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Tailoring Treatment in Complex Regional Pain Syndrome: A Comparative Study of Therapeutic Approaches in Complex Rehabilitation.

作者信息

Andreieva Iana, Tarnacka Beata, Zalewski Adam, Wiśniowska Justyna

机构信息

Department of Rehabilitation Medicine, Faculty of Medicine, Warsaw Medical University, Spartańska 1, 02-637 Warsaw, Poland.

Department of Rehabilitation, Eleonora Reicher National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartańska 1, 02-637 Warsaw, Poland.

出版信息

Pharmaceuticals (Basel). 2025 Jul 25;18(8):1114. doi: 10.3390/ph18081114.


DOI:10.3390/ph18081114
PMID:40872504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12389243/
Abstract

Complex regional pain syndrome (CRPS) is a disabling pain condition, which is distinct from other pain syndromes by the presence of autonomic dysfunction and regional inflammatory changes. To explore the impact of pharmacological treatment strategies, specifically scheduled, on-demand dosing regimens versus lack of medical treatment, on pain-related and functional outcomes in rehabilitation for individuals with CRPS. A total of 32 participants with CRPS were assigned to three treatment groups depending on analgesic treatment during the course of complex rehabilitation. Pre- and post-rehabilitation assessments were conducted using validated measures, including the Numerical Rating Scale (NRS) for pain, the Short-Form McGill Pain Questionnaire (SF-MPQ), PainDETECT, the Disabilities of the Arm, Shoulder, and Hand (DASH), and the Lower Extremity Functional Scale (LEFS). Significant improvements in pain and upper limb function (DASH scores) were observed across all groups ( < 0.05). No statistically significant changes were found in lower limb function (LEFS). Between-group comparisons revealed significant differences in post-treatment pain scores (SFMPQ-B), particularly between groups with a constant treatment regimen and those without treatment. There were no statistically significant changes compared to different treatment regimen groups. The constant treatment group showed slightly better average improvements in pain and disability compared to other groups. Statistically significant improvements in all CRPS patients were observed in pain-related and functional measures.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2d/12389243/56b7a2131262/pharmaceuticals-18-01114-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2d/12389243/60b598f5efa1/pharmaceuticals-18-01114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2d/12389243/56b7a2131262/pharmaceuticals-18-01114-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2d/12389243/60b598f5efa1/pharmaceuticals-18-01114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2d/12389243/56b7a2131262/pharmaceuticals-18-01114-g002.jpg

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本文引用的文献

[1]
Associated factors, triggers and long-term outcome in Complex Regional Pain Syndrome (CRPS) in the upper limb - A descriptive cross-sectional study.

PLoS One. 2025-3-28

[2]
Complex Regional Pain Syndrome: Diagnosis, Pathophysiology, and Treatment Approaches.

Cureus. 2024-12-24

[3]
The efficacy of an interdisciplinary pain management program for complex regional pain syndrome compared to low back pain and chronic widespread pain: an observational study.

Pain Med. 2025-4-1

[4]
Rehabilitation Interventions for Adults With Complex Regional Pain Syndrome: A Scoping Review Protocol.

Musculoskeletal Care. 2024-12

[5]
Efficacy and Safety of Pharmacological Treatment in Patients with Complex Regional Pain Syndrome: A Systematic Review and Meta-Analysis.

Pharmaceuticals (Basel). 2024-6-20

[6]
An update on the pharmacotherapeutic options for complex regional pain syndrome.

Expert Rev Neurother. 2024-2

[7]
Pharmacological Treatments and Therapeutic Drug Monitoring in Patients with Chronic Pain.

Pharmaceutics. 2023-8-5

[8]
Pharmacological Methods of Pain Management: Narrative Review of Medication Used.

Int J Gen Med. 2023-7-31

[9]
Algorithm for multimodal medication therapy in patients with complex regional pain syndrome.

J Yeungnam Med Sci. 2023-11

[10]
Complex Regional Pain Syndrome (CRPS) and the Value of Early Detection.

Curr Pain Headache Rep. 2023-9

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