The aim is to study another alternative for the treatment of pain in people with CRPS. Indeed, the TRAB / Medullary occupational therapy department of the CMRRF in Kerpape used compression garments to reduce edema when it was present.In the case of CRPS of the upper limbs, gloves or compression sleeves are used to decrease the edema which is sometimes associated, although they are not supported for this indication. In this context, our clinical experience leads us to believe that there would also be some efficacy in neuropathic pain, this improvement being regularly described by patients.This study is expected to show a notable reduction in neuropathic pain thanks to the wearing of a compression garment.
Patients with CRPS of the upper limb with neuropathic pain
Diagnosis of CRPS according to the Budapest criteria
Diagnosis of neuropathic pain according to DN4
CRPS evolving for more than 3 months
Patient under guardianship, curatorship or safeguard of justice
Psychiatric pathology altering the ability to consent
Severe cognitive disorders that do not allow the patient to assess his pain
Skin pathology preventing the wearing of the compression garment
Parallel
usual treatment with compression garments (CERECARE)
DeviceFor 3 months, the pain will be assessed every week, tolerance and compliance with compression garments will also be monitored. Participants will be reviewed specifically at a follow-up consultation for the 6-month and 1-year study. Various assessments will be carried out during these visits : assessment of pain, range of motion, muscle strength, sensitivity test, assessment of anxiety, depression and even quality of life.
usual treatment without compression garments (CERECARE)
Other interventionFor 3 months, the pain will be assessed every week, tolerance and compliance with compression garments will also be monitored. Participants will be reviewed specifically at a follow-up consultation for the 6-month and 1-year study. Various assessments will be carried out during these visits : assessment of pain, range of motion, muscle strength, sensitivity test, assessment of anxiety, depression and even quality of life.
The evolution of pain through Visual Analog Scale (VAS), measured every week for 3 months in the last 24 hours and in the last 7 days
The VAS is a self-rated scale. It comes in the form of a 10 cm plastic ruler graduated in mm. On the face presented to the patient is a cursor which he moves along a straight line, one end of which corresponds to "No pain" and the other to "Maximum pain imaginable". The patient should, along this line, position the cursor where the pain is best located. On the other side, there are millimeter graduations seen only by the caregiver. The position of the cursor mobilized by the patient makes it possible to read the intensity of the pain, which is measured in mm.
Visual Analog Scale (VAS)
The VAS is a self-rated scale. It comes in the form of a 10 cm plastic ruler graduated in mm. On the face presented to the patient is a cursor which he moves along a straight line, one end of which corresponds to "No pain" and the other to "Maximum pain imaginable". The patient should, along this line, position the cursor where the pain is best located. On the other side, there are millimeter graduations seen only by the caregiver. The position of the cursor mobilized by the patient makes it possible to read the intensity of the pain, which is measured in mm.
Visual Analog Scale (VAS)
The VAS is a self-rated scale. It comes in the form of a 10 cm plastic ruler graduated in mm. On the face presented to the patient is a cursor which he moves along a straight line, one end of which corresponds to "No pain" and the other to "Maximum pain imaginable". The patient should, along this line, position the cursor where the pain is best located. On the other side, there are millimeter graduations seen only by the caregiver. The position of the cursor mobilized by the patient makes it possible to read the intensity of the pain, which is measured in mm.
Neuropathic Pain Symptom Inventory (NPSI)
It's a tool developed and validated in French, composed of 12 items. It provides an overall score and 5 sub-scores
Neuropathic Pain Symptom Inventory (NPSI)
It's a tool developed and validated in French, composed of 12 items. It provides an overall score and 5 sub-scores
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Centre Mutualiste de Rééducation et de Réadaptation Fonctionnelles de Kerpape
Lead sponsor
Clinique Mutualiste Lorient
Collaborator
Fondation Rothschild Paris
Collaborator
Groupement des Hôpitaux de l'Institut Catholique de Lille
Collaborator
