Żyluk Andrzej
Department of General and Hand Surgery, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Folia Med Cracov. 2024 Dec 26;64(3):119-127. doi: 10.24425/fmc.2024.152172.
Complex regional pain syndrome (CRPS) is a descriptive term for a complex of symptoms and signs, including pain, swelling and vasomotor disturbances. The disease causes also functional impairment of the affected extremity and limitation in daily activities. Even after effective treatment, the condition frequently leaves residual symptoms and impairment of the limb. The objective of this study was assessment of the level of functional impairment in patients who got over CRPS. Materials and Methods: Fifty-two patients, 45 women (86%) and 7 men (14%) in a mean age of 57 years who were got over CRPS were asked to fill 2 questionnaires for assessment of function of their upper limbs in daily living. The questionnaires included the Raadboud Skills Questionnaire (the RASQ) and the Disability of Arm, Shoulder and Hand (the DASH). Results of this study show statistically significant differences in functional impairment of the limbs between the groups with different recovery status and duration of CRPS: the patients with longer lasting disease and those, who did not feel recovered showed greater functional impairment of their limbs than remaining patients. Conclusion: These results suggest that, in spite of a satisfactory outcome of treatment, significant long- term sequelae of the disease impair function of the affected limbs and reduce quality of life in a proportion of patients.
复杂性区域疼痛综合征（CRPS）是一组症状和体征的描述性术语，包括疼痛、肿胀和血管舒缩功能障碍。该疾病还会导致患肢功能受损以及日常活动受限。即使经过有效治疗，病情仍常遗留残余症状和肢体功能障碍。本研究的目的是评估CRPS康复患者的功能障碍程度。材料与方法：52例CRPS康复患者参与研究，其中45名女性（86%），7名男性（14%），平均年龄57岁，他们被要求填写2份问卷，以评估其上肢在日常生活中的功能。问卷包括拉德堡技能问卷（RASQ）和手臂、肩部和手部功能障碍问卷（DASH）。本研究结果显示，不同恢复状态和CRPS病程的患者组之间，肢体功能障碍存在统计学显著差异：病程较长且感觉未康复的患者，其肢体功能障碍比其余患者更严重。结论：这些结果表明，尽管治疗效果令人满意，但该疾病的显著长期后遗症会损害患肢功能，并降低部分患者的生活质量。
