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KMID : 1034520230170010097
Journal of Occupational Therapy for the Aged and Dementia
2023 Volume.17 No. 1 p.97 ~ p.105
Effects of Multimodal Occupational Therapy Program on Pain and Upper Extremity Function in CRPS Patients: Pilot Study
Choi Hyun-Se

Lee Eun-Min
Abstract
Objective : This study aims to compare the effects of pain and upper limb function before and after intervention when an occupational treatment program was conducted on patients with complex regional pain syndrome (CRPS).

Methods : From January 2022 to December 2022, six outpatients diagnosed with CRPS by an anesthesiologist at A and B hospitals in Seoul were treated in 12 sessions for a total of 6 weeks, 30 minutes a day. Visual Analog Scale (VAS), Hand grip strength, Disabilities of the Arm, Shoulder, and Hand (DASH) were used before and after the implementation of occupational therapy programs for patients with complex regional pain syndrome.

Results : The pain measurement VAS score before and after the CRPS intervention program was reduced from 7.1¡¾1.8 to 4.7¡¾2.3 points. In the functional measurement, the Grip strength increased from 9.4¡¾7.9KG to 16.3¡¾10.7kg, the Lateral pinch strength increased from 3.8¡¾2.7kg to 5.7¡¾3.1kg, and the 3-point pinch strength increased from 2.9¡¾1.6kg to 4.7¡¾2.5kg. DASH decreased from 82.8¡¾8.1 points to 69.2¡¾10.5 points. There was a statistically significant difference after intervention in all functions (p<.05).

Conclusion : There was a significant difference in pain reduction and improvement of upper limb function in customized occupational therapy programs for patients diagnosed with CRPS. Through this study, it is expected to actively participate in rehabilitation for CRPS patients.
KEYWORD
Complex regional pain syndrome, Occupational therapy, Pain, Upper extremity function
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