National Complex Regional Pain Syndrome Service, Royal United Hospitals Bath NHS Trust, Bath, UK.
Centre for Health and Clinical Research, University of the West of England, Bristol, UK.
Musculoskeletal Care. 2024 Dec;22(4):e1956. doi: 10.1002/msc.1956.
This scoping review will explore the literature related to rehabilitation interventions for the treatment of adults living with complex regional pain syndrome (CRPS), describe the domains and outcome measures used to assess their effectiveness, and examine the neurophysiological bases of these interventions.
The unremitting symptoms of CRPS, a chronic pain condition, are associated with long-term disability, poor psychological health, decreased emotional and social well-being, and reduced quality of life. Effective treatment for persistent symptoms is notoriously difficult. Therapeutic approaches such as graded motor imagery or pain exposure therapy are recommended for CRPS but show mixed results, insufficient effectiveness, variability in outcome measures, and unclear neurophysiological bases.
This review will consider studies that include any form of non-invasive rehabilitation intervention delivered by a healthcare professional in any setting for adults with a CRPS diagnosis. Quantitative, qualitative and observational studies, text and opinion papers will be considered.
The Joanna Briggs Institute (JBI) methodology will be used to conduct this scoping review. MEDLINE, Embase, Scopus, APA PsycINFO, CINAHL, Cochrane, OpenGrey Google and ProQuest Dissertations and Theses Global (ProQuest) will be searched for studies in English published between 2007 and 2024. Two independent reviewers will screen the titles, abstracts, and full texts of the selected studies. Data collection will be performed using a tool developed by the researchers based on the standardised JBI tool. Data will be presented in a comprehensive narrative summary.
本范围综述将探讨与成人复杂性区域疼痛综合征 (CRPS) 治疗相关的康复干预措施文献,描述用于评估其疗效的领域和结果测量指标,并探讨这些干预措施的神经生理学基础。
CRPS 是一种慢性疼痛病症,其持续存在的症状与长期残疾、心理健康不良、情绪和社会幸福感下降以及生活质量降低有关。治疗持续性症状的有效方法相当困难。推荐使用分级运动想象或疼痛暴露疗法等治疗方法治疗 CRPS,但结果显示混合效果、疗效不足、结果测量指标的可变性以及神经生理学基础不明确。
本综述将考虑在任何环境中由医疗保健专业人员为 CRPS 诊断的成年人提供任何形式的非侵入性康复干预的研究。将考虑定量、定性和观察性研究、文本和观点论文。
将使用乔安娜·布里格斯研究所 (JBI) 方法进行本范围综述。将在 2007 年至 2024 年期间以英文发表的 MEDLINE、Embase、Scopus、APA PsycINFO、CINAHL、Cochrane、OpenGrey Google 和 ProQuest Dissertations and Theses Global (ProQuest) 上搜索研究。两名独立评审员将筛选选定研究的标题、摘要和全文。将使用研究人员根据标准化 JBI 工具开发的工具进行数据收集。数据将以综合叙述性摘要呈现。