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1.
Rev. chil. neurocir ; 43(1): 59-68, July 2017. ilus, tab
Article in English | LILACS | ID: biblio-869780

ABSTRACT

Antecedentes: Los autores presentan una revisión crítica sobre el cuadro clínico, el diagnóstico, clasificación y tratamientodel síndrome de dolor regional complejo, discutiendo todos los métodos de tratamiento y haciendo hincapié en que la reabilitación debe ser empleada con el fin de obtener un mejor resultado. Aspecto psicológico debe ser discutido en el tratamiento y también se anima equipo multidisciplinario para participar en él.


Background: The authors presented a critical review about the clinical picture, diagnosis, classification and treatment ofcomplex regional pain syndrome, discussing all methods of treatment and emphasizing that the reabiltation must be employed in order to obtain a better result. Psychological aspect must be involved in the treatment and also multidisciplinary team is encouraged to take part on it.


Subject(s)
Humans , Causalgia , Chronic Pain , Pain Management/methods , Reflex Sympathetic Dystrophy , Complex Regional Pain Syndromes/classification , Complex Regional Pain Syndromes/diagnosis , Complex Regional Pain Syndromes/physiopathology , Complex Regional Pain Syndromes/psychology , Wounds and Injuries/complications , Movement Disorders , Stress, Psychological , Trauma, Nervous System
2.
J Neurosci Nurs ; 47(4): 204-10, 2015 Aug.
Article in English | MEDLINE | ID: mdl-26153786

ABSTRACT

Complex regional pain syndrome (CRPS) is a debilitating condition characterized by specific symptoms such as intense pain and loss of function. This syndrome can be so devastating that it affects quality of life. Often, CRPS is misdiagnosed and misunderstood, which can be extremely frustrating for patients. The purpose of the survey in this study was to query actual patients living with CRPS to gain additional knowledge and suggestions to help improve their care. Respondents expressed a variety of emotions when asked about their healthcare experiences, which suggests that healthcare providers need to be better educated about CRPS so they can provide more compassionate care for patients trying to cope with this condition.


Subject(s)
Complex Regional Pain Syndromes/nursing , Complex Regional Pain Syndromes/psychology , Empathy , Hospice and Palliative Care Nursing , Adolescent , Adult , Aged , Child , Female , Humans , Male , Middle Aged , Nursing Research , Pain Measurement/nursing , Quality of Life/psychology , Sick Role , Surveys and Questionnaires , Young Adult
3.
Cienc. Trab ; 8(19): 16-20, ene.-mar. 2006. tab, graf
Article in Spanish | LILACS | ID: lil-437997

ABSTRACT

El objetivo de esta investigación fue describir síntomas físicos y psicológicos en accidentados del trabajo que presentaron este cuadro en la extremidad superior. Se realizó un estudio retrospectivo por medio de revisión de fichas de pacientes, que fueron evaluados por la comisión evaluadora de incapacidades del Hospital del Trabajador de Santiago entre 1998 y 2003. Se evaluaron 153 fichas y se registraron datos demográficos, síntomas físicos, psicológicos, tratamientos efectuados, tiempo de tratamiento, retorno al trabajo y tipo de secuelas. En el 66 por ciento de los casos el trauma que ocasionó el dolor regional fue una fractura. Los principales síntomas previos a la distrofia fueron dolor, aumento de volumen, rigidez, eritema, síntomas que se mantuvieron posteriores al diagnóstico de distrofia simpática refleja agregándose sudoración, alteraciones sensitivas e hipertricosis. 57 pacientes fueron referidos a evaluación psiquiátrica. Los principales diagnósticos psiquiátricos fueron trastornos de adaptación, episodio depresivo y el 29 por ciento no presentaban diagnóstico. El tiempo promedio de reposo fue de 211 días. El retorno al mismo trabajo ocurrió en el 58 por ciento de los pacientes, 11,8 por ciento fueron reubicados en otra labor y 22,8 por ciento fueron despedidos. Los pacientes que fueron referidos a salud mental presentaron más días de reposo y mayor incapacidad laboral.


Subject(s)
Humans , Male , Female , Upper Extremity/injuries , Occupational Diseases , Occupational Health/statistics & numerical data , Complex Regional Pain Syndromes/psychology , Chile , Retrospective Studies
4.
J Pediatr ; 141(1): 135-40, 2002 Jul.
Article in English | MEDLINE | ID: mdl-12091866

ABSTRACT

Complex regional pain syndromes (CRPS; type 1, reflex sympathetic dystrophy, and type 2, causalgia) involve persistent pain, allodynia, and vasomotor signs. We conducted a prospective, randomized, single-blind trial of physical therapy (PT) and cognitive-behavioral treatment for children and adolescents with CRPS. Children 8 to 17 years of age (n = 28) were randomly assigned to either group A (PT once per week for 6 weeks) or group B (PT 3 times per week for 6 weeks). Both groups received 6 sessions of cognitive-behavioral treatment. Assessments of pain and function were repeated at two follow-up time periods. Outcomes were compared at the three time points through the use of parametric or nonparametric analysis of variance and post hoc tests. All five measures of pain and function improved significantly in both groups after treatment, with sustained benefit evident in the majority of patients at long-term follow-up. Recurrent episodes were reported in 50% of patients, and 10 patients eventually received sympathetic blockade. Most children with CRPS showed reduced pain and improved function with a noninvasive rehabilitative treatment approach. Long-term functional outcomes were also very good.


Subject(s)
Cognitive Behavioral Therapy , Complex Regional Pain Syndromes/rehabilitation , Physical Therapy Modalities , Adolescent , Child , Complex Regional Pain Syndromes/psychology , Female , Humans , Male , Prospective Studies , Statistics, Nonparametric
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