Effects if co2-baths in the combined concept of the early functional therapy in the cases of reflex sympathetic dystrophy

Mucha, C.

doi:10.4102/sajp.v61i1.169

Cited by 2 publications

(9 citation statements)

References 7 publications

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“…The effectiveness of adding a 4-week CO2 bath therapy to exercise therapy was investigated in an RCT by Mucha51 with high RoB. In 40 people with CRPS-1, combining CO2 bath therapy with exercise therapy was more effective than exercise alone in rest pain, movement pain, and night pain reduction.…”

Section: Resultsmentioning

confidence: 99%

The Effectiveness of Rehabilitation Interventions on Pain and Disability for Complex Regional Pain Syndrome

Shafiee¹,

MacDermid

Packham

et al. 2023

The Clinical Journal of Pain

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Objectives: To summarize and critically appraise the body of evidence on conservative management of complex regional pain syndrome (CRPS), we conducted a systematic review and meta-analysis of randomized controlled trials (RCTs). Methods: We conducted a literature search from inception to November 2021 in the following databases: Embase, Medline, CINAHL, Google Scholar, PEDRO, and Psychinfo. Two independent reviewers conducted risk of bias and quality assessment. Qualitative synthesis and meta-analysis were the methods for summarizing the findings of the RCTs. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to rate the overall quality and certainty of the evidence on each treatment outcome. Result: Through a database search, 751 records were found, and 33 RCTs were eligible for inclusion. Studies were published between 1995 and 2021. The overall risk of bias for 2 studies was low, 8 studies were unclear, and 23 studies were high. Low-quality evidence suggests that mirror therapy (as an addition to conventional stroke rehabilitation interventions) and graded motor imagery program (compared with routine rehabilitation interventions) may result in a large improvement in pain and disability up to 6-month follow-up in poststroke CRPS-1 patients. Low-quality evidence suggests that pain exposure therapy and aerobic exercises as an additive treatment to physical therapy interventions may result in a large improvement in pain up to a 6-month follow-up. The evidence is very uncertain about the effect of all other targeted interventions over conventional physical therapy or sham treatments on pain and disability. Discussion: There is an ongoing need for high-quality studies to inform conservative management choices in CRPS.

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Section: Resultsmentioning

confidence: 99%

The Effectiveness of Rehabilitation Interventions on Pain and Disability for Complex Regional Pain Syndrome

Shafiee¹,

MacDermid

Packham

et al. 2023

The Clinical Journal of Pain

View full text Add to dashboard Cite

show abstract

“…In a high-quality Cochrane review, Smart et al 14 in 2016 reviewed 18 RCTs with 739 participants on the effectiveness of various physiotherapy interventions on pain and disability in CRPS-1 and 2. The physical therapy (PT) interventions were GMI, 27,28,34,36 MT, 29,30 routine PT and OT, 37 virtual body swapping, 38 tactile discrimination training (TDT), 39 stellate ganglion block with ultrasound, 40–42 pulsed electromagnetic field (PEMF), 31 laser therapy, 43 Co 2 bath therapy, 44 electro-acupuncture therapy, 45 and MLD therapy 33,46 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Pain exposure physical therapy (PEPT) 3 18,21,22 1/3 reviews reported very low-quality evidence for the effectiveness of PEPT compared with routine rehabilitation interventions for pain improvement. 1/3 reviews judged the certainty of the evidence to be very low quality and (Continued ) electromagnetic field (PEMF), 31 laser therapy, 43 Co 2 bath therapy, 44 electro-acupuncture therapy, 45 and MLD therapy. 33,46 The authors used the GRADE approach to rate the overall quality of the evidence on each outcome.…”

Section: Number Of Reviews Conclusionmentioning

confidence: 99%

“…In a high-quality SR and MA in 2022, Shafiee et al 21 reviewed 33 RCTs evaluating the effectiveness of rehabilitation interventions in patients with CRPS, including MT, 29,30,35,47,48 GMI, 27,28,34,36 multimodal PT, 37,49 transcutaneous electrical nerve stimulations (TENS), 50 acupuncture, 45,[51][52][53][54] tactile discrimination techniques, 39 ultrasound of the stellate ganglion, [40][41][42] MLD, 33,46 laser therapy, 43 virtual body swapping, 38 Co 2 bath therapy, 44 Qigong exercises, 55 pain exposure, 56,57 2 reviews judged the certainty of the evidence to be very low-quality and found uncertain evidence regarding the effectiveness of Co 2 baths combined with exercise at reducing pain compared with exercise alone. Fluidotherapy 2 21,22 2 reviews judged the certainty of the evidence to be very low-quality and found uncertain evidence regarding the effectiveness of fluidotherapy combined with conventional rehabilitation compared with conventional rehabilitation alone at reducing pain and disability.…”

Section: Number Of Reviews Conclusionmentioning

confidence: 99%

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Rehabilitation Interventions for Complex Regional Pain Syndrome: An Overview of Systematic Reviews

Shafiee

MacDermid

Packham

et al. 2023

The Clinical Journal of Pain

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Objectives: An increasing number of systematic reviews have been conducted on various conservative management of complex regional pain syndrome (CRPS) targeting different rehabilitation interventions and objectives. The intent of this article was to summarize and critically appraise the body of evidence on conservative management of the CRPS and to provide an overall picture of the current state of the literature. Methods: This study was an overview of systematic reviews on conservative treatments for CRPS. We conducted a literature search from inception to January 2023 in the following databases: Embase, Medline, CINAHL, Google Scholar, Cochrane Library, and Physiotherapy Evidence Database (PEDro). Two independent reviewers conducted study screening, data extraction, and methodological quality assessment (using AMSTAR-2). Qualitative synthesis was the preferred method for reporting the findings of our review. We calculated the corrected covered area index to account for the proportion of overlapping primary studies that were included in multiple reviews. Result: We identified 214 articles, and a total of 9 systematic reviews of randomized controlled trials were eligible for inclusion. Pain and disability were the most common outcomes evaluated in the reviews. There were 6 (6/9; 66%) high-quality, 2 (2/9; 22%) moderate-quality, and 1 critically low-quality systematic review (1/9;11%), with the quality of the included trials ranging from very low to high. There was a large overlap across primary studies that were included in the systematic reviews (corrected covered area=23%). The findings of high-quality reviews support the effectiveness of mirror therapy (MT) and graded motor imagery (GMI) programs on pain and disability improvement in CRPS patients. The large effect size was reported for the effectiveness of MT on pain and disability (SMD:1.88 (95% CI: 0.73–3.02) and 1.30 (95% CI: 0.11–2.49), respectively) and the effectiveness of GMI program (GMIP) on pain and disability improvement (SMD: 1.36 (95% CI: 0.75–1.96) and 1.64 (95% CI: 0.53–2.74), respectively). Discussion: The evidence is in favor of adopting movement representation techniques, such as MT and GMI programs, for the treatment of pain and disability in patients with CRPS. However, this is based on a small body of primary evidence, and more research is required to generate conclusions. Overall, the evidence is not comprehensive or of sufficient quality to make definitive recommendations about the effectiveness of other rehabilitation interventions in improving pain and disability.

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Effects if co2-baths in the combined concept of the early functional therapy in the cases of reflex sympathetic dystrophy

Cited by 2 publications

References 7 publications

The Effectiveness of Rehabilitation Interventions on Pain and Disability for Complex Regional Pain Syndrome

The Effectiveness of Rehabilitation Interventions on Pain and Disability for Complex Regional Pain Syndrome

Rehabilitation Interventions for Complex Regional Pain Syndrome: An Overview of Systematic Reviews

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