Resilience in patients with amputation because of Complex Regional Pain Syndrome type I

Bodde, Marlies I; Schrier, Ernst; Krans, Hilde K; Geertzen, Joannes; Dijkstra, Pieter U.

doi:10.3109/09638288.2013.822023

Cited by 20 publications

(15 citation statements)

References 31 publications

(49 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…He suggested, after gathering results, that if allodynia is present at the level of amputation it can lead to recurrence. On the other hand, results from Bodde et al 19 and Midbari et al 23 did not support this idea. Mitton et al 29 and Kashy et al 30 each reported one case with amputation of a leg followed by significant improvement in quality of life and rehabilitation.…”

Section: Resultsmentioning

confidence: 86%

“…De Boer et al 25 mentioned trans-femoral level of amputation in three patients but did not explain whether it was through healthy skin margins or CRPS site. Bodde et al 19 reported 20 amputations of lower limbs and six of upper limbs, with 81% of amputations through healthy skin and the rest either at or below the level of allodynia. They proposed that level of amputation did not affect the recurrence in contrast to previous reports.…”

Section: Resultsmentioning

confidence: 99%

“…SF-36 was used by Midbari et al 23 and all the scores in the amputee group were statistically significantly better than in the non-amputee group ( p < 0.05). Bodde et al 19 used WHOQOL-Bref for QOL measurement suggesting that the majority of amputation patients (62%) had good QOL, 23% had poor QOL and 15% had neither good or bad QOL after amputation. The three patients recruited by De Boer et al, 25 had significant improvement in QOL.…”

Section: Resultsmentioning

confidence: 99%

“…It was noted that some of the authors published the different aspects of research and details in more than one paper. 18,19 In such cases, missing information was added from other articles after making sure it was representative of the same population as given in the main article.…”

Section: Objectivesmentioning

confidence: 99%

See 3 more Smart Citations

Quality of life after amputation in patients with advanced complex regional pain syndrome: a systematic review

et al. 2019

View full text Add to dashboard Cite

The majority of included studies (8 out of 11, n = 54) supported the concept of considering amputation for selected, unresponsive cases of complex regional pain syndrome (CRPS) as a justifiable alternative to an unsuccessful multimodality nonoperative option. Of patients who underwent amputation, 66% experienced improvement in quality of life (QOL) and 37% were able to use a prosthesis, 16% had an obvious decline in QOL and for 12% of patients, no clear details were given, although it was suggested by authors that these patients also encountered deterioration after amputation. Complications of phantom limb pain, recurrence of CRPS and stump pain were predominant risks and were noticed in 65%, 45% and 30% of cases after amputation, respectively and two-thirds of patients were satisfied. Amputation can be considered by clinicians and patients as an option to improve QOL and to relieve agonizing, excruciating pain of severe, resistant CRPS at a specialized centre after multidisclipinary involvement but it must be acknowledged that evidence is limited, and the there are risks of aggravating or recurrence of CRPS, phantom pain and unpredictable consequences of rehabilitation. Amputation, if considered for resistant CRPS, should be carried out at specialist centres and after MDT involvement before and after surgery. It should only be considered if requested by patients with poor quality of life who have failed to improve after multiple treatment modalities. Further high quality and comprehensive research is needed to understand the severe form of CRPS which behaves differently form less severe stages. Cite this article: EFORT Open Rev 2019;4:533-540. DOI: 10.1302/2058-5241.4.190008

show abstract

Section: Resultsmentioning

confidence: 86%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Objectivesmentioning

confidence: 99%

See 2 more Smart Citations

Quality of life after amputation in patients with advanced complex regional pain syndrome: a systematic review

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In a previous cross sectional study in patients with an amputation because of longstanding therapy resistant CRPS-I we found that higher resilience scores were associated with a better QOL and lower psychological distress. [43] In that study we found that the resilience of our participants was above average. We wondered why.…”

Section: Discussionmentioning

confidence: 69%

Psychosocial factors associated with poor outcomes after amputation for complex regional pain syndrome type-I

et al. 2019

Self Cite

View full text Add to dashboard Cite

BackgroundAmputation for longstanding therapy resistant complex regional pain syndrome type-I (CRPS-I) is controversial. Reported results are inconsistent. It is assumed that psychological factors play a role in CRPS-I.ObjectiveTo explore which psychological factors prior to amputation are associated with poor outcomes after amputation in the case of longstanding therapy resistant CRPS-I.MethodsBetween May 2008 and August 2015, 31 patients with longstanding therapy resistant CRPS-I were amputated. Before the amputation 11 psychological factors were assessed. In 2016, participants had a structured interview by telephone and filled out questionnaires to assess their outcome. In case of a perceived recurrence of CRPS-I a physician visited the patient to examine the symptoms. Associations between psychological factors and poor outcomes were analysed.ResultsFour of the 11 psychological factors were associated with poor outcomes. Regression analyses showed that change in the worst pain in the past week was associated with poor social support (B = 0.3, 95% confidence interval: 0.1;0.6) and intensity of pain before amputation (B = 2.0, 95% confidence interval 0.9;3.0). Patients who reported important improvements in mobility (n = 23) had significantly higher baseline resilience (median 79) compared to those (n = 8) who did not report it (median 69)(Mann-Whitney U, Z = -2.398, p = 0.015). Being involved in a lawsuit prior to amputation was associated with a recurrence in the residual limb (Bruehl criteria). A psychiatric history was associated with recurrence somewhere else (Bruehl criteria).ConclusionPoor outcomes of amputation in longstanding therapy resistant CPRS-1 are associated with psychological factors. Outstanding life events are not associated with poor outcome although half of the participants had experienced outstanding life events.

show abstract

The effect of resilience on task persistence and performance during repeated exposure to heat pain

Slepian

2017

J Behav Med

View full text Add to dashboard Cite

The Pain Resilience Scale was recently developed to assess dimensions of resilience critical to pain-related adaptation and was found to predict experimental pain sensitivity in a pain-free population. Pain resilience has also been theoretically linked to behavioral persistence despite pain. To date, however, this hypothesis has not been experimentally tested. To address this gap in the literature, in the current study 105 healthy young adults underwent a baseline administration of the Paced Auditory Serial Addition Test (PASAT), a stressful mental arithmetic task, delivered with somatosensory distraction (i.e. detection of warm and cool thresholds), and finally simultaneous administration of the PASAT and a series of five heat pain threshold assessments. Results of hierarchical multiple linear regressions indicated that, after controlling for scores on a baseline PASAT and pain sensitivity, pain resilience was positively related to task persistence, B = 0.12, p = 0.04, and task performance, B = 0.14, p = 0.04, on the PASAT. These findings provide novel support for the relationship between pain resilience and behavioral perseverance.

show abstract

Resilience in patients with amputation because of Complex Regional Pain Syndrome type I

Cited by 20 publications

References 31 publications

Quality of life after amputation in patients with advanced complex regional pain syndrome: a systematic review

Quality of life after amputation in patients with advanced complex regional pain syndrome: a systematic review

Psychosocial factors associated with poor outcomes after amputation for complex regional pain syndrome type-I

The effect of resilience on task persistence and performance during repeated exposure to heat pain

Contact Info

Product

Resources

About