The impact of mirror therapy on body schema perception in patients with complex regional pain syndrome after distal radius fractures. Issue 1 (February 2019)

• Record Type: Journal Article
• Authors: Kotiuk, Viktor; Burianov, Olexander; Kostrub, Olexander; Khimion, Ludmila; Zasadnyuk, Ivan
• Other Names: Scott Whitney guest-editor.
• Is Part Of: British journal of pain. Volume 13:Issue 1(2019)
• Page Start: 35
• Page End: 42
• Publication Date: 2019-02
• Subjects: Musculoskeletal pain -- pain perception -- complex regional pain syndromes -- somatoform disorders -- somatosensory disorders -- reflex sympathetic dystrophy -- body perception; Pain -- Periodicals; Pain -- Treatment -- Periodicals; 616.0472
• DOI: 10.1177/2049463718782544
• Languages: English
• ISSNs: 2049-4637

Abstract

Introduction: Mirror therapy requires a minimum of equipment, is relatively simple to perform and effective for various pathological conditions. The effect of mirror therapy on body schema disturbances registered in complex regional pain syndrome type I (CRPS I) patients has not yet been determined. Methods: The study is based on the analysis of the treatment results of 30 patients with CRPS I, developed as a result of the distal radius fractures, with help of mirror therapy together with exercise therapy and medications. The control group consisted of 20 patients with CRPS I developed as a result of the distal radius fractures treated only with exercise therapy and medications. We evaluated the results before the treatment, after 3 days and after 6 weeks of treatment according to The Bath CRPS Body Perception Disturbance Scale. Results: A total of 83.33% patients experienced the positive effect of mirror therapy on the perception of the 'body schema' after 6 weeks of treatment, and 35% underwent standard treatment without mirror therapy. The positive effect was statistically significant for the first five points of the Bath scale after 6 weeks of treatment compared to the control group. Improvements observed in some patients after 3 days of treatment were less pronounced and statistically insignificant. Conclusion: Mirror therapy can improve the perception of the body schema as an element of integrated treatment of CRPS I developed after fractures of the distal radius less than 3 years duration.