Physiotherapeutisches Management eines Teenagers mit CRPS-I

Zwei Jahre nach einem scheinbar banalen Pronationstrauma leidet die 17-jährige Lisa trotz diverser ambulanter und stationärer Interventionen noch immer unter massiven Schmerzen und einer ausgeprägten Allodynie. Erst das Clinical Reasoning und der Austausch mit einem spezialisierten Kollegen liefern Hinweise auf eine zentrale Maladaption. Dank des multimodalen Managements zeigen sich heute erste Erfolge in der Rehabilitation.

• Literatur

• 1 Freynhagen R, Baron R, Gockel U. et al. painDETECT: a new screening questionnaire to identify neuropathic components in patients with back pain. Curr Med Res Opin 2006; 22 (10) 1911-1920
• 2 Schumacher S, Waschescio HJ. Validierung einer deutschen Version des „Central Sensitization Inventory“ zur Identifizierung zentralnervöser Schmerzentwicklungen. manuelletherapie 2019; 23 (03) 129-133
• 3 Nilges P, Essau C. Die Depressions-Angst-Stress-Skalen: Der DASS – ein Screeningverfahren nicht nur für Schmerzpatienten [Depression, anxiety and stress scales: DASS-A screening procedure not only for pain patients]. Schmerz 2015; 29 (06) 649-657
• 4 Bullinger M, Kirchberger I. Fragebogen zum Gesundheitszustand (SF-36). Göttingen: Hogrefe Verlag; 1998
• 5 Tampin B. Nervenschmerz ≠ Nervenschmerz. manuelletherapie 2020; 24 (01) 21-27
• 6 Adler M, Taxer B. Quantitative sensorische Testung im Rahmen neuropathischer Schmerzen und ihre Bedeutung für die Physiotherapie. Schmerz 2021; Epub ahead of print.
• 7 Dey S, Guthmiller KB, Varacallo M. Complex Regional Pain Syndrome. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. Zugriff am 25. August 2022 unter: https://www.ncbi.nlm.nih.gov/books/NBK430719/
• 8 Moseley GL. I canʼt find it! Distorted body image and tactile dysfunction in patients with chronic back pain. Pain 2008; 140 (01) 239-243
• 9 Bowering KJ, OʼConnell NE, Tabor A. et al. The effects of graded motor imagery and its components on chronic pain: a systematic review and meta-analysis. J Pain 2013; 14 (01) 3-13
• 10 Lagueux E, Charest J, Lefrançois-Caron E. et al. Modified graded motor imagery for complex regional pain syndrome type 1 of the upper extremity in the acute phase: a patient series. Int J Rehabil Res 2012; 35 (02) 138-145
• 11 Moseley GL, Butler DS, Beames T. (Hrsg) The graded motor imagery handbook. Adelaide: Noigroup Publ.; 2012
• 12 Walz AD, Usichenko T, Moseley GL. et al. Graded motor imagery and the impact on pain processing in a case of CRPS. Clin J Pain 2013; 29 (03) 276-279
• 13 Moseley GL. Why do people with complex regional pain syndrome take longer to recognize their affected hand?. Neurology 2004; 62 (12) 2182-2186
• 14 Moseley GL. Graded motor imagery for pathologic pain: a randomized controlled trial. Neurology 2006; 67 (12) 2129-2134
• 15 Moseley GL, Flor H. Targeting cortical representations in the treatment of chronic pain: a review. Neurorehabil Neural Repair 2012; 26 (06) 646-652
• 16 Bernetti A, Agostini F, de Sire A. et al. Neuropathic Pain and Rehabilitation: A Systematic Review of International Guidelines. Diagnostics (Basel) 2021; 11 (01) 74
• 17 Fitzcharles MA, Cohen SP, Clauw DJ. et al. Nociplastic pain: towards an understanding of prevalent pain conditions. Lancet 2021; 397(10289): 2098-2110
• 18 Kosek E, Clauw D, Nijs J. et al. Chronic nociplastic pain affecting the musculoskeletal system: clinical criteria and grading system. Pain 2021; 162 (11) 2629-2634
• 19 Treede RD, Rief W, Barke A. et al. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain 2019; 160 (01) 19-27
• 20 Schmid AB, Coppieters MW. Left/right judgment of body parts is selectively impaired in patients with unilateral carpal tunnel syndrome. Clin J Pain 2012; 28 (07) 615-622
• 21 Luomajoki H, Schesser R. Schmerzmechanismen und Clinical Reasoning. Der Schmerzpatient 2018; 1 (01) 7-18
• 22 Goldberg P, Zeppieri G, Bialosky J. et al. Kinesiophobia and Its Association With Health-Related Quality of Life Across Injury Locations. Arch Phys Med Rehabil 2018; 99 (01) 43-48
• 23 von Piekartz H, Lüers J, Daumeyer H. et al. Ist Kinesiophobie während eines anhaltenden Schmerzzustands mit Lateralitäts- und Emotionserkennungsveränderungen assoziiert?: Eine Querschnittstudie. Schmerz 2017; 31 (05) 483-488
• 24 Leitzelar BN, Koltyn KF. Exercise and Neuropathic Pain: A General Overview of Preclinical and Clinical Research. Sports Med Open 2021; 7 (01) 21
• 25 Ellis R, Carta G, Andrade RJ. et al. Neurodynamics: is tension contentious?. J Man Manip Ther 2022; 30 (01) 3-12
• 26 Hall T, Coppieters MW, Nee R. et al. Neurodynamic treatment improves leg pain, back pain, function and global perceived effect at 4 weeks in patients with chronic nerve-related leg pain. J Physiother 2017; 63 (01) 59
• 27 Nee RJ, Butler D. Management of peripheral neuropathic pain: Integrating neurobiology, neurodynamics, and clinical evidence. Physical Therapy in Sport 2006; 7 (01) 36-49
• 28 Schmid AB, Fundaun J, Tampin B. Entrapment neuropathies: a contemporary approach to pathophysiology, clinical assessment, and management. Pain Rep 2020; 5 (04) e829
• 29 Schmid AB, Hailey L, Tampin B. Entrapment Neuropathies: Challenging Common Beliefs With Novel Evidence. J Orthop Sports Phys Ther 2018; 48 (02) 58-62
• 30 Casale R, La Manna A, Salvini S. et al. La riabilitazione delle neuropatie periferiche. Indicazioni per un percorso diagnostico-riabilitativo [Peripheral neuropathy rehabilitation. Indications for a diagnostic-rehabilitation approach]. G Ital Med Lav Ergon 2003; 25 (04) 456-464
• 31 Sluka KA, Bjordal JM, Marchand S. et al. What makes transcutaneous electrical nerve stimulation work? Making sense of the mixed results in the clinical literature. Phys Ther 2013; 93 (10) 1397-1402
• 32 Gifford L. Pain, the Tissues and the Nervous System: A conceptual model. Physiotherapy 1998; 84 (01) 27-36
• 33 Draheim N, Hoefel L, Schnoebel-Mueller E. et al. Das komplexe regionale Schmerzsyndrom (CRPS) bei Kindern und Jugendlichen. Aktuelle Rheumatologie 2016; 41 (04) 316-325
• 34 Bonin RP. Running from pain: mechanisms of exercise-mediated prevention of neuropathic pain. Pain 2015; 156 (09) 1585-1586
• 35 Chen YW, Li YT, Chen YC. et al. Exercise training attenuates neuropathic pain and cytokine expression after chronic constriction injury of rat sciatic nerve. Anesth Analg 2012; 114 (06) 1330-1337