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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
30
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
Pôle Saint Hélier
Rennes, Brittany Region, France
RECRUITINGThe composite score (the summation of the 3 Goal Attainment Scaling (GAS) scores)
The improvement of the composite score following BNPc combined with intensive rehabilitation.
Time frame: 1 year
Pain assessment
EVA (Visual Analogue Scale, VAS) for all the patients at each visit This is a measure of pain intensity on a scale of 0 (no pain) to 10 (very severe pain). We will assess the percentage of pain relief with the EVA scale, before and after the PCNB.
Time frame: 1 year
Anxiety assessment
Hospital Anxiety and Depression (HAD) scale for all the patients at each visit There will be 2 scores One to assess anxiety : from 0 to 21 and one to assess depression : from 0 to 21 Higher scores mean a worse outcome.
Time frame: 1 year
Arthrometry assessment
For an upper limb block : Passive and active arthrometry (angular measurements for shoulder, elbow and wrist) For a block of the lower limb : Passive and active arthrometry (angular measurements for hip, knee and ankle)
Time frame: 1 year
hand joint assessment
For an upper limb block : Kapandji Index at each visit (between 0 to 10)
Time frame: 1 year
gripping force assessment
For an upper limb block, gripping force will be evaluated with a Jamar and Pinch dynamometer at each visit after BNPc
Time frame: 1 year
activity assessment
For an upper limb block, the activity limitation will be evaluated by leroux's scapular index (LSI) with a global score out of 100 at each visit after BNPc
Time frame: 1 year
manual dexterity test
For an upper limb block, the dexterity will be evaluated by a Box and Block Test at each visit after BNPc
Time frame: 1 year
Assessment of activity limitation for a block of the upper limb
DASH scale at each visit
Time frame: 1 year
Assessment of activity limitation for a block of the lower limb
WOMAC score at each visit
Time frame: 1 year
Assessment of functional capacity
TDM6 at each visit (number of metres travelled by the patient during 6 minutes)
Time frame: 1 year
Assessment of the restriction of participation in social life
Return to work
Time frame: 1 year
Evaluation of the effective dose
\- Recording of effective doses (continuous and bolus)
Time frame: During the CPNB
Evaluation of the tolerance of CPNB
\- Incident reporting
Time frame: During the CPNB
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