Coventry University, International School of Physiotherapy, Gokula Education Foundation , Bangalore , India and.
Physiother Theory Pract. 2014 Jan;30(1):38-48. doi: 10.3109/09593985.2013.814186. Epub 2013 Jul 23.
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 pain and functional status. Following this, pain modulation in the form of transcutaneous electrical nerve stimulation, kinesio tape application, "pain exposure" physical therapy and exercise therapy was carried out for a period of 7 weeks. The patient had complete resolution of her symptoms which was maintained at a six-month follow-up.
本病例报告描述了一位 48 岁女性，她因脑血管意外后出现右肩部疼痛、感觉异常和手部肿胀，并伴有疼痛集中化的附加症状就诊。临床评估显示，患者符合复杂性区域疼痛综合征（CRPS）1 型的布达佩斯诊断标准。物理治疗管理（前三个疗程）最初侧重于疼痛神经生理学教育，旨在减少运动恐惧症和重新概念化她的疼痛感知。患者的疼痛和功能状态立即显著改善。在此之后，进行了为期 7 周的经皮电神经刺激、肌贴应用、“疼痛暴露”物理治疗和运动治疗的疼痛调节。患者的症状完全缓解，并在 6 个月的随访中得到维持。
