Beneficial effects of hirudotherapy in a chronic case of complex regional pain syndrome

Kulbida, Rebecca; Mathes, Alexander; Loeser, Johannes

doi:10.1016/j.joim.2019.05.005

Cited by 11 publications

(10 citation statements)

References 9 publications

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“…Six different designs were identified; 14 single case studies, 36–49 eight randomised control trials, 50–57 eight prospective cohort studies, 58–65 four case series, 66–68 three retrospective notes reviews, 69–71 and one mixed methods study. 72 13 interventions were categorised as sensory retraining, 37,38,40,42,54,55,57,58,63,64,67,69,71 seven as kinesiotherapy, 36,39,45,48,65,66,68 seven as manual therapies, 43,44,46,49,53,56,73 six as physical modalities, 50–52,59,62,72 and five as interdisciplinary treatment. 41,47,60,61,70…”

Section: Resultsmentioning

confidence: 99%

“…Manual therapies were used to address pain and limb signs, including oedema, colour/temperature asymmetry, and reduced ROM. Studies often used non-standardised measures to monitor outcomes, 43,44,46 and very limited rationale was provided for intervention, particularly for acupuncture 43 and dry needling. 49,73 While manual therapies provided in isolation may help with immediate pain relief, research is lacking regarding their effect on CRPS.…”

Section: Discussionmentioning

confidence: 99%

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Person-centred management of upper limb complex regional pain syndrome: an integrative review of non-pharmacological treatment

et al. 2023

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Introduction Complex Regional Pain Syndrome (CRPS) is most common in the upper limb and associated with high disability. The purpose of this review was to critically appraise and synthesise literature exploring non-pharmacological treatment for upper limb CRPS, to guide upper-limb-specific management. Methods Using an integrative review methodology, 13 databases were searched to identify all published studies on non-pharmacological management of upper limb CRPS. The Crowe Critical Appraisal Tool was used to provide quality ratings for included studies, and analysis employed a qualitative descriptive approach. Results From 236 abstracts reviewed, 113 full texts were read, and 38 articles selected for data extraction. Designs included single case ( n = 14), randomised controlled trial ( n = 8), prospective cohort ( n = 8), case series ( n = 4), retrospective ( n = 3), and mixed methods ( n = 1). Interventions were categorised as sensory retraining ( n = 13), kinesiotherapy ( n = 7), manual therapies ( n = 7), physical modalities ( n = 6), and interdisciplinary treatment programmes ( n = 5). All studies measured pain intensity, and most ( n = 24) measured physical parameters such as strength, movement, or perceptual abilities. Few measured patient-rated function ( n = 13) or psychological factors ( n = 4). Quality ratings ranged from 30% to 93%, with a median of 60%. Conclusion Methodological quality of non-pharmacological treatment approaches for upper limb CRPS is overall poor. Movement, desensitisation, and graded functional activity remain the mainstays of intervention. However, despite the impact of CRPS on wellbeing and function, psychological factors and functional outcomes are infrequently addressed. Further robust research is required to determine which aspects of treatment have the greatest influence on which symptoms, and when and how these should be introduced and progressed.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Person-centred management of upper limb complex regional pain syndrome: an integrative review of non-pharmacological treatment

et al. 2023

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“…Встановлено, що гіалуронідазний комплекс активізує утворення синовіальної рідини, всмоктування внутрішньоочної рідини, регенерації тканин. Цей комплекс, регулюючи водно-сольовий обмін, зменшує набряки, каменеутворення у нирках [14,18,27].…”

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“…Вони ефективно попереджують процес деградації тканин, келоїдних та інших рубців. Це дає можливість застосовувати п'явки для лікування шкірних захворювань, наприклад, псоріазу, у пластичній хірургії [14,40].…”

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“…Вона знижує рівень загального холестерину, ліпопротеїдів низької щільності та підвищує толерантність до глюкози. Цей позитивний вплив БАР на показники обміну холестерину, зниження індексу атерогенності, тригліцеридів та наро-стання ліпопротеїдів високої щільності визначено рядом дослідників [14,19,23,37].…”

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Pathogenetic mechanisms of hirudotherapy and its use in otorhinolaryngology

Zabolotny

Mishchanchuk

Borisenko

et al. 2020

OTORHINOLARYNGOLOGY

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Data from studies on the pathogenetic mechanisms of saliva secretion of medical leeches, which is an important producer of unique biological active substances (BAS), is summarized. These substances have a wide range of therapeutic effects, providing a prodounced anti-inflammatory, bacteriostatic, bactericidal, fibrinolytic, neurotropic, regenerative, energetic, immunomodulatory, anti-sclerotic effects. They regulate homeostasis, the circulatory system, lymph flow, all types of metabolic processes in the body and have no analogues in nature. We have presented the results of more than 20 years of effective experience in the use of hirudotherapy in otorhinolaryngology patients for medical, rehabilitation, and health purposes. Promising is the further study and application of hirudotherapy as a type of naturopathy and homeopathy in the 21st century of advanced technologies, significantly changing the conditions of the internal and external environment of the inhabitants of our planet.

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Adjuvant Treatments for CRPS

Kitzman

Woodbury

2021

Complex Regional Pain Syndrome

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Beneficial effects of hirudotherapy in a chronic case of complex regional pain syndrome

Cited by 11 publications

References 9 publications

Person-centred management of upper limb complex regional pain syndrome: an integrative review of non-pharmacological treatment

Person-centred management of upper limb complex regional pain syndrome: an integrative review of non-pharmacological treatment

Pathogenetic mechanisms of hirudotherapy and its use in otorhinolaryngology

Adjuvant Treatments for CRPS

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