Europa medicophysica
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Europa medicophysica · Dec 2005
ReviewShoulder-hand syndrome after stroke. A complex regional pain syndrome.
Complex regional pain syndrome (CRPS) types I and II are neuropathic pain disorders that develop as an exaggerated response to a traumatic lesion or nerve damage, that generally affects the extremities, or as the consequence of a distant process such as a stroke, spinal lesion or myocardial infarction. It rarely appears without an apparent cause. CRPS of upper limbs after stroke is frequently today called shoulder-hand syndrome (SHS). ⋯ Treatment may be non-pharmacological, pharmacological, with psychotherapy, regional anaesthesia, neuromodulation and sympathectomy. In any case there is little evidence that supports the efficacy of the interventions normally used to treat or prevent CRPS-SHS. The key to effective treatment undoubtedly lies in a an expert multidisciplinary team that is co-ordinated and motivated and that treats the disorder with individualised therapy.
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Europa medicophysica · Dec 2005
Comparative StudyCritical comparison of nine different self-administered questionnaires for the evaluation of disability caused by low back pain.
The aim of this study was to critically compare 9 self-administered questionnaires designed to evaluate disability caused by back pain. ⋯ On the basis of psychometric evaluations as well as feasibility considerations, the authors suggest using either the Roland-Morris or Oswestry questionnaire as the best assessment of the level of disability caused by back pain.