Batalla Marc A Pique, Lewis Jennifer S
National Complex Regional Pain Syndrome Service, Royal United Hospital Bath NHS Trust, Bath, UK.
School of Health and social Wellbeing, University of the West of England, Bristol, UK.
Physiother Theory Pract. 2025 May;41(5):1109-1123. doi: 10.1080/09593985.2024.2393213. Epub 2024 Sep 12.
Effective treatment for Complex Regional Pain Syndrome (CRPS), a chronic pain condition, is challenging. Cognitive Multisensory Rehabilitation (CMR) is a cognitive and sensorimotor treatment approach aimed at restoring function that targets cognitive, somatosensory, and multisensory functions through sensory discrimination tasks.
We aimed to apply CMR to treat CRPS within our clinical practice. Clinically, we have found promising results in reducing pain and other common features of CRPS, such as Body Perception Disturbances (BPD).
In this clinical case series, four CRPS patients who participated in a two-week interdisciplinary CRPS rehabilitation program at the National Complex Regional Pain Syndrome Service in Bath, UK received CMR as part of their treatment. A combination of self-reported measures and clinical outcomes were collected pre and post-rehabilitation program.
Functional improvements and a reduction on BPD were observed in all clinical cases.
We demonstrate how CMR may improve several CRPS-related features that often hinder rehabilitation in people living with CRPS.
Research involving larger cohorts are necessary to provide empirical evidence of the application of CMR in treating CRPS.
复杂性区域疼痛综合征（CRPS）是一种慢性疼痛疾病，对其进行有效治疗具有挑战性。认知多感官康复（CMR）是一种认知和感觉运动治疗方法，旨在通过感觉辨别任务恢复功能，该任务针对认知、躯体感觉和多感官功能。
我们旨在将CMR应用于临床实践中治疗CRPS。在临床上，我们发现CMR在减轻CRPS的疼痛和其他常见特征（如身体感知障碍（BPD））方面取得了令人鼓舞的结果。
在这个临床病例系列中，四名CRPS患者在英国巴斯的国家复杂性区域疼痛综合征服务中心参加了为期两周的跨学科CRPS康复项目，接受了CMR作为其治疗的一部分。在康复项目前后收集了自我报告测量和临床结果的综合数据。
在所有临床病例中均观察到功能改善和BPD减轻。
我们展示了CMR如何改善一些与CRPS相关的特征，这些特征常常阻碍CRPS患者的康复。
需要开展涉及更大样本量人群的研究，以提供CMR应用于治疗CRPS的实证依据。
