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Journal of the Korean Academy of Rehabilitation Medicine 2006;30(5):430-435.
Effects of Short Stretch Bandage and Electrical Stimulation Therapy for the Complex Regional Pain Syndrome in Hemiplegic Patients.
Lee, Kyeong Woo , Kim, Sang Beom , Yoon, Kisung , Kwak, Hyun , Lee, Jong Hwa , Ryoo, Kyung Hyun
Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Korea. birddive@freechal.com
복합국소동통증후군의 저탄력성 붕대 압박과 전기자극 병합치료
이경우, 김상범, 윤기성, 곽현, 이종화, 류경현
동아대학교 의과대학 재활의학교실
To evaluate effects of short stretch bandage and electrical stimulation therapy (EST) for the complex regional pain syndrome (CRPS) in hemiplegic patients
10 hemiplegic CRPS patients after stroke or traumatic brain injury were included in the study. We established CRPS from clinical symptoms and triphasic bone scan. Short stretch bandage was applied on affected limb and changed every 24 hours for 2 weeks. EST was tried for 10 minutes twice per day. It was applied at finger and wrist flexor muscles. We measured hand volume of pre- and posttreatment using hand volumeter. Also compared pre- and posttreatment pain-free range of motion (ROM) of metacarpophalangeal (MCP) joint and third proximal inter-phalangeal (PIP) joint circumference.
Mean difference of hand volume between the affected and the unaffected prior to treatment was 20.5⁑4.9 ml (7.9⁑2.3%). After treatment, mean volume change was 15.5⁑4.9 ml (5.5⁑1.8%) (p<0.05). Mean change of pain-free ROM was 8.0⁑4.8 degree (10.9⁑7.1%), mean change of PIP joint circumference was 3.1⁑1.4 mm (5.9⁑2.4%) (p<0.05).
Short stretch bandage and EST complex therapy is effective for the reduction of paralyzed hand edema and pain in hemiplegic CRPS patients. However further control study is required. (J Korean Acad Rehab Med 2006; 30: 430-435)
Key Words: Complex regional pain syndrome, Short stretch bandage, Electrical stimulation therapy


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