Síndrome da dor complexa regional

Giostri, Giana Silveira; Souza, Camila Deneka Arantes

doi:10.1055/s-0044-1779331

Rev Bras Ortop (Sao Paulo)

2024

DOI: 10.1055/s-0044-1779331

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Síndrome da dor complexa regional

Giana Silveira Giostri,

Camila Deneka Arantes Souza

Abstract: ResumoA Síndrome da Dor Complexa Regional é caracterizada por dor regional desproporcional ao evento desencadeante, sem distribuição para dermátomos, com tendência a cronicidade e disfunção. Esta revisão narrativa propõe a atualização de critérios para o diagnóstico e condução da síndrome explicitando dados da epidemiologia, etiologia, fisiopatologia. Baseamo-nos em revisões sistemáticas, narrativas e diretrizes publicadas nos últimos anos, procurando facilitar a suspeição diagnóstica e proporcionando visão am… Show more

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Breaking the Cycle of Pain: The Role of Graded Motor Imagery and Mirror Therapy in Complex Regional Pain Syndrome

Donati,

Boccolari,

Giorgi

et al. 2024

Biomedicines

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Background: Complex Regional Pain Syndrome (CRPS) is a chronic condition characterized by severe pain and functional impairment. Graded Motor Imagery (GMI) and Mirror Therapy (MT) have emerged as potential non-invasive treatments; this review evaluates the effectiveness of these therapies in reducing pain, improving function, and managing swelling in CRPS patients. Methods: A systematic review was conducted including randomized controlled trials (RCTs) that investigated GMI and MT in CRPS patients. This review was registered in PROSPERO (CRD42024535972) to ensure transparency and adherence to protocols. This review included searches of PubMed, Cochrane, SCOPUS, and Web of Science databases. Out of 81 studies initially screened, 6 were included in the final review. Studies were assessed for quality using the PEDro and RoB-2 scales. The primary outcomes were pain reduction, functional improvement, and swelling reduction. Results: Graded Motor Imagery (GMI) and Mirror Therapy (MT) reduced pain by an average of 20 points on the Neuropathic Pain Scale (NPS) and resulted in functional improvements as measured by the Task-Specific Numeric Rating Scale (NRS). GMI also contributed to some reduction in swelling. MT, particularly in post-stroke CRPS patients, showed significant pain reduction and functional improvements, with additional benefits in reducing swelling in certain studies. However, the included studies had small sample sizes and mixed designs, which limit the generalizability of the findings. The studies varied in sample size and design, with some risk of bias noted. Conclusions: Graded Motor Imagery (GMI) and Mirror Therapy (MT) have proven to be effective interventions for managing Complex Regional Pain Syndrome (CRPS), with significant improvements in pain reduction and functional recovery. These non-invasive treatments hold potential for integration into standard rehabilitation protocols. However, the small sample sizes and variability in study designs limit the generalizability of these findings. Future research should focus on larger, more homogeneous trials to validate the long-term effectiveness of GMI and MT, ensuring more robust clinical application.

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Breaking the Cycle of Pain: The Role of Graded Motor Imagery and Mirror Therapy in Complex Regional Pain Syndrome

Donati,

Boccolari,

Giorgi

et al. 2024

Biomedicines

View full text Add to dashboard Cite

show abstract

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Síndrome da dor complexa regional

Cited by 1 publication

References 50 publications

Breaking the Cycle of Pain: The Role of Graded Motor Imagery and Mirror Therapy in Complex Regional Pain Syndrome

Breaking the Cycle of Pain: The Role of Graded Motor Imagery and Mirror Therapy in Complex Regional Pain Syndrome

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