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Prevention of Complex Regional Pain Syndrome after Distal Radius Fractures: A Systematic Review

2023-11-17Master thesis Restricted access
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datacite.subject.fosCiĆŖncias MĆ©dicas::CiĆŖncias da SaĆŗdept_PT
dc.contributor.advisorOrtiz Huerta, J. Hilario
dc.contributor.advisorSantamaria VƔzquez, VƔzquez
dc.contributor.authorSerĆ“dio, InĆŖs das Neves
dc.date.accessioned2024-04-22T18:32:45Z
dc.date.embargo2026-11-17
dc.date.issued2023-11-17
dc.description.abstractBackground: Complex Regional Pain Syndrome (CRPS) is one of the most debilitating chronic pain disorders, and Distal Radius Fracture (DRF) is the main trigger in prevalent cases of CRPS. Purpose: To study which is the most effective intervention described in the literature in people with DRF to prevent CRPS. Study Design: This Systematic Review was designed according to PRISMA guidelines and registered in PROSPERO RD42020208309. Methods: Studies were searched on five databases and inclusion criteria were articles written in English, Portuguese and Spanish languages and published from 2013. The included articles were assessed with CASP Checklist to reduce the risk of possible bias and the data were extracted into a summary table. Results: 9 studies were selected: 2 on vitamin C administration; 1 Probiotics; 1 Aspirin intake; 1 focused in Polarized and Polychromatic Light Therapy combined with conventional treatment; 2 on an early rehabilitation program; and 2 related to CRPS prevention measures after DRF. Administration of aspirin or ingestion of probiotics proved to be an ineffective procedure to reduce the incidence of CRPS; the studies using Light Therapy combined with conventional treatment, taking Vitamin C, and an active home exercise program reported 0% incidence of CRPS. Conclusion: The current results do not provide sufficient evidence to recommend a prevention specific protocol, however, a set of guidelines was identified that could be part of a comprehensive rehabilitation approach after a DRF: taking oral vitamin C supplementation (500 mg) daily for 90 days; a specific program of initial exercises at home; and throughout the process apply change in clinical approach towards CRPS, with more focus on prevention and psychological aspects of post-traumatic pain. Future randomized clinical trials are encouraged to evaluate the optimal rehabilitation procedure, based on these guidelines, with the aim of preventing the development of CRPS after a DRF.pt_PT
dc.identifier.tid203590600pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.8/9621
dc.language.isoengpt_PT
dc.subjectSĆ­ndrome dolorosa regional complexapt_PT
dc.subjectFratura distal do rƔdiopt_PT
dc.subjectPrevenĆ§Ć£opt_PT
dc.titlePrevention of Complex Regional Pain Syndrome after Distal Radius Fractures: A Systematic Reviewpt_PT
dc.typemaster thesis
dspace.entity.typePublication
rcaap.rightsrestrictedAccesspt_PT
rcaap.typemasterThesispt_PT
thesis.degree.nameMestrado em Terapia da MĆ£o (regime de ensino a distĆ¢ncia)pt_PT

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