Archives of physical medicine and rehabilitation · 2000
Adjuvant physical therapy versus occupational therapy in patients with reflex sympathetic dystrophy/complex regional pain syndrome type I.
Клиническое исследованиеСтатьяРандомизированное исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Oerlemans H M, Oostendorp R A, de Boo T, van der Laan L, Severens J L, Goris J A
Аннотация
OBJECTIVE: To investigate the effectiveness and cost of physical therapy (PT) or occupational therapy (OT) in patients with reflex sympathetic dystrophy (RSD).
DESIGN: Prospective randomized controlled trial, with 1 year follow-up.
SETTING: Two university hospitals.
PATIENTS: One hundred thirty-five patients who had been suffering from RSD of one upper extremity for less than 1 year.
INTERVENTIONS: Patients were assigned to PT, OT, or a control group (social work).
MAIN OUTCOME MEASURES: Improvement in impairment level sumscore (ISS) over 1 year (Student's t test). A difference of 5 ISS points between the groups was defined as being clinically relevant. Furthermore, severity of disability and handicap was measured and tested exploratively (Wilcoxon; alpha = .05), and cost-effectiveness of the groups was calculated.
RESULTS: PT and, to a lesser extent, OT resulted in a significant and also more rapid improvement in the ISS as compared with controls (6 and 4 ISS points, respectively). On a disability level, a positive trend was found in favor of OT. On a handicap level, no differences were found between the groups. PT had an advantage over OT regarding the cost-effectiveness ratio.
CONCLUSION: In different ways PT and OT each contribute to the recovery from RSD of the upper extremity.
DESIGN: Prospective randomized controlled trial, with 1 year follow-up.
SETTING: Two university hospitals.
PATIENTS: One hundred thirty-five patients who had been suffering from RSD of one upper extremity for less than 1 year.
INTERVENTIONS: Patients were assigned to PT, OT, or a control group (social work).
MAIN OUTCOME MEASURES: Improvement in impairment level sumscore (ISS) over 1 year (Student's t test). A difference of 5 ISS points between the groups was defined as being clinically relevant. Furthermore, severity of disability and handicap was measured and tested exploratively (Wilcoxon; alpha = .05), and cost-effectiveness of the groups was calculated.
RESULTS: PT and, to a lesser extent, OT resulted in a significant and also more rapid improvement in the ISS as compared with controls (6 and 4 ISS points, respectively). On a disability level, a positive trend was found in favor of OT. On a handicap level, no differences were found between the groups. PT had an advantage over OT regarding the cost-effectiveness ratio.
CONCLUSION: In different ways PT and OT each contribute to the recovery from RSD of the upper extremity.