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| Author/Association: | Ozdemir EC, Elhan AH, Kucukdeveci AA |
| Title: | Effects of mirror therapy in post-traumatic complex regional pain syndrome type-1: a randomized controlled study [with consumer summary] |
| Source: | Journal of Rehabilitation Medicine 2024 Sep 24;56:jrm40417 |
| Method: | clinical trial |
| Method Score: | This trial has not yet been rated. |
| Consumer Summary: | LAY ABSTRACT: Complex regional pain syndrome type 1 (CRPS-1) is a chronic pain condition that often presents as a result of fracture, surgery, other traumatic factors, or stroke. Pain and functional impairment of the affected hand may cause limitations in daily activities. Rehabilitation is the first-line treatment for CRPS-1 and should be started as soon as possible together with analgesic treatment. Mirror therapy is a neurorehabilitative exercise and is used as complementary to other rehabilitation methods. Currently, its effects in post-traumatic CRPS-1 remain unknown. Therefore, this study investigated the effects of mirror therapy prescribed in addition to a conventional physical therapy and rehabilitation programme. Our results revealed that both “mirror plus routine therapy†and “routine therapy†groups improved with therapy regarding pain as well as hand strength, oedema, dexterity, and activities. However, mirror therapy applied in addition to routine therapy did not provide extra benefit to the improvement of pain, function, and other clinical outcomes. |
| Abstract: | OBJECTIVE: To investigate the effects of mirror therapy applied in addition to routine rehabilitation on clinical outcomes in post-traumatic complex regional pain syndrome type 1. DESIGN: Single-blind randomized controlled trial. SUBJECTS: Patients with trauma-induced complex regional pain syndrome type 1 of the hand receiving outpatient rehabilitation. METHODS: Patients were randomized into mirror therapy and control groups. All patients received routine physical therapy and rehabilitation for 20 sessions (5 sessions/week, for 4 weeks). The mirror group received additional mirror therapy at each session. The primary outcome was pain intensity by numeric rating scale. Secondary outcomes were grip/pinch strength, hand/wrist circumference, dexterity, hand activities, and health-related quality of life. All assessments were performed before and immediately after the treatment, and 4 weeks later at follow-up. RESULTS: Forty patients were enrolled, 20 in each group. Both groups revealed statistically significant improvements from therapy regarding pain, grip/pinch strength, wrist circumference, dexterity, and hand activities (p < 0.05). When groups were compared regarding the improvements in assessment parameters, no statistically significant difference was found between the 2 groups in any of the outcomes (p > 0.05). CONCLUSION: Mirror therapy applied in addition to routine therapy in post-traumatic complex regional pain syndrome type 1 did not provide extra benefit to the improvement of pain, function, and other clinical outcomes. Full text (sometimes free) may be available at these link(s):  help |
