Physical therapy and cognitive-behavioral treatment for complex regional pain syndromes

Title

Physical therapy and cognitive-behavioral treatment for complex regional pain syndromes

Creator

Lee BH; Scharff L; Sethna NF; McCarthy CF; Scott-Sutherland J; Shea AM; Sullivan P; Meier P; Zurakowski D; Masek BJ; Berde CB

Publisher

The Journal Of Pediatrics

Date

2002

Subject

Child; Female; Humans; Male; Prospective Studies; adolescent; P.H.S.; Research Support; U.S. Gov't; Nonparametric; Statistics; Cognitive Therapy; Complex Regional Pain Syndromes/psychology/rehabilitation; Physical Therapy Modalities

Description

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.
2002

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

135-140

Issue

1

Volume

141

Citation

Lee BH; Scharff L; Sethna NF; McCarthy CF; Scott-Sutherland J; Shea AM; Sullivan P; Meier P; Zurakowski D; Masek BJ; Berde CB, “Physical therapy and cognitive-behavioral treatment for complex regional pain syndromes,” Pediatric Palliative Care Library, accessed November 28, 2021, https://pedpalascnetlibrary.omeka.net/items/show/12917.

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