Effect of Repetitive Transcranial Magnetic Stimulation Combined with Conventional Rehabilitation on Upper Extremity Function for A Patient with Complex Regional Pain Syndrome I after Distal Radius Fracture
10.3969/j.issn.1006-9771.2020.02.017
- VernacularTitle:重复经颅磁刺激联合常规康复对桡骨远端骨折后复杂区域性疼痛综合征 I型患者上肢功能影响 1例报道
- Author:
Ai-shan GULIJIAKELA
1
;
Chan CHEN
1
;
Tian-hao GAO
1
;
Jun-qi LING
1
;
Li-min SUN
1
;
Yu-long BAI
1
Author Information
1. Department of Rehabilitation, Huashan Hospital Affiliated to Fudan University, Shanghai 200040, China
- Publication Type:Research Article
- Keywords:
distal radius fracture;
complex regional pain syndrome;
repetitive transcranial magnetic stimulation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2020;26(2):232-236
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the development of a patient with complex regional pain syndrome (CRPS) after distal radius fracture and the effect of repetitive transcranial magnetic stimulation (rTMS) combined with conventional rehabilitation on it. Methods:One patient with CRPS after left distal radius fracture was treated with rTMS combined with conventional rehabilitation for three weeks. The pain degree was evaluated with Visual Analogue Score (VAS), the edema was assessed with volume of hand and circumference of finger, and motion of joint was measured with passive range of motion. The activities of daily living was assessed with modified Barthel Index (MBS). Results:Before treatment, the VAS score was 8, the volume of left hand was 330 ml, the temperature of skin was 36.8 ℃. The activity of flexion and extension of left elbow joint, pronation and supination of left forearm, the flexion, extension, ulnar deviation and temporal deviation of left wrist, and metacarpophalangeal joints (MCP), proximal interphalangeal joint (PIP) and distal interphalangeal joint (DIP) of left hand were all limited. The circumference of left finger was larger than right finger, and the score of MBI was 85. After three weeks of treatment, the VAS score was 2, the volume of the left hand was 310 ml, the temperature of the skin was 33.8 ℃. The activities of left elbow joint, left wrist joint and left MCP, PIP, and DIP were better than before. The score of MBI was 100. Conclusion:rTMS combined with conventional rehabilitation is effective on CRPS after distal radius fracture, in the range of motion and edema of upper extremity, and activities of daily living.
