세보기
8 Daly AE Bialocerkowski AE Does evidence support physiotherapy management of adult Complex Regional Pain Syndrome Type One? A systematic review Eur J Pain 2009 13 339 353 18619873
9 Gellman H Reflex sympathetic dystrophy: alternative modalities for pain management Instr Course Lect 2000 49 549 557 10829209

상세보기
10 Ackerman WE Zhang JM Efficacy of stellate ganglion blockade for the management of type 1 complex regional pain syndrome South Med J 2006 99 1084 1088 17100029

상세보기

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

Physical Therapy and Rehabilitation of Complex Regional Pain Syndrome in Shoulder Prosthesis 원문보기

Abstract ▼ AI-Helper

주제어

AI 본문요약
AI-Helper

문제 정의

제안 방법

성능/효과

참고문헌 (10)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

연합인증

Physical Therapy and Rehabilitation of Complex Regional Pain Syndrome in Shoulder Prosthesis 원문보기

Abstract ▼ AI-Helper

주제어

AI 본문요약 엑셀 다운로드 AI-Helper

문제 정의

제안 방법

성능/효과

참고문헌 (10)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

AI 본문요약
AI-Helper