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Acupuncture for Post-stroke Shoulder-Hand Syndrome: A Systematic Review and Meta-Analysis
Conclusions: Acupuncture therapy seems effective for motor function, pain relief and activities of daily living in stroke patients with mild SHS, when it is used in combination with rehabilitation. The low certainty of evidence downgrades our confidence in making recommendations to clinical practice. Introduction Shoulder-hand syndrome (SHS) is a common condition among people who have had a stroke, with its reported prevalence ranging from 12% to 49% (1, 2). The main symptoms of SHS include pain, hyperalgesia, joint swelling and limitations in range of motion (ROM) (3). Post-stroke SHS is also named type I complex ...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

The Effectiveness of Fluidotherapy in Poststroke Complex Regional Pain Syndrome: A Randomized Controlled Study
Objective: To evaluate whether combining fluidotherapy to conventional rehabilitation program provides additional improvements on pain severity, upper extremity functions, and edema volume in patients with poststroke complex regional pain syndrome (CRPS). Design: Randomized controlled trial. Setting: Training and research hospital. Participants: Thirty hemiplegic patients with subacute stage CRPS type-1 of the upper extremity. Interventions: The patients randomly divided into 2 groups. Both groups received a 3 week conventional rehabilitation program (5days/week, 2-4 hours/day).
Source: Journal of Stroke and Cerebrovascular Diseases - March 29, 2019 Category: Neurology Authors: Didem Sezgin Ozcan, Hilmi Umut Tatli, Cemile Sevgi Polat, Oznur Oken, Belma Fusun Koseoglu Source Type: research

Economic evaluations of physiotherapy interventions for neurological disorders: a systematic review.
CONCLUSIONS: There are limited studies that have evaluated the cost-effectiveness of physiotherapy treatments in neurological disorders. Three studies that combined extra physiotherapy-by-physiotherapy assistant and novel interventions with conventional physiotherapy were found not cost-effective. Implications for Rehabilitation Progressive muscle strengthening exercise over a period of 6-month is reported to be cost-effective for falls prevention in people with Parkinson's disease Aerobic training is reported as potentially cost-effective for older adults with vascular cognitive impairment Physiotherapy given as an adjuva...
Source: Disability and Rehabilitation - January 7, 2019 Category: Rehabilitation Authors: Winser S, Lee SH, Law HS, Leung HY, Bello UM, Kannan P Tags: Disabil Rehabil Source Type: research

Neurophysiological Effects of Mirror Visual Feedback in Stroke Patients with Unilateral Hemispheric Damage.
CONCLUSION: Following hemispheric stroke, the magnitude of low-beta ERD accompanying unilateral movement of the non-involved upper limb, and its hemispheric asymmetry, are both reduced by MVF. Low-beta ERD dynamics may serve as a marker of neurophysiological response to MVF in research aimed to elucidate the factors influencing patients' clinical gain from this treatment. PMID: 30194016 [PubMed - as supplied by publisher]
Source: Brain Research - September 4, 2018 Category: Neurology Authors: Bartur G, Pratt H, Frenkel-Toledo S, Soroker N Tags: Brain Res Source Type: research

Utility of Radionuclide Bone Scintigraphy in Complex Regional Pain Syndrome
AbstractPurpose of ReviewTo describe the current understanding of the role of three-phase bone scintigraphy (TPBS) in the diagnosis and management of complex regional pain syndrome (CRPS), discuss its advantages and limitations, and present three examples of TPBS patterns typically seen in CRPS patients.Recent FindingsCRPS is a debilitating disorder frequently presenting with pain to ordinarily non-painful stimuli, redness, swelling, following fractures, stroke, myocardial infarction, surgery, or even minor trauma, and its diagnosis, based on clinical criteria and supportive imaging findings, is difficult. Of the available...
Source: Current Pain and Headache Reports - February 1, 2018 Category: Neurology Source Type: research

Coexistence of Deep Vein Thrombosis, Heterotopic Ossification, and Complex Regional Pain Syndrome due to Hemorrhagic Stroke
A patient who developed hemiplegia related to a hemorrhagic stroke and who had not been started on venous thromboembolism prophylaxis or a physical medicine and rehabilitation program was admitted to our clinic on the 4th month after the event. Our patient had pain, swelling, redness, increased temperature at the right lower extremity, range of motion limitation at the hip and knee, deep vein thrombosis (DVT) and complex regional pain syndrome (CRPS) at the same side lower extremity, and heterotopic ossification (HO) at the hip.
Source: Journal of Stroke and Cerebrovascular Diseases - January 8, 2016 Category: Neurology Authors: Engin Koyuncu, Güldal Funda Nakipoğlu Yüzer, Didem Yenigün, Neşe Özgirgin Tags: Case Studies Source Type: research

Pamidronate effect compared with a steroid on complex regional pain syndrome type I: Pilot randomised trial.
CONCLUSIONS: Intravenous pamidronate therapy was safe, well tolerated and appeared as effective as a steroid for pain control for post-stroke CRPS. However, this result should be interpreted with caution, since it included a relatively small number of patients. Further larger controlled studies followed over a longer period are needed to validate these findings and to determine clinical treatment standards. PMID: 26819359 [PubMed - in process]
Source: The Netherlands Journal of Medicine - January 1, 2016 Category: Journals (General) Authors: Eun Young H, Hyeyun K, Sang Hee I Tags: Neth J Med Source Type: research

The Effects of Mirror Therapy in Stroke Patients with Complex Regional Pain Syndrome Type 1: A Randomized Controlled Study
To investigate the effects of mirror therapy (MT) on upper limb motor functions, spasticity and pain intensity in patients with hemiplegia accompanied by complex regional pain syndrome type 1 (CRPSt1).
Source: Archives of Physical Medicine and Rehabilitation - December 23, 2015 Category: Rehabilitation Authors: Secil Pervane Vural, Guldal Funda Nakipoglu Yuzer, Didem Sezgin Ozcan, Sibel Demir Ozbudak, Nese Ozgirgin Source Type: research

Effects of Mirror Therapy in Stroke Patients With Complex Regional Pain Syndrome Type 1: A Randomized Controlled Study
To investigate the effects of mirror therapy on upper limb motor functions, spasticity, and pain intensity in patients with hemiplegia accompanied by complex regional pain syndrome type 1.
Source: Archives of Physical Medicine and Rehabilitation - December 23, 2015 Category: Rehabilitation Authors: Secil Pervane Vural, Guldal Funda Nakipoglu Yuzer, Didem Sezgin Ozcan, Sibel Demir Ozbudak, Nese Ozgirgin Tags: Original research Source Type: research

The effect of upper-extremity aerobic exercise on complex regional pain syndrome type I: a randomized controlled study on subacute stroke.
CONCLUSIONS: UEAE made an excellent improvement in the symptoms and signs of CRPS I. Combined treatment of conventional physiotherapy and aerobic exercises may be an excellent synthesis for this syndrome in these patients. PMID: 25943440 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - May 6, 2015 Category: Neurology Authors: Topcuoglu A, Gokkaya NK, Ucan H, Karakuş D Tags: Top Stroke Rehabil Source Type: research

Utilization of motor imagery in upper limb rehabilitation: A systematic scoping review.
CONCLUSION: Many of the imagery elements reviewed are not being considered or reported on in the selected studies. How motor imagery is being delivered within and between populations is inconsistent, which may lead to difficulties in determining key elements of effectiveness. PMID: 25604911 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - January 20, 2015 Category: Rehabilitation Authors: Harris J, Hebert A Tags: Clin Rehabil Source Type: research

Absent median somatosensory evoked potential is a predictor of type I complex regional pain syndrome after stroke.
Conclusions: In conclusion, GHS and the absent median SEP at sub-acute phase of stroke were primary predictors of the onset of post-stoke CRPS. Implications for Rehabilitation Recent investigations have suggested that autonomic, motor and somatosensory abnormalities of CRPS are impairments involving the central nervous system (CNS) as well as the peripheral neurogenic inflammatory process. However, the understanding of the pathophysiology of CRPS is still far from complete. The absence of SEP at the sub-acute stage of stroke correlated with the onset of post-stroke CRPS type I. The SEP evaluation at the sub-acute period af...
Source: Disability and Rehabilitation - September 19, 2013 Category: Rehabilitation Authors: Han EY, Jung HY, Kim MO Tags: Disabil Rehabil Source Type: research

Neglect-like symptoms in complex regional pain syndrome: Learned nonuse by another name?
The use of the term ‘neglect-like’ to characterise symptoms displayed by patients with complex regional pain syndrome (CRPS) has proved to be provocative. It has provided the stimulus for an ever-increasing number of studies exploring spatial perception in affected patients, with calls for further related studies . Although this work would undoubtedly be of interest, there are perhaps 2 important factors to consider if such studies are undertaken. Firstly, studies that have relied on standard clinical tests typically used to identify spatial neglect after stroke have not confirmed the presence of a related deficit in C...
Source: Pain - November 26, 2012 Category: Anesthesiology Authors: T. David Punt, Laura Cooper, Martin Hey, Mark I. Johnson Tags: Topical review Source Type: research

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