Continuous Regional Anesthesia and Inpatient Rehabilitation for Pediatric Complex Regional Pain Syndrome

Donado, Carolina; Lobo, Kimberly; Velarde-Álvarez, María Fe; Kim, Joseph; Kenney, Anne R.; Logan, Deirdre E.; Berde, Charles B.

doi:10.1097/aap.0000000000000593

Cited by 12 publications

(6 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…series [15], 39% of the sample did not clinically improve the pain symptoms, and 43% had no functional advantages. Nevertheless, the authors suggested the treatment in addition to an active PT + CBT protocol.…”

Section: Discussionmentioning

confidence: 89%

“…Several treatments have been described [2], including acupuncture, transcranial magnetic stimulation, and invasive procedures, but the e cacy has been proven for the combination of physical and cognitive behavioural therapy and some pharmacological treatments only. The most established treatment is a programme of physical rehabilitation and cognitive behavioural therapy [15]. The goal is to restore normal function, increase the joint motion range, load tolerance and strength, and concurrently assist the child in accepting and managing the pain [2].…”

Section: Discussionmentioning

confidence: 99%

“…Similar adverse events were recorded (p = 0.77). Donado and colleagues [15] investigated the use of continuous regional anaesthesia (epidural or peripheral catheter) in subjects refractory to PT + CBT. Their data showed signi cant changes between admission and discharge for pain (p < 0.0001), without signi cant changes throughout the 4-month period after admission (p > 0.05).…”

Section: Pharmacological Treatmentmentioning

confidence: 99%

See 2 more Smart Citations

Treatment of Complex Regional Pain Syndrome in Children and Adolescents: A Systematic Review

Vescio

Testa

Culmone

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Complex Regional Pain Syndrome (CRPS), as known as Reflex Sympathetic Dystrophy, is characterized by chronic, spontaneous and provoked pain of the distal extremities, whose severity is disproportionate to the triggering event. In growing age, CRPS affects most commonly women aged 5 to 17 years, with a maximum incidence peak around the 13th year of age. Among the orthopedics, diagnosis remains challenging, as well as, the treatment is still debated and multidisciplinary. The purpose of this systematic review is to analyze the available literature to provide an update on the latest evidence related to the treatment of CRPS in growing age. Methods: Three reviewers searched Pubmed and Web of Science databases from their date of inception to the 20th September 2019 in accordance with the Preferred Reporting Items for Systemic Reviews and Meta-Analyses guidelines.Data extraction was performed independently by 3 reviewers based on predefined criteria and the methodologic quality of included studies was quantified by the the Newcastle-Ottawa Quality Assessment Scale Cohort Studies. Results:A total of n = 264 articles were found. At the end of the first screening, following the previously described selection criteria, we selected n = 103 articles eligible for full-text reading. Ultimately, after full-text reading and a reference list check, we selected n = 6. The articles focused on physical (PT), cognitive-behavioral (CBT) and pharmacological (PhT) treatments. The combination of PT+CBT is the most efficacy and suggested, but a commonly accepted protocol has been not developed. Despite the good patients outcome, several are the adverse events recorded in PT. Conclusions: Physical therapy in association with occupational, and cognitive behavioral treatment is the recommended option in the management of pediatric CPRS. Pharmacological therapy should be reserved for refractory and selected patients. The design and development of a standard protocol are strongly suggested.

show abstract

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Pharmacological Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Treatment of Complex Regional Pain Syndrome in Children and Adolescents: A Systematic Review

Vescio

Testa

Culmone

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Similar adverse events were recorded ( p = 0.77). Donado and colleagues [ 15 ] investigated the use of continuous regional anesthesia (epidural or peripheral catheter) in subjects refractory to PT + CBT. Their data showed significant changes between admission and discharge for pain ( p < 0.0001), without significant changes throughout the 4-month period after admission ( p > 0.05).…”

Section: Resultsmentioning

confidence: 99%

“…Several treatments have been described [ 2 ], including acupuncture, transcranial magnetic stimulation and invasive procedures, but the efficacy has been proven for the combination of physical and cognitive behavioral therapy and only pharmacological treatments. The most established treatment is a program of physical rehabilitation and cognitive behavioral therapy [ 15 ]. The goal is to restore normal function, increase the joint motion range and load tolerance and strength and concurrently assist the child in accepting and managing the pain [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Treatment of Complex Regional Pain Syndrome in Children and Adolescents: A Structured Literature Scoping Review

et al. 2020

View full text Add to dashboard Cite

Background: Complex regional pain syndrome (CRPS) is characterized by chronic, spontaneous and provoked pain of the distal extremities whose severity is disproportionate to the triggering event. Diagnosis and treatment are still debated and multidisciplinary. The purpose of this systematic review is to analyze the available literature to provide an update on the latest evidence related to the treatment of CRPS in growing age. Methods: Data extraction was performed independently by three reviewers based on predefined criteria and the methodologic quality of included studies was quantified by the Newcastle–Ottawa Quality Assessment Scale Cohort Studies. Results: At the end of the first screening, following the previously described selection criteria, we selected n = 103 articles eligible for full-text reading. Ultimately, after full-text reading and a reference list check, we selected n = 6. The articles focused on physical (PT), associated with cognitive behavioral (CBT) and pharmacological (PhT) treatments. The combination of PT + CBT shows the most efficacy as suggested, but a commonly accepted protocol has not been developed. Conclusions: Physical therapy in association with occupational and cognitive behavioral treatment is the recommended option in the management of pediatric CPRS. Pharmacological therapy should be reserved for refractory and selected patients. The design and development of a standard protocol are strongly suggested.

show abstract

Musculoskeletal Pain in Children and Young People

Klein,

Chiu,

Clinch

et al. 2024

Managing Pain in Children and Young People

View full text Add to dashboard Cite

Continuous Regional Anesthesia and Inpatient Rehabilitation for Pediatric Complex Regional Pain Syndrome

Abstract: Continuous regional anesthesia may be an option to facilitate intensive rehabilitation for selected pediatric patients with CRPS. Further research should help clarify the role of regional anesthesia in a comprehensive management program.

Cited by 12 publications

References 29 publications

Treatment of Complex Regional Pain Syndrome in Children and Adolescents: A Systematic Review

Treatment of Complex Regional Pain Syndrome in Children and Adolescents: A Systematic Review

Treatment of Complex Regional Pain Syndrome in Children and Adolescents: A Structured Literature Scoping Review

Musculoskeletal Pain in Children and Young People

Contact Info

Product

Resources

About