Harmful or safe? Exposure and pain provocation during physiotherapy of complex regional pain syndrome I: a narrative review

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F23%3A10464968" target="_blank" >RIV/00064203:_____/23:10464968 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11130/23:10464968

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=tMflU691uK" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=tMflU691uK</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.3233/BMR-220081" target="_blank" >10.3233/BMR-220081</a>

Result language

angličtina

Original language name

Harmful or safe? Exposure and pain provocation during physiotherapy of complex regional pain syndrome I: a narrative review

Original language description

BACKGROUND: Complex regional pain syndrome (CRPS) is a clinical diagnosis and an umbrella term for a heterogeneous group of states associated with pain disproportionate to any inciting event, together with a number of signs and symptoms that are manifested mainly in the limbs. There are often concerns among clinicians and patients about the potential harms caused by pain provocation during physiotherapy of CRPS, even though clinical guidelines de-emphasize pain-contingency. OBJECTIVE: The objective of this narrative review is to summarize current evidence regarding potential harms due to pain provocation during so-called exposure-based therapies in individuals with CRPS. METHODS: Six studies evaluating exposure-based approach were included (n = 6). RESULTS: Although only one included study focused primarily on safety and in the rest of the included studies the reporting of harms was insufficient and therefore our certainty in evidence is very low, taken together with outcome measures, available data does not point to any long-term deterioration in symptoms or function, or any major harms associated with pain provocation during physiotherapy of CRPS. CONCLUSION: There is a great need for higher-quality studies to determine which therapeutic approach is the most appropriate for whom and to evaluate the risks and benefits of different approaches in more detail.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30306 - Sport and fitness sciences

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Back and Musculoskeletal Rehabilitation

ISSN

1053-8127

e-ISSN

1878-6324

Volume of the periodical

36

Issue of the periodical within the volume

3

Country of publishing house

NL - THE KINGDOM OF THE NETHERLANDS

Number of pages

12

Pages from-to

565-576

UT code for WoS article

000987269300005

EID of the result in the Scopus database

2-s2.0-85159441442