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Randomized Controlled Trial
. 2024 Sep 24:56:jrm40417.
doi: 10.2340/jrm.v56.40417.

Effects of mirror therapy in post-traumatic complex regional pain syndrome type-1: a randomized controlled study

Affiliations
Randomized Controlled Trial

Effects of mirror therapy in post-traumatic complex regional pain syndrome type-1: a randomized controlled study

Elif Can Özdemir et al. J Rehabil Med. .

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.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Study flowchart.

References

    1. Bruehl S. Complex regional pain syndrome. BMJ 2015; 351: h2730. 10.1136/bmj.h2730 - DOI - PubMed
    1. Bussa M, Mascaro A, Cuffaro L, Rinaldi S. Adult complex regional pain syndrome type I: a narrative review. PM R 2017; 9: 707–719. 10.1016/j.pmrj.2016.11.006 - DOI - PubMed
    1. Harden RN, McCabe CS, Goebel A, Massey M, Suvar T, Grieve S, et al. . Complex regional pain syndrome: practical diagnostic and treatment guidelines, 5th edition. Pain Med 2022; 23: S1–S53. 10.1093/pm/pnac046 - DOI - PMC - PubMed
    1. Oaklander AL, Horowitz SH. The complex regional pain syndrome. In: Marcello Lotti MLB, editor. Handbook of clinical neurology. Vol. 131. Amsterdam: Elsevier; 2015, p. 481–503. 10.1016/B978-0-444-62627-1.00026-3 - DOI - PubMed
    1. Méndez-Rebolledo G, Gatica-Rojas V, Torres-Cueco R, Albornoz-Verdugo M, Guzmán-Muñoz E. Update on the effects of graded motor imagery and mirror therapy on complex regional pain syndrome type 1: a systematic review. J Back Musculoskelet Rehabil 2017; 30: 441–449. 10.3233/BMR-150500 - DOI - PubMed

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