Article

Type 1 complex regional painful syndrome (CRPS-1) has a complex physiopathology.
The aim of this study was to evaluate the effectiveness of physical therapy under
hypnotherapy to treat this condition. Twenty patients with CRPS-1 at the wrist
and hand were evaluated retrospectively: 13 women and 7 men with an average age
of 56 years (34-75). Thirteen patients were in the inflammatory phase and 7 in
the dystrophic phase. The main endpoints were pain (VAS, analgesic use),
stiffness (wrist and finger range of motion), and strength (pinch and grasp).
Secondary endpoints were functional scores (QuickDASH, PWRE), patient
satisfaction, return to work, and side effects. Results were satisfactory in all
cases after 5.4 sessions on average. VAS decreased by 4 points, PWRE-pain by 4.1
points, and analgesic use was limited to paracetamol upon request. Finger and
wrist range of motion increased and the QuickDASH decreased by 34 points,
PRWE-function by 3.8 points, pinch strength increased 4 points, and grasp
strength by 10 points. Return to work was possible in 80% of the cases. All
patients were satisfied or very satisfied with the treatment. Physical therapy
under hypnosis appears to be an effective treatment for CRPS-1 at the wrist and
hand no matter the etiology.
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Langue : ANGLAIS