Thoracic Paraspinal Soft Tissue Mobilizations in Treatment of Patients With Upper Limb Complex Regional Pain Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 49
- 试验地点
- 1
- 主要终点
- Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire
研究概览
简要总结
This study examines the prevalence of trigger points in muscles in the thorax in upper limb Complex Regional Pain Syndrome (CRPS) patients, compared to healthy subjects. In addition, we will examine if adding treatment to muscles in the thoracic area (to the regular physical therapy treatment) will alleviate some of the sensitivity in the upper limb in CRPS patients.
详细描述
This study examines the prevalence of trigger points in muscles in the thorax in upper limb Complex Regional Pain Syndrome (CRPS) patients, compared to healthy subjects. The muscles that will be examined are: Subclavius, Pectoralis minor, Rhomboids, Infraspinatus and Serratus superior posterior.
In addition, we will examine if adding treatment to muscles in the thoracic area (to the regular physical therapy treatment) will alleviate some of the sensitivity in the upper limb in CRPS patients.This will be examined in an A-B-A design: at first the patients will be examined. Then they will recieve conventional physiotherapy treatment for a month. After a month, they will be examined again, and then they will recieve soft tissue massage to the thoracic area for 15 minutes in addition to the conventional physiotherapy treatment. After a month of the combined treatment, the patients will be examined a third and final time.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Inclusions Criteria for "cases" in stage 1 and all subjects of stage 2:
- •Age between 18-70
- •CRPS diagnosed by board certified specialist in rehabilitation or pain medicine
- •Constant chronic pain for ≥six months preceding the trial;
- •Spontaneous pain in a day of first evaluation (numeric pain rating scale (NPRS) ≥4/10)
- •Stimulated pain is not attributable to other causes, such as peripheral inflammation.
- •Inclusions Criteria for "controls" in stage 1:
- •Age between 18-70
- •Do not suffer from any medical issues or chronic pain
排除标准
- •for all subjects in stages 1 and 2:
- •Participation in another interventional clinical trial.
- •History of major psychiatric or neurological illness (like stroke).
- •Rheumatoid arthritis or other major rheumatologic disorders.
- •Fibromyalgia or any other systemic illness.
- •Pregnancy.
研究组 & 干预措施
CRPS patients
CRPS patients that will be examined for trigger points in the thoracic muscles. 10 out of the 23 will also be included in the intervention stage and will recieve a month of conventional physiotherapy, and a month of conventional physiotherapy with addition of massage to the thoracic area.
干预措施: massage (Diagnostic Test)
healthy controls
healthy controls that will be examined for trigger points in the thoracic muscles (and will be compared to the CRPS patients)
结局指标
主要结局
Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire
时间窗: 10 minutes
Questionnaire that examines upper limb function
次要结局
- NPRS(1 minute)
- skin rolling test(1 minute)
- Pressure algometer(10 minutes)
- Goniometer(1 minute)
- CRPS severity score (CSS)(20 minutes)
- Allodynia in scapula, arm and forearm(5 minutes)
- trigger point examination(5 minutes)
研究者
Reuth Research Institute
Professor
Reuth Rehabilitation Hospital