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Effectiveness of the physiotherapy interventions on complex regional pain syndrome in patients with stroke: A systematic review and meta-analysis
This study reviewed the available literature of physiotherapy treatment for CRPS following a stroke.
Source: Journal of Bodywork and Movement Therapies - April 28, 2023 Category: Physiotherapy Authors: Kanika, Manu Goyal, Kanu Goyal Source Type: research

Innovations in Stroke Recovery and Rehabilitation
Pain can be a significant barrier to a stroke survivors ’ functional recovery and can also lead to a decreased quality of life. Common pain conditions after stroke include headache, musculoskeletal pain, spasticity-related pain, complex regional pain syndrome, and central poststroke pain. This review investigates the evidence of diagnostic and manageme nt guidelines for various pain syndromes after stroke and identifies opportunities for future research to advance the field of poststroke pain.
Source: Physical Medicine and Rehabilitation Clinics of North America - August 21, 2023 Category: Rehabilitation Authors: Juliet Zakel, John Chae, Richard D. Wilson Source Type: research

Multimodal physical therapy management of a 48-year-old female with post-stroke complex regional pain syndrome.
Abstract Abstract This case report describes a 48-year-old female who presented with complaints of right shoulder pain, hyperesthesias and swelling of the hand along with added symptoms of pain centralization following a cerebrovascular accident. On clinical evaluation, the patient satisfied the Budapest diagnostic criteria for Complex Regional Pain Syndrome (CRPS) type-1. Physical therapy management (1st three sessions) was initially focused on pain neurophysiology education with an aim to reduce kinesiophobia and reconceptualise her pain perception. The patient had an immediate significant improvement in her pai...
Source: Physiotherapy Theory and Practice - July 23, 2013 Category: Physiotherapy Authors: Anandkumar S, Manivasagam M Tags: Physiother Theory Pract Source Type: research

Complex Regional Pain Syndrome
(also called Causalgia and Reflex Sympathetic Dystrophy Syndrome) information page compiled by the National Institute of Neurological Disorders and Stroke (NINDS).
Source: NINDS Disorders: National Institute of Neurological Disorders and Stroke - October 26, 2014 Category: Neurology Source Type: research

Kinesiophobia after complex regional pain syndrome type one in a case of stroke hemiplegia and effect of cognitive behavior therapy.
Authors: Sethy D, Sahoo S PMID: 29736085 [PubMed]
Source: Indian Journal of Psychiatry - May 9, 2018 Category: Psychiatry Tags: Indian J Psychiatry Source Type: research

Demystifying Poststroke Pain: From Etiology to Treatment
Publication date: Available online 16 June 2016 Source:PM&R Author(s): Andrew K. Treister, Maya N. Hatch, Steven C. Cramer, Eric Y. Chang Pain after stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This situation occurs in part because of the esoteric nature of poststroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who experience pain include central poststroke pain, complex regional pain syndrome, and pain associated with spasticity and shoulder subluxation. Each disorder...
Source: PMandR - July 10, 2016 Category: Rehabilitation 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

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

Demystifying Poststroke Pain: From Etiology to Treatment
Pain after stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This situation occurs in part because of the esoteric nature of poststroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who experience pain include central poststroke pain, complex regional pain syndrome, and pain associated with spasticity and shoulder subluxation. Each disorder carries its own intricacies that require specific approaches to treatment and understanding.
Source: PM and R - June 14, 2016 Category: Rehabilitation Authors: Andrew K. Treister, Maya N. Hatch, Steven C. Cramer, Eric Y. Chang Tags: Narrative Review Source Type: research

Neural substrates for poststroke complex regional pain syndrome type I: a retrospective case–control study using voxel-based lesion symptom mapping analysis
Poststroke complex regional pain syndrome (CRPS) is characterized by swelling, pain, and changes in the skin that appear on the affected wrist and hand. In this retrospective study, we analyzed the relationship between poststroke CRPS and the location of stroke lesion. From all patients admitted to our hospital from 2009 to 2019, we recruited 80 patients affected by their first unilateral stroke who met the inclusion/exclusion criteria. Thirty-eight patients diagnosed with CRPS after stroke were assigned to the experimental group according to the “Budapest criteria” adopted by the International Association for the Stud...
Source: Pain - May 21, 2020 Category: Anesthesiology Tags: Research Paper Source Type: research

A Novel Approach to New-Onset Hemiplegic Shoulder Pain With Decreased Range of Motion Using Targeted Diagnostic Nerve Blocks: The ViVe Algorithm
Introduction: Hemiplegic shoulder pain (HSP) is the most common pain disorder after stroke with incidence estimates of 30–70% and associated with reductions in function, interference with rehabilitation, and a reduced quality of life. Onset may occur as soon as a week after stroke in 17% of patients. Management of HSP represents a complex treatment pathway with a lack of evidence to support one treatment. The pain has heterogeneous causes. In the acute setting, decreased range of motion in the shoulder can be due to early-onset spasticity, capsular pattern stiffness, glenohumeral pathology, or complex regional pain syndr...
Source: Frontiers in Neurology - May 28, 2021 Category: Neurology Source Type: research

Attention upturned: Bias toward and away from the affected side of the body and near space in a case of complex regional pain syndrome
Neuropsychologia. 2021 Nov 2:108079. doi: 10.1016/j.neuropsychologia.2021.108079. Online ahead of print.ABSTRACTPeople with Complex Regional Pain Syndrome (CRPS) following limb injury can show neuropsychological symptoms in the absence of observable brain pathologies. These can include sensory changes, distorted body representation, and inattention to their affected limb and its surrounding space, resembling post-stroke hemispatial neglect. The precise nature and mechanisms of these neuropsychological symptoms are unclear, however insights could be gained by testing for dissociations and associations that have been observe...
Source: Adv Data - November 6, 2021 Category: Epidemiology Authors: Monika Halicka Axel D Vitters ø Michael J Proulx Janet H Bultitude 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

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