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Two Measures of Tactile Acuity in CRPS Type I Patients

Not Applicable
Conditions
CRPS Type I of the Upper Extremity
Neuropathy of the Median Nerve
Healthy Controls
Interventions
Other: Tactile acuity measured by 2PD and the GOT
Registration Number
NCT01888783
Lead Sponsor
Ruhr University of Bochum
Brief Summary

This study aims to investigate whether two different measures of tactile acuity lead to comparable results in patients diagnosed with CRPS Type I of the upper extremity. Additionally patients with a neuropathy of the median nerve and healthy controls are included.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
150
Inclusion Criteria
  • Patients diagnosed with CRPS Type I according to the "Budapest Criteria"
  • Patients diagnosed with a neuropathy of the median nerve
  • Healthy Controls,matched in age and gender to both patient cohorts
Exclusion Criteria
  • intolerable hyperalgesia
  • lesions at the fingertips
  • high grade digit contracture
  • central neurologic disorders
  • psychiatric disorders

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CRPS Type ITactile acuity measured by 2PD and the GOTPatients diagnosed with complex regional pain syndrome type I of the upper limb
Median Nerve NeuropathyTactile acuity measured by 2PD and the GOTPatients diagnosed with a neuropathy of the median nerve of the upper limb.
Healthy ControlsTactile acuity measured by 2PD and the GOTHealthy adult persons.
Primary Outcome Measures
NameTimeMethod
tactile acuity as measured by 2-point-discriminationunique measurement of maximal one hour duration

Thresholds on the tip of the index finger of boths hands are assessed using the method of constant stimuli. One single needle and seven pairs of needles with different spacings are tested in randomized order. After each presentation, the subject has to report the sensation of one or two needles by answering immediately "one" or "two." Each distance is presented eight times resulting in 64 single decisions. The summed responses are plotted against distance as a psychometric function for absolute threshold and get fitted by a binary logistic regression. Thresholds are taken from the fit at the distance at which 50% correct answers are given

tactile acuity as measured by the Grating Orientation Task (GOT)unique measurement of maximal half an hour duration

Stimuli are taken from a set of dome-shaped plastic gratings with equal groove and ridge widths. Gratings are applied to the immobilized distal fingerpad of the index finger of boths hand with the ridges oriented either along or across the long axis of the finger in randomized sequences of the two alternatives. Subjects have to report the orientation of the gratings as "along" or "across". The largest groove widths in the set is 6mm, the minimal width is 0.5mm. Thresholds were taken from the groove width at which the performance was 75% correct. Unless the performance is exactly 75% for a particular grating, interpolation between gratings spanning the 75% correct responses ared used

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Department of Pain Medicine, BG Universitätsklinikum Bergmannsheil GmbH

🇩🇪

Bochum, Germany

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