Effects of Short Stretch Bandage and Electrical Stimulation Therapy for the Complex Regional Pain Syndrome in Hemiplegic Patients.
- Author:
Kyeong Woo LEE
1
;
Sang Beom KIM
;
Kisung YOON
;
Hyun KWAK
;
Jong Hwa LEE
;
Kyung Hyun RYOO
Author Information
1. Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Korea. birddive@freechal.com
- Publication Type:Original Article
- Keywords:
Complex regional pain syndrome;
Short stretch bandage;
Electrical stimulation therapy
- MeSH:
Bandages*;
Brain Injuries;
Edema;
Electric Stimulation Therapy*;
Electric Stimulation*;
Extremities;
Fingers;
Hand;
Humans;
Joints;
Muscles;
Range of Motion, Articular;
Stroke;
Wrist
- From:Journal of the Korean Academy of Rehabilitation Medicine
2006;30(5):430-435
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate effects of short stretch bandage and electrical stimulation therapy (EST) for the complex regional pain syndrome (CRPS) in hemiplegic patients METHOD: 10 hemiplegic CRPS patients after stroke or traumatic brain injury were included in the study. We established CRPS from clinical symptoms and triphasic bone scan. Short stretch bandage was applied on affected limb and changed every 24 hours for 2 weeks. EST was tried for 10 minutes twice per day. It was applied at finger and wrist flexor muscles. We measured hand volume of pre-and posttreatment using hand volumeter. Also compared pre-and posttreatment pain-free range of motion (ROM) of metacarpophalangeal (MCP) joint and third proximal interphalangeal (PIP) joint circumference. RESULTS: Mean difference of hand volume between the affected and the unaffected prior to treatment was 20.5+/-4.9 ml (7.9+/-2.3%). After treatment, mean volume change was 15.5+/-4.9 ml (5.5+/-1.8%) (p<0.05). Mean change of pain-free ROM was 8.0+/-4.8 degree (10.9+/-7.1%), mean change of PIP joint circumference was 3.1+/-1.4 mm (5.9+/-2.4%) (p<0.05). CONCLUSION: Short stretch bandage and EST complex therapy is effective for the reduction of paralyzed hand edema and pain in hemiplegic CRPS patients. However further control study is required.
