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Adjuvant physical therapy versus occupational therapy in patients with reflex sympathetic dystrophy / complex regional pain syndrome type I
OERLEMANS HM; OOSTENDORP RAB; DEBOO T
ARCH PHYS MED REHABIL , 2000, vol. 81, n° 1, p. 49-56 Doc n°: 93976 Localisation : Documentation IRR Descripteurs : DA55 - DYSTROPHIE SYMPATHIQUE REFLEXE
Article consultable sur : http://www.archives-pmr.org
OBJECTIVE: To investigate the effectiveness and cost of physical therapy (PT) or occupational therapy (OT) in patients with reflex sympathetic dystrophy (RSD). DESIGN: Prospective randomized controlled trial, with 1 year follow-up. SETTING: Two university hospitals. PATIENTS: One hundred thirty-five patients who had been suffering from RSD of one upper extremity for less than 1 year. INTERVENTIONS: Patients were assigned to PT, OT, or a control group (social work). MAIN OUTCOME MEASURES: Improvement in impairment level sumscore (ISS) over 1 year (Student's t test). A difference of 5 ISS points between the groups was defined as being clinically relevant. Furthermore, severity of disability and handicap was measured and tested exploratively (Wilcoxon; alpha = .05), and cost-effectiveness of the groups was calculated. RESULTS: PT and, to a lesser extent, OT resulted in a significant and also more rapid improvement in the ISS as compared with controls (6 and 4 ISS points, respectively). On a disability level, a positive trend was found in favor of OT. On a handicap level, no differences were found between the groups. PT had an advantage over OT regarding the cost-effectiveness ratio. CONCLUSION: In different ways PT and OT each contribute to the recovery from RSD of the upper extremity. Langue : ANGLAIS Identifiant basis : 2000209859 |
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