| Effect of CPM combined with conventional rehabilitation on hand function in elderly patients with complex regional pain syndrome I after Colles Fracture |
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| EN KeyWords: continuous passive motion Colles fractures complex regional pain syndrome type I hand function |
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| EN Abstract: |
| Objective: To investigate the effect of CPM combined with conventional rehabilitation on hand function in elderly patients with complex regional pain syndrome type I (CRPS I ) after Colles fracture. Methods: A total of 30 elderly patients with CRPS I after Colles fracture were selected. The participants were randomly divided into the routine group (n=15) and the CPM group (n=15). Both groups were treated with routine rehabilitation, and CPM group received additional CPM treatment. Before and 4 and 8 weeks after treatment, the circumference of the metacarpophalangeal joint, total activity measurement (TAM), Carroll Upper Extremities Functional Test (UEFT) and Chinese Revised Short McGill Pain Questionnaire Version-2 (SF-MPQ-2) were compared between the two groups. Results: After 4 and 8 weeks of treatment, the intra group comparison between the two groups showed the circumference of the metacarpophalangeal joint and the score SF-MPQ-2 decreased, and the scores of UEFT and TAM increased as compared with the previous evaluations (all P<0.05); Comparison between the two groups after 4 weeks of treatment showed that the circumference of metacarpophalangeal joint in CPM group decreased significantly, TAM and UEFT increased significantly (all P<0.05), and there was no significant difference in SF-MPQ-2 scores. After 8 weeks of treatment, in the CPM group the circumference of metacarpophalangeal joint and SF-MPQ-2 scores decreased, TAM and UEFT scores increased as compared with those in the control group (all P<0.05).Conclusion: CPM combined with conventional rehabilitation can reduce edema and pain of the hand in elderly patients with CRPS I after Colles fracture, increase the finger range of joint motion and improve hand function. |
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