This study examines the prevalence of trigger points in muscles in the thorax in upper limb Complex Regional Pain Syndrome (CRPS) patients, compared to healthy subjects. In addition, we will examine if adding treatment to muscles in the thoracic area (to the regular physical therapy treatment) will alleviate some of the sensitivity in the upper limb in CRPS patients.
This study examines the prevalence of trigger points in muscles in the thorax in upper limb Complex Regional Pain Syndrome (CRPS) patients, compared to healthy subjects. The muscles that will be examined are: Subclavius, Pectoralis minor, Rhomboids, Infraspinatus and Serratus superior posterior. In addition, we will examine if adding treatment to muscles in the thoracic area (to the regular physical therapy treatment) will alleviate some of the sensitivity in the upper limb in CRPS patients.This will be examined in an A-B-A design: at first the patients will be examined. Then they will recieve conventional physiotherapy treatment for a month. After a month, they will be examined again, and then they will recieve soft tissue massage to the thoracic area for 15 minutes in addition to the conventional physiotherapy treatment. After a month of the combined treatment, the patients will be examined a third and final time.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
49
a 15 minutes thoracic massage will be added to the regular physical therapy treatment
Reuth Rehabilitation Hospital
Tel Aviv, Israel
Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire
Questionnaire that examines upper limb function
Time frame: 10 minutes
Goniometer
shoulder flexion range of motion
Time frame: 1 minute
CRPS severity score (CSS)
form filled by an MD after an interview and examination of a patient
Time frame: 20 minutes
skin rolling test
Time frame: 1 minute
trigger point examination
Time frame: 5 minutes
NPRS
Numerical Pain Rating Scale
Time frame: 1 minute
Pressure algometer
pressure pain threshold
Time frame: 10 minutes
Allodynia in scapula, arm and forearm
von Frey filaments
Time frame: 5 minutes
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