An international study to explore the feasibility of collecting standardised outcome data for Complex Regional Pain Syndrome: recommendations for an international clinical research registry.

Introduction: Complex Regional Pain Syndrome (CRPS) is a persistent pain condition with low prevalence. Multi-centre collaborative research is needed to attain sufficient sample sizes for meaningful studies. This international observational study: (1) tested the feasibility and acceptability of collecting outcome data using an agreed core measurement set (2) tested and refined an electronic data management system to collect and manage the data. Methods: Adults with CRPS, meeting the Budapest diagnostic clinical criteria, were recruited to the study from 7 international research centres. After informed consent, a questionnaire comprising the core set outcome measures was completed: on paper at baseline (T1), and at 3 or 6 months (T2) using a paper or e-version. Participants and clinicians provided feedback on the data collection process. Clinicians completed the CRPS severity score at T1 and optionally, at T2. Ethical approval was obtained at each international centre. Results: Ninety-eight adults were recruited (female n=66; mean age 46.6 years, range 19-89), of whom 32% chose to receive the T2 questionnaire in an electronic format. Fifty-five participants completed both T1 and T2. Eighteen participants and nine clinicians provided feedback on their data collection experience. Conclusion: This study confirmed the questionnaire core outcome data are feasible and practicable to collect in clinical practice. The electronic data management system provided a robust means of collecting and managing the data across an international population. The findings have informed the final data collection tools and processes which will comprise the first international, clinical research registry and data bank for CRPS.

A multi-centre study to explore the feasibility and acceptability of collecting data for complex regional pain syndrome clinical studies using a core measurement set: Study protocol.

OBJECTIVES: This international, multicentre study will inform the final data collection tools and processes which will comprise the first international, clinical research registry for complex regional pain syndrome (CRPS). This study will: (a) test the feasibility and acceptability of collecting outcome measurement data using a patient reported, questionnaire core measurement set (COMPACT [Core Outcome Measurement set for complex regional PAin syndrome Clinical sTudies]); and (b) test and refine an electronic data management system to collect and manage the data. METHODS: A maximum of 240 adults, meeting the Budapest diagnostic clinical criteria for CRPS type I or II, will be recruited across eight countries. The COMPACT questionnaire will be completed on two occasions: at baseline (T1) and 6 months later (T2). At T2, participants will choose to complete COMPACT using a paper or electronic version. Participants will be asked to feed back on their experience of completing COMPACT via a questionnaire. A separate questionnaire will ask clinicians to feed back their experience of data collection. ANALYSIS: The study is not aiming to derive statistically significant data but to ascertain the practicalities of collecting data, using the COMPACT questionnaire set, across a range of different cultures and populations. At the end of the study, a single workshop will be convened to review the findings and agree the final documents and processes for the international registry.

Effects of a dynamic orthosis in an individual with claw deformity.

These authors describe their utilization of a dynamic orthosis to correct a strong claw deformity in a patient with a median and ulnar laceration. After 4 weeks of wearing the dynamic orthosis, these authors noted that the patient was able to actively extend all his fingers orthosis-free, with no evidence of claw.--Victoria Priganc, PhD, OTR, CHT, CLT, Practice Forum Editor.

Prevalência de lesões ortopédicas em atletas de vaquejada / Prevalence of orthopedic injuries in athletes of rodeo brazilian (vaquejada) / La prevalencia de lesiones ortopédicas en los atletas de vaquejada

INTRODUÇÃO: A vaquejada é um esporte genuinamente brasileiro, com tradição de mais de 100 anos, e até então não havia conhecimento da prevalência de lesões neste esporte. MATERIAIS E MÉTODOS: Foi utilizado um questionário com questões objetivas e subjetivas. Participaram deste estudo 74 atletas, do sexo masculino, com média de idade de 33 anos. RESULTADOS: Foram encontradas 208 lesões nos 74 atletas, perfazendo uma média de 2,8 lesões por atleta. A área mais acometida foi membro superior (75 por cento), seguido de membro inferior (20 por cento), tronco (3 por cento) e cabeça e face (2 por cento). A lesão de maior prevalência foi entorse com 84 lesões (40 por cento). CONCLUSÃO: A vaquejada está associada ao alto índice de lesão, podendo afastar os competidores por longos períodos.

INTRODUCTION: The Brazilian rodeo (vaquejada) is a genuinely native sport, with a tradition of more than 100 years, and until then there was no knowledge of the prevalence of injuries in this sport. MATERIALS AND METHODS: The instrument used for data collection was a questionnaire with subjective and objective questions. The study included 74 athletes, male, mean age of 33. Results: It was found 208 injuries in 74 athletes, with mean of 2.8 injuries per athlete. The area most affected was the upper limb (75 percent), followed by lower limb (20 percent), trunk (3 percent) and head and face (2 percent). The highest prevalence of injury was sprain with 84 lesions. CONCLUSION: The vaquejada is associated with a high rate of orthopedic injury and may exclude competitors for long periods of time.

INTRODUCCIÓN: vaquejada es un deporte de tradición genuinamente brasileña, con más de 100 años, y hasta entonces no había conocimiento de la prevalencia de las lesiones en este deporte. MATERIALES Y MÉTODOS: Se utilizó un cuestionario con el objetivo y subjetivo. 74 atletas participaron en este estudio fueron del sexo masculino, edad media 33 años. RESULTADOS: Hubo 208 lesiones en 74 atletas, haciendo un promedio de 2,8 lesiones por cada atleta. La zona más afectada fue el miembro superior (75 por ciento), seguido de las extremidades inferiores (20 por ciento), el tronco (3 por ciento) y cabeza y la cara (2 por ciento). La lesión más prevalente fue la esguince con 84 lesiones (40 por ciento). CONCLUSIÓN: vaquejada se asocia con altas tasas de lesiones y pueden evitar los competidores por largos periodos.