Wiśniowska Justyna, Andreieva Iana, Robak Dominika, Salata Natalia, Tarnacka Beata
Department of Rehabilitation, Eleonora Reicher National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartanska 1, 02-637 Warsaw, Poland.
Department of Rehabilitation Medicine, Faculty of Medicine, Warsaw Medical University, Spartanska 1, 02-637 Warsaw, Poland.
Brain Sci. 2025 Jul 18;15(7):763. doi: 10.3390/brainsci15070763.
: To investigate whether a Multimodal Rehabilitation Program (MRP) affects the change in visual-spatial abilities, especially attention, information-processing speed, visual-spatial learning, the severity of depression, and strategies for coping with pain in Complex Regional Pain Syndrome (CRPS) participants. : The study was conducted between October 2021 and February 2023, with a 4-week rehabilitation program that included individual physiotherapy, manual and physical therapy, and psychological intervention such as psychoeducation, relaxation, and Graded Motor Imagery therapy. Twenty participants with CRPS and twenty healthy participants, forming a control group, were enlisted. The study was a 2-arm parallel: a CRPS group with MRP intervention and a healthy control group matched to the CRPS group according to demographic variables. Before and after, the MRP participants in the CRPS group were assessed for visual-spatial learning, attention abilities, severity of depression, and pain-coping strategy. The healthy control group underwent the same assessment without intervention before two measurements. The primary outcome measure was Reproduction on Rey-Osterrieth's Complex Figure Test assessing visual-spatial learning. : In the post-test compared to the pre-test, the participants with CRPS obtained a significantly high score in visual-spatial learning ( < 0.01) and visual information-processing speed ( = 0.01). They made significantly fewer omission mistakes in visual working memory ( = 0.01). After the MRP compared to the pre-test, the CRPS participants indicated a decrease in the severity of depression ( = 0.04) and used a task-oriented strategy for coping with pain more often than before the rehabilitation program ( = 0.02). : After a 4-week MRP, the following outcomes were obtained: an increase in visual-spatial learning, visual information-processing speed, a decrease in severity of depression, and a change in the pain-coping strategies-which became more adaptive.
研究多模式康复计划（MRP）是否会影响复杂区域疼痛综合征（CRPS）患者视觉空间能力的变化，特别是注意力、信息处理速度、视觉空间学习、抑郁严重程度以及应对疼痛的策略。
该研究于2021年10月至2023年2月进行，为期4周的康复计划包括个体物理治疗、手法和物理治疗以及心理干预，如心理教育、放松和分级运动想象疗法。招募了20名CRPS患者和20名健康参与者作为对照组。该研究为双臂平行设计：CRPS组接受MRP干预，健康对照组根据人口统计学变量与CRPS组匹配。在MRP前后，对CRPS组的参与者进行视觉空间学习、注意力能力、抑郁严重程度和疼痛应对策略的评估。健康对照组在两次测量前未接受干预的情况下进行相同的评估。主要结局指标是通过雷-奥斯特里茨复杂图形测试的复制来评估视觉空间学习。
与测试前相比，在测试后，CRPS患者在视觉空间学习（P<0.01）和视觉信息处理速度（P = 0.01）方面获得了显著更高的分数。他们在视觉工作记忆中的遗漏错误显著减少（P = 0.01）。与测试前相比，在MRP后，CRPS患者的抑郁严重程度有所降低（P = 0.04），并且比康复计划前更频繁地使用以任务为导向的策略来应对疼痛（P = 0.02）。
经过4周的MRP后，获得了以下结果：视觉空间学习增加、视觉信息处理速度提高、抑郁严重程度降低以及疼痛应对策略发生变化——变得更具适应性。
