Document Detail


Which patients with chronic reflex sympathetic dystrophy are most likely to benefit from physical therapy?
MedLine Citation:
PMID:  11353938     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Chronic reflex sympathetic dystrophy (RSD) is a painful and disabling disorder for which no treatment with proven effects exists. Physical therapy (PT) has been demonstrated to be effective for recently diagnosed RSD, but its value in chronic RSD has not yet been studied. OBJECTIVE: To find predictors for successful use of PT in RSD with regard to (1) function, strength, and mobility and (2) patient satisfaction. SUBJECTS: Fifty-four patients with chronic RSD, age range 21 to 65 years. METHODS: All patients were treated in accordance with a standardized PT protocol for at least 6 months. The effects of treatment (functional status, strength, range of motion) and patient satisfaction measures (grade for result, would repeat, global effect) were evaluated at 12 months. Subgroup analyses were performed to find predictors for success of PT. RESULTS: The subgroup analyses revealed that patients with better baseline function (especially of the hands) obtained better results and greater satisfaction. Greater satisfaction was also associated with less baseline pain and higher baseline range of motion and strength (of leg) values. In general, PT did not show large improvements on effect measures, and the patients' mean grade for the result was 3.8 (on a 10-point scale). CONCLUSIONS: In overall terms, PT did not influence functional parameters or give satisfaction to patients with chronic RSD in this study. A randomized trial is required to prove or exclude the actual value of PT for these patients.
Authors:
M A Kemler; C P Rijks; H C de Vet
Related Documents :
15785228 - The clinical interview and the doctor-patient relationship in telemedicine.
2001128 - Bad news: delivery, dialogue, and dilemmas.
9527298 - Real-patient evaluation of communication skills teaching for gp registrars.
15743108 - Evidence-based endocrinology: how far have we come?
24627078 - Is type 1 diabetes mellitus a cause for subtle hearing loss in pediatric patients?
7066088 - Ideomotor apraxia and p300: a preliminary study.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of manipulative and physiological therapeutics     Volume:  24     ISSN:  0161-4754     ISO Abbreviation:  J Manipulative Physiol Ther     Publication Date:  2001 May 
Date Detail:
Created Date:  2001-05-16     Completed Date:  2001-09-13     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7807107     Medline TA:  J Manipulative Physiol Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  272-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, Maastricht University Hospital, Maastricht, The Netherlands. omsap@hotmail.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Chi-Square Distribution
Chronic Disease
Female
Humans
Linear Models
Male
Patient Satisfaction
Physical Therapy Modalities*
Reflex Sympathetic Dystrophy / rehabilitation*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A pilot randomized clinical trial on the relative effect of instrumental (MFMA) versus manual (HVLA)...
Next Document:  The effects of orthotic intervention and 9 holes of simulated golf on gait in experienced golfers.