복합부위동통증후군 Complex regional pain syndrome (CRPS)

목차

1. Complex regional pain syndrome
2. Definition of CRPS
3. Classification of CRPS
4. Diagnosis of CRPS
5. Differential diagnosis for CRPS
6. Treatment for CRPS
7. Restore normal range of motion
8. Prognosis of CRPS

본문내용

Complex regional pain syndrome
Characteristics of CRPS
Evidence of overactivity of the sympathetic nervous system
Sensory symptoms
Severe pain & sensory abnormality in extremity
Motor symptoms
Weakness
Dystonia
Postural action tremor
Accompanied by disuse - contractures of the limbs

Definition of CRPS
Based on four criteria (IASP)
1. The pain should be disproportionate to initiating event
2. The pain should be characterized by allodynia or hyperpathia and should be spontaneous
3. The pain should be accompanied by autonomic dysfunction such as edema, skin blood-flow abnormalities, sudomotor asymmetries, or trophic changes
4. All other reasonable etiologies should be excluded

참고 자료

Physical medicine & Rehabilitation principle and practice 4th edition/ Joel A.DeLisa, Bruce M.Gans/519p, 852p
Gilron I, Watson CP, Cahill CM, Moulin DE (2006). “Neuropathic pain a practical guide for the clinician”. CMAJ 175 (3): 265–75