Does evidence support physiotherapy management of adult Complex Regional Pain Syndrome Type One? A systematic review
Abstract Objective To source and critically evaluate the evidence on the effectiveness of Physiotherapy to manage adult CRPS-1. Design Systematic literature review. Methods Electronic databases, conference proceedings, clinical guidelines and text books were searched for quantitative studies on CRPS...
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Veröffentlicht in: | European journal of pain 2009-04, Vol.13 (4), p.339-353 |
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description | Abstract Objective To source and critically evaluate the evidence on the effectiveness of Physiotherapy to manage adult CRPS-1. Design Systematic literature review. Methods Electronic databases, conference proceedings, clinical guidelines and text books were searched for quantitative studies on CRPS-1 in adults where Physiotherapy was a sole or significant component of the intervention. Data were extracted according to predefined criteria by two independent reviewers. Methodological quality was assessed using the Critical Review Form. Results The search strategy identified 1320 potential articles. Of these, 14 articles, representing 11 studies, met inclusion criteria. There were five randomised controlled trials, one comparative study and five case series. Methodological quality was dependent on study type, with randomised controlled trials being higher in quality. Physiotherapy treatments varied between studies and were often provided in combination with medical management. This did not allow for the ‘stand-alone’ value of Physiotherapy to be determined. Heterogeneity across the studies, with respect to participants, interventions evaluated and outcome measures used, prevented meta-analysis. Narrative synthesis of the results, based on effect size, found there was good to very good quality level II evidence that graded motor imagery is effective in reducing pain in adults with CRPS-1, irrespective of the outcome measure used. No evidence was found to support treatments frequently recommended in clinical guidelines, such as stress loading. Conclusions Graded motor imagery should be used to reduce pain in adult CRPS-1 patients. Further, the results of this review should be used to update CRPS-1 clinical guidelines. |
doi_str_mv | 10.1016/j.ejpain.2008.05.003 |
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A systematic review</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Daly, Anne E ; Bialocerkowski, Andrea E</creator><creatorcontrib>Daly, Anne E ; Bialocerkowski, Andrea E</creatorcontrib><description>Abstract Objective To source and critically evaluate the evidence on the effectiveness of Physiotherapy to manage adult CRPS-1. Design Systematic literature review. Methods Electronic databases, conference proceedings, clinical guidelines and text books were searched for quantitative studies on CRPS-1 in adults where Physiotherapy was a sole or significant component of the intervention. Data were extracted according to predefined criteria by two independent reviewers. Methodological quality was assessed using the Critical Review Form. Results The search strategy identified 1320 potential articles. Of these, 14 articles, representing 11 studies, met inclusion criteria. There were five randomised controlled trials, one comparative study and five case series. Methodological quality was dependent on study type, with randomised controlled trials being higher in quality. Physiotherapy treatments varied between studies and were often provided in combination with medical management. This did not allow for the ‘stand-alone’ value of Physiotherapy to be determined. Heterogeneity across the studies, with respect to participants, interventions evaluated and outcome measures used, prevented meta-analysis. Narrative synthesis of the results, based on effect size, found there was good to very good quality level II evidence that graded motor imagery is effective in reducing pain in adults with CRPS-1, irrespective of the outcome measure used. No evidence was found to support treatments frequently recommended in clinical guidelines, such as stress loading. Conclusions Graded motor imagery should be used to reduce pain in adult CRPS-1 patients. Further, the results of this review should be used to update CRPS-1 clinical guidelines.</description><identifier>ISSN: 1090-3801</identifier><identifier>EISSN: 1532-2149</identifier><identifier>DOI: 10.1016/j.ejpain.2008.05.003</identifier><identifier>PMID: 18619873</identifier><language>eng</language><publisher>Oxford, UK: Elsevier Ltd</publisher><subject>Adult ; Age Factors ; Anesthesia & Perioperative Care ; Clinical Trials as Topic ; Complex Regional Pain Syndrome Type One ; Critical review form ; Evidence-Based Medicine ; Humans ; Illusions - physiology ; Imagery (Psychotherapy) - methods ; Imagery (Psychotherapy) - standards ; Imagery (Psychotherapy) - statistics & numerical data ; Movement - physiology ; Outcome Assessment (Health Care) - methods ; Pain Medicine ; Physical Therapy Modalities - standards ; Physical Therapy Modalities - statistics & numerical data ; Physiotherapy ; Reflex Sympathetic Dystrophy - physiopathology ; Reflex Sympathetic Dystrophy - therapy ; Systematic review ; Treatment Outcome</subject><ispartof>European journal of pain, 2009-04, Vol.13 (4), p.339-353</ispartof><rights>European Federation of Chapters of the International Association for the Study of Pain</rights><rights>2008 European Federation of Chapters of the International Association for the Study of Pain</rights><rights>2009 European Federation of Chapters of the International Association for the Study of Pain</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5697-c325f6f445ef34219236384066f0b2b0b079daee77194dc2f0f006270df5dc733</citedby><cites>FETCH-LOGICAL-c5697-c325f6f445ef34219236384066f0b2b0b079daee77194dc2f0f006270df5dc733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1016%2Fj.ejpain.2008.05.003$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1016%2Fj.ejpain.2008.05.003$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18619873$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Daly, Anne E</creatorcontrib><creatorcontrib>Bialocerkowski, Andrea E</creatorcontrib><title>Does evidence support physiotherapy management of adult Complex Regional Pain Syndrome Type One? A systematic review</title><title>European journal of pain</title><addtitle>Eur J Pain</addtitle><description>Abstract Objective To source and critically evaluate the evidence on the effectiveness of Physiotherapy to manage adult CRPS-1. Design Systematic literature review. Methods Electronic databases, conference proceedings, clinical guidelines and text books were searched for quantitative studies on CRPS-1 in adults where Physiotherapy was a sole or significant component of the intervention. Data were extracted according to predefined criteria by two independent reviewers. Methodological quality was assessed using the Critical Review Form. Results The search strategy identified 1320 potential articles. Of these, 14 articles, representing 11 studies, met inclusion criteria. There were five randomised controlled trials, one comparative study and five case series. Methodological quality was dependent on study type, with randomised controlled trials being higher in quality. Physiotherapy treatments varied between studies and were often provided in combination with medical management. This did not allow for the ‘stand-alone’ value of Physiotherapy to be determined. Heterogeneity across the studies, with respect to participants, interventions evaluated and outcome measures used, prevented meta-analysis. Narrative synthesis of the results, based on effect size, found there was good to very good quality level II evidence that graded motor imagery is effective in reducing pain in adults with CRPS-1, irrespective of the outcome measure used. No evidence was found to support treatments frequently recommended in clinical guidelines, such as stress loading. Conclusions Graded motor imagery should be used to reduce pain in adult CRPS-1 patients. Further, the results of this review should be used to update CRPS-1 clinical guidelines.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Anesthesia & Perioperative Care</subject><subject>Clinical Trials as Topic</subject><subject>Complex Regional Pain Syndrome Type One</subject><subject>Critical review form</subject><subject>Evidence-Based Medicine</subject><subject>Humans</subject><subject>Illusions - physiology</subject><subject>Imagery (Psychotherapy) - methods</subject><subject>Imagery (Psychotherapy) - standards</subject><subject>Imagery (Psychotherapy) - statistics & numerical data</subject><subject>Movement - physiology</subject><subject>Outcome Assessment (Health Care) - methods</subject><subject>Pain Medicine</subject><subject>Physical Therapy Modalities - standards</subject><subject>Physical Therapy Modalities - statistics & numerical data</subject><subject>Physiotherapy</subject><subject>Reflex Sympathetic Dystrophy - physiopathology</subject><subject>Reflex Sympathetic Dystrophy - therapy</subject><subject>Systematic review</subject><subject>Treatment Outcome</subject><issn>1090-3801</issn><issn>1532-2149</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkkFv1DAQhSMEoqXwDxDyiVuWsR3HyQVULaWwqraFFvVoeZ1J620Sp3ZCm3-Pl6xA4gIX24f3nme-mSR5TWFBgebvtgvc9tp2CwZQLEAsAPiT5JAKzlJGs_JpfEMJKS-AHiQvQtgCQCaBP08OaJHTspD8MBk-OgwEf9gKO4MkjH3v_ED62ylYN9yi1_1EWt3pG2yxG4iria7GZiBL1_YNPpJveGNdpxtyEWshl1NXedciuZp6JOcdfiDHJExhwFYP1hAff8KHl8mzWjcBX-3vo-T7p5Or5ef07Pz0y_L4LDUiL2VqOBN1XmeZwJpnjJaM57zIIM9r2LANbECWlUaUkpZZZVgNNUDOJFS1qIzk_Ch5O-f23t2PGAbV2mCwaXSHbgwql8CEkCIKs1lovAvBY616b1vtJ0VB7WirrZppqx1tBUJF2tH2Zp8_blqs_pj2eKOgnAUPtsHpv0LVyeqCZlRGbzp7baT3-Nur_V2sm0uhrtenCk7XX1fXq1Kto_79rMdINFL2Khi7G2plPZpBVc7-q5u_A0xjO2t0c4cThq0bfZxzUFQFpkBd7rZrt1xQwK-D_wRFzMlK</recordid><startdate>200904</startdate><enddate>200904</enddate><creator>Daly, Anne E</creator><creator>Bialocerkowski, Andrea E</creator><general>Elsevier Ltd</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200904</creationdate><title>Does evidence support physiotherapy management of adult Complex Regional Pain Syndrome Type One? A systematic review</title><author>Daly, Anne E ; Bialocerkowski, Andrea E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5697-c325f6f445ef34219236384066f0b2b0b079daee77194dc2f0f006270df5dc733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Anesthesia & Perioperative Care</topic><topic>Clinical Trials as Topic</topic><topic>Complex Regional Pain Syndrome Type One</topic><topic>Critical review form</topic><topic>Evidence-Based Medicine</topic><topic>Humans</topic><topic>Illusions - physiology</topic><topic>Imagery (Psychotherapy) - methods</topic><topic>Imagery (Psychotherapy) - standards</topic><topic>Imagery (Psychotherapy) - statistics & numerical data</topic><topic>Movement - physiology</topic><topic>Outcome Assessment (Health Care) - methods</topic><topic>Pain Medicine</topic><topic>Physical Therapy Modalities - standards</topic><topic>Physical Therapy Modalities - statistics & numerical data</topic><topic>Physiotherapy</topic><topic>Reflex Sympathetic Dystrophy - physiopathology</topic><topic>Reflex Sympathetic Dystrophy - therapy</topic><topic>Systematic review</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Daly, Anne E</creatorcontrib><creatorcontrib>Bialocerkowski, Andrea E</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of pain</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Daly, Anne E</au><au>Bialocerkowski, Andrea E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does evidence support physiotherapy management of adult Complex Regional Pain Syndrome Type One? A systematic review</atitle><jtitle>European journal of pain</jtitle><addtitle>Eur J Pain</addtitle><date>2009-04</date><risdate>2009</risdate><volume>13</volume><issue>4</issue><spage>339</spage><epage>353</epage><pages>339-353</pages><issn>1090-3801</issn><eissn>1532-2149</eissn><abstract>Abstract Objective To source and critically evaluate the evidence on the effectiveness of Physiotherapy to manage adult CRPS-1. Design Systematic literature review. Methods Electronic databases, conference proceedings, clinical guidelines and text books were searched for quantitative studies on CRPS-1 in adults where Physiotherapy was a sole or significant component of the intervention. Data were extracted according to predefined criteria by two independent reviewers. Methodological quality was assessed using the Critical Review Form. Results The search strategy identified 1320 potential articles. Of these, 14 articles, representing 11 studies, met inclusion criteria. There were five randomised controlled trials, one comparative study and five case series. Methodological quality was dependent on study type, with randomised controlled trials being higher in quality. Physiotherapy treatments varied between studies and were often provided in combination with medical management. This did not allow for the ‘stand-alone’ value of Physiotherapy to be determined. Heterogeneity across the studies, with respect to participants, interventions evaluated and outcome measures used, prevented meta-analysis. Narrative synthesis of the results, based on effect size, found there was good to very good quality level II evidence that graded motor imagery is effective in reducing pain in adults with CRPS-1, irrespective of the outcome measure used. No evidence was found to support treatments frequently recommended in clinical guidelines, such as stress loading. Conclusions Graded motor imagery should be used to reduce pain in adult CRPS-1 patients. Further, the results of this review should be used to update CRPS-1 clinical guidelines.</abstract><cop>Oxford, UK</cop><pub>Elsevier Ltd</pub><pmid>18619873</pmid><doi>10.1016/j.ejpain.2008.05.003</doi><tpages>15</tpages></addata></record> |
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subjects | Adult Age Factors Anesthesia & Perioperative Care Clinical Trials as Topic Complex Regional Pain Syndrome Type One Critical review form Evidence-Based Medicine Humans Illusions - physiology Imagery (Psychotherapy) - methods Imagery (Psychotherapy) - standards Imagery (Psychotherapy) - statistics & numerical data Movement - physiology Outcome Assessment (Health Care) - methods Pain Medicine Physical Therapy Modalities - standards Physical Therapy Modalities - statistics & numerical data Physiotherapy Reflex Sympathetic Dystrophy - physiopathology Reflex Sympathetic Dystrophy - therapy Systematic review Treatment Outcome |
title | Does evidence support physiotherapy management of adult Complex Regional Pain Syndrome Type One? A systematic review |
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