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[从物理治疗角度看手部复杂区域疼痛综合征的治疗]

[Treatment of complex regional pain syndrome in the hand region from the perspective of physiotherapy].

作者信息

Schubert Cornelia

机构信息

St. Vinzenz-Hospital, Merheimer Str. 221-223, 50733, Köln, Deutschland.

出版信息

Unfallchirurg. 2021 Jun;124(6):456-464. doi: 10.1007/s00113-021-01005-7. Epub 2021 May 17.

Abstract

BACKGROUND

Successful treatment of complex regional pain syndrome (CRPS) depends mainly on an early diagnosis and an adequate treatment concept with active participation of the patient.

OBJECTIVE

Diagnostics and treatment recommendation of CRPS with localization on the hand.

MATERIAL AND METHODS

Presentation and research of studies on treatment recommendations and the CRPS guidelines.

RESULTS

The early diagnosis of CRPS, adequate pain therapy and treatment of CRPS based on the CRPS guidelines favor the successful course of treatment. Graded motor imagery training is the treatment of choice, especially in the acute phase and is essential for improving cortical representation, reducing pain and reintegration into the body image.

CONCLUSION

Good patient education regarding the clinical picture and course of the disease form the basis for the treatment of CRPS. The patient should always be considered holistically and treated correspondingly by a multiprofessional team. Active involvement of the patient in the treatment from the beginning is always essential.

摘要

背景

复杂性区域疼痛综合征(CRPS)的成功治疗主要取决于早期诊断以及患者积极参与的适当治疗方案。

目的

对手部定位的CRPS进行诊断及给出治疗建议。

材料与方法

介绍和研究关于治疗建议及CRPS指南的研究。

结果

CRPS的早期诊断、适当的疼痛治疗以及基于CRPS指南的治疗有利于治疗的成功进程。分级运动想象训练是首选治疗方法,尤其是在急性期,对于改善皮层表征、减轻疼痛以及重新融入身体意象至关重要。

结论

对患者进行关于临床表现和疾病进程的良好教育是CRPS治疗的基础。应始终全面考虑患者,并由多专业团队进行相应治疗。从一开始就让患者积极参与治疗始终至关重要。

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