Evaluation of the Relationship Between the Duration of the Evolution of the Complex Regional Pain Syndrome Type 1 (CRPS 1) and Effectiveness of the Continuous Peripheral Nerve Block (CPNB) Associated With an Intensive Rehabilitation Program
Pôle Saint Hélier
30 participants
Feb 23, 2021
INTERVENTIONAL
Conditions
Summary
The study evaluates the relationship between the duration of evolution of SDRC1 and the efficacy of continuous peripheral nerve block (c-PNB) associated with an intensive rehabilitation program to improve the therapeutic strategy of SDRC1. The main hypothesis of this study is that if c-PNB is proposed earlier, the recovery, measured with a scale achievement of objectives, will be better.
Eligibility
Inclusion Criteria4
- informed consent signed
- Diagnosis of CRPS type 1 according to BUDAPEST criteria to the upper or lower limb
- Affiliated to a social security scheme (beneficiary or entitled person)
- Patients justifying the installation of a Continuous Peripheral Nerve Block (CPNB) including pain rebellious to physical and medicinal treatments, the presence of fixed dystonia, or kinesiphobia or who are no longer progressing in the rehabilitation algorithm and requiring the need for a specialised technical platform.
Exclusion Criteria5
- CRPS Type 2
- Contra-indication to the analgesics used (bupivacaine, ropivacaine, levobupivacaine)
- Severe psychiatric decompensation
- Under legal protection measures
- Pregnant women
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Interventions
The patient will have an intensive rehabilitation program (two 30-minute kinesitherapy sessions every day and 30-minute occupational therapy sessions 5 days a week) with the CPNB. The patient will have follow-up consultation at 1 month, 3 month, 6 month and 1 year after the beggining of the intensive rehabilitation program
Locations(1)
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NCT04767646