Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (5): 716-720.doi: 10.3969/j.issn.2095-4344.2015.05.011

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Effect of mirror therapy on complex regional pain syndrome (type II) after high-level spinal cord injury: a self cross-controlled study

Tang Chao-zheng1, Ding Zheng2, Zhang Xiao-li1, Ding Li1, Wu Yi1, Jia Jie1   

  1. 1Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China
    2Fujian University of Traditional Chinese Medicine, Fuzhou 350000, Fujian Province, China
  • Revised:2014-10-22 Online:2015-01-30 Published:2015-03-02
  • Contact: Jia Jie, M.D., Associate professor, Master’s supervisor, Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China
  • About author:Tang Chao-zheng, Master, Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China
  • Supported by:

    The Twelfth Five-year Plan Supporting Project of Ministry of Science and Technology of China, No. 2013BAI10B03; the National Natural Science Foundation of China, No. 90920014, 91120305; and the Key Projects of Shanghai Municipal Science and Technology Committee on Biomedicine, No. 13411951000

Abstract:

BACKGROUND: Mirror therapy was initially used in the treatment of affected limb pain after amputation, and has been applied as a valid way for relieving complex regional pain syndrome due to other injuries, but the efficacy for patients with upper limb complex regional pain syndrome (type II) more than 3 years after high-level spinal cord injury has not been reported in any way.
OBJECTIVE: To investigate the availability of mirror therapy for reducing pain in a patient with upper limb complex regional pain syndrome (type II) who suffered high-level spinal cord injury.
METHODS: An experimental design of self cross-control was applied for alleviating the patient’s pain with the intervention of transcutaneous electrical nerve stimulation and mirror box therapy, which were conducted 2 or 3 weeks respectively. And the elution period between two kinds of treatments was 1 week, the follow-up time was 1 month.
RESULTS AND CONCLUSION: The pain of the patient was not relieved, but even aggravated after 2 weeks of transcutaneous electrical nerve stimulation, while 3-week mirror box therapy significantly reduced the pain after elution period (the third week). The Hamilton anxiety scale, Hamilton depression scale, and WHO quality of life scale scores were significantly improved after treatment compared with before treatment. Experimental findings indicate that, mirror therapy may be an effective intervention for mitigating complex regional pain syndrome (type  II) in addition to the comprehensive treatments, but further studies are warranted to confirm its effect.



中国组织工程研究
杂志出版内容重点:肾移植肝移植移植;心脏移植;组织移植;皮肤移植;皮瓣移植;血管移植;器官移植组织工程


全文链接:

Key words: Complex Regional Pain Syndrome, Spinal Cord Injuries, Transcutaneous Electrical Nerve Stimulation, Rehabilitation

CLC Number: