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复杂区域疼痛综合征的整骨疗法与康复综合管理:一例报告

Integrated management of osteopathy and rehabilitation for complex regional pain syndrome: A case report.

作者信息

AlKuait Norah, AlTaleb Hanan, Almuwais Afrah

机构信息

HIT Clinics, Riyadh, Saudi Arabia.

Rehab Plus Clinics, Riyadh, Saudi Arabia.

出版信息

SAGE Open Med Case Rep. 2024 Nov 21;12:2050313X241301666. doi: 10.1177/2050313X241301666. eCollection 2024.

DOI:10.1177/2050313X241301666
PMID:39574499
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11580067/
Abstract

Complex regional pain syndrome (CRPS) is a debilitating condition that typically affects one limb, often triggered by acute trauma. Symptoms include persistent pain, skin sensitivity, swelling, and mobility issues. While various therapeutic approaches exist, evidence for the effectiveness of multimodal treatments is limited. A 25-year-old female presented with CRPS following a sciatic nerve injury due to an intramuscular injection. She experienced severe pain, swelling, and limited mobility in her left ankle. Physical therapy assessment revealed significant weakness and limitations in both active and passive range of motion due to pain and swelling. The patient underwent a holistic treatment consisting of osteopathy and rehabilitation exercises over 36 sessions spanning 9 months. Significant improvements were observed after treatment, including reduced pain, increased mobility, and improved nerve conduction. These findings suggest that a multimodal therapeutic approach may be beneficial in managing CRPS and improving patients' quality of life.

摘要

复杂性区域疼痛综合征(CRPS)是一种使人衰弱的病症,通常影响一个肢体,常由急性创伤引发。症状包括持续性疼痛、皮肤敏感、肿胀和活动问题。虽然存在各种治疗方法,但多模式治疗有效性的证据有限。一名25岁女性在因肌肉注射导致坐骨神经损伤后出现CRPS。她左踝部经历了严重疼痛、肿胀且活动受限。物理治疗评估显示,由于疼痛和肿胀,主动和被动活动范围均存在明显无力和受限情况。该患者在9个月内接受了36次包括整骨疗法和康复锻炼的综合治疗。治疗后观察到显著改善,包括疼痛减轻、活动增加和神经传导改善。这些发现表明,多模式治疗方法可能有益于管理CRPS并改善患者生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03a2/11580067/16d710ea8c69/10.1177_2050313X241301666-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03a2/11580067/a0847b8a79c4/10.1177_2050313X241301666-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03a2/11580067/16d710ea8c69/10.1177_2050313X241301666-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03a2/11580067/a0847b8a79c4/10.1177_2050313X241301666-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03a2/11580067/16d710ea8c69/10.1177_2050313X241301666-fig2.jpg

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本文引用的文献

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Economic evaluation of management strategies for complex regional pain syndrome (CRPS).复杂性区域疼痛综合征(CRPS)管理策略的经济学评估
Front Pharmacol. 2024 Jan 22;15:1297927. doi: 10.3389/fphar.2024.1297927. eCollection 2024.
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Osteopathic Manipulative Treatment Decreases Hospital Stay and Healthcare Cost in the Neonatal Intensive Care Unit.整骨手法治疗可缩短新生儿重症监护病房的住院时间并降低医疗成本。
Medicines (Basel). 2022 Sep 21;9(10):49. doi: 10.3390/medicines9100049.
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