The Impact of Complex Regional Pain Syndrome Type I on an Individual's Occupational Performance

Abstract

This research study examined the effect of Complex Regional Pain Syndrome (CRPS) Type I, on a person's occupational performance. Ten subjects with a diagnosis of CRPS Type I were investigated by using a semi-structured interview followed by two standardised assessments: the Canadian Occupational Performance Measure (COPM) and a Visual Analogue Scale (VAS). The COPM measured occupational performance, and the VAS measured pain intensity. Descriptive data on participants' views and their perspectives on responsibilities regarding work, leisure and self-care were collected. The effects of CRPS ranged from loss of movement, impairment in sensation, physical symptoms such as drowsiness and general malaise, hand function problems and a variety of emotional and psychological problems. Statistical analysis, which evaluated performance and satisfaction scores attained from the COPM showed a significant positive correlation between satisfaction and performance scores (r=0.982, p<0.05). A significant correlation was also found between performance and pain intensity and satisfaction and pain intensity. Results suggest that both the professional team together with CRPS I sufferers are insufficiently informed about this disease and its development. Within the local context, it was evident that there is lack of knowledge in relation to the condition. Therefore a medical oriented model of treatment is being followed, without consideration of patients' perceptions and needs. It is suggested that the management of CRPS I patients needs to be focused upon the individual. A further cross-sectional study would assist in the analysis of the physical and psychological effects of CRPS I on the individual.

Content validation of the Patient-Reported Hamilton Inventory for Complex Regional Pain Syndrome

“…CRPS is estimated to affect up to 30% of persons following upper-extremity injuries or surgeries and may become chronic in about 2% (Albazaz, Wong, & Homer-Vanniasinkam, 2008; de Mos et al, 2009). Brincat (2004) used qualitative interviews to explore the impacts of upper-extremity CRPS on occupational performance. He reported that persons with CRPS experienced substantial loss of daily life roles and activities, with both psychological and economic repercussions (Brincat, 2004).…”

“…Brincat (2004) used qualitative interviews to explore the impacts of upper-extremity CRPS on occupational performance. He reported that persons with CRPS experienced substantial loss of daily life roles and activities, with both psychological and economic repercussions (Brincat, 2004).…”