The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
권호 표지
DOI QR코드

DOI QR Code

A Review of Occupational Therapy Approach for Complex Regional Pain Syndrome

복합부위통증증후군의 작업치료적 접근에 관한 고찰

  • 최유임 (호원대학교 보건복지대학 작업치료학과) ;
  • 박수현 (연세대학교 작업치료학과)
  • Published : 2010.01.28
Download PDF
⟨ Previous Next ⟩

Abstract

Complex Regional Pain Syndrome(CRPS) is a chronic neruopathic pain syndrome, most frequently encountered after trauma, nerve injury, fracture, cerebral vascular accident(CVA), spinal injury, and surgery to a limb, and affected by diverse factors such as disease process, intervention method, and other biopsychosocial components. Occupational therapy as a multidisciplinary treatment approach may be potentially useful when simultaneously targeting such biological, psychological, and social components. Biological treatment can focus on increasing functional use of extremity for promoting independence. Psychological intervention can include relaxation/biofeedback training and cognitive-behavioral treatments, and social approach can focus on recreational therapy and vocational rehabilitation. Occupational therapy will encourage functional restoration, pain management, and regaining of psychological components with collaboration between different disciplines.

복합부위통증증후군은 외상, 신경 손상, 골절, 뇌졸중, 척수 손상과 수술 등에 의해 부적합하게 발생하는 만성 신경병성 통증증후군으로, 질환의 경과, 치료법 등 모든 면에서 생물심리사회적 요인의 영향을 받는다. 작업치료에서는 생물학적, 심리적, 사회적 요소를 고려한 다학제적인 치료적 접근이 유용할 것이다. 생물학적 치료는 모든 영역에서의 독립성을 향상시키기 위해 사지의 기능적 사용을 증가시키는 것이다. 심리적 치료는 이완/바이오피드백 훈련과 인지행동치료를 제공하고, 사회적 치료는 레크리에이션 치료와 직업 재활을 실시할 수 있다. 복합부위통증증후군에 대한 작업치료는 다양한 전문 분야의 협조적인 치료과정을 통해 기능 회복과 통증 관리, 심리적 요인들의 회복을 이끌어 내야 할 것이다.

Keywords

References

  1. D. E. DeGood, G. W. Cundiff, L. E. Adams, and M. S. Shutty, "A Psychosocial and Behavioral Comparison of Reflex Sympathetic Dystrophy, Low Back Pain, and Headache Patients," Pain, Vol.54, No.3, pp.317-322, 1993. https://doi.org/10.1016/0304-3959(93)90031-J
  2. W. S. Kingery, "A Critical Review of Controlled Clinical Trials for Peripheral Neuropathic Pain and Complex Regional Pain Syndromes," Pain, Vol.73, No.3, pp.123-139, 1997. https://doi.org/10.1016/S0304-3959(97)00049-3
  3. R. S. G. M. Perez, G. Kwakkel, W. W. A. Zuurmond, and J. J. de Lange, "Treatment of Reflex Sympathetic Dystrophy(CRPS Type I): A Research Synthesis of 21 Randomized Clinical Trials," J. of Pain and Symptom Management, Vol.21, No.6, pp.511-526, 2001. https://doi.org/10.1016/S0885-3924(01)00282-2
  4. M. Stanton-Hicks, R. Baron, R. Boas, "Complex Regional Pain Syndromes: Guidelines for Therapy," Clinical J. of Pain, Vol.14, No.2, pp.155-166, 1998. https://doi.org/10.1097/00002508-199806000-00012
  5. M. Stanton-Hicks, A. W. Burton, and S. P. Bruehl, "An Updated Interdisciplinary Clinical Pathway for CRPS: Report of an Expert Panel," Pain Practice, Vol.2, No.1, pp.1-16, 2002. https://doi.org/10.1046/j.1533-2500.2002.02009.x
  6. S. Bruel, Do Psychological Factors Play a Role in The Onset and Maintenance of CRPS? Complex Regional Pain Syndrome, IASP Press, 2001.
  7. G. Wasner, J. Schattchneider, A. Binder, and R. Baron, "Complex Regional Pain Syndrome-diagnostic, Mechanism, CNS Involvement and Therapy," Spinal Cord, Vol.41, No.4, pp.61-75, 2003. https://doi.org/10.1038/sj.sc.3101404
  8. 대한통증의학회. 통증의학, 군자출판사, 2007.
  9. R. H. Rho, R. P. Brewer, T. J. Lamer, and P. R. Wilson, "Complex Regional Pain Syndrome," Mayo Clinic Proceeding, Vol.77, pp.174-180, 2002. https://doi.org/10.4065/77.2.174
  10. H. Merskey and N. Bogduk, Classification of Chronic Pain, IASP Press, 1994.
  11. G. Allen, B. S. Gater, and L. Schwartz, "Epidermiology of Complex Regional Pain Syndrome: A Retrospective Chart Review of 134 Patients," Pain, Vol.80, No.3, pp.539-544, 1999. https://doi.org/10.1016/S0304-3959(98)00246-2
  12. P. H. J. M. Veldman, H. M. Reynen, I. E. Arntz, and R. J. A. Goris, "Signs and Symptoms of Reflex Sympathetic Dystrophy: Prospective Study of 829 Patients," Lancet, Vol.342, No.8878, pp.1012-1016, 1993. https://doi.org/10.1016/0140-6736(93)92877-V
  13. R. T. Wilder, Reflex Sympathetic Dystrophy in Children and Adolescents: Differences From Adults, IASP Press, 1996.
  14. S. N. Raja and T. S. Grabow, "Complex Regional Pain Syndrome I (Reflex Sympathetic Dystrophy)," Anesthesiology, Vol.96, No.5, pp.1254-1260, 2002. https://doi.org/10.1097/00000542-200205000-00031
  15. http://helpine.cdc.go.kr
  16. B. S. Galer, L. Schwartz, and R. J. Allen, Complex Regional Pain Syndrome-Type I: Reflex Sympathetic Dystrophy, and Type II: Causalgia, Lippincott Williams & Wilkins. 2001.
  17. F. Birklein, "Complex Regional Pain Syndrome," J. of Neurology, Vol.252, No.2475, pp.131-138, 2005. https://doi.org/10.1007/s00415-005-0737-8
  18. J. A. Evans, "Reflex Sympathetic Dystrophy," Surgery, Gynecology and Obstetrics, Vol.82, No.1, pp.36-43, 1946.
  19. F. Cardoso and J. Jankovic, "Peripheral Induced Tremor and Parkinsonism," Archives of Neurology, Vol.52, No.3, pp.263-270, 1995. https://doi.org/10.1001/archneur.1995.00540270055019
  20. J. J. Bonica, The Management of Pain, Lea & Febiger, 1990.
  21. B. S. Galer and M. Jensen, "Neglect-like Symptoms in Complex Regional Pain Syndrome: Results of a Self-administered Survey,” J. of Pain and Symptom Management, Vol.18, No.3, pp.213-217, 1999. https://doi.org/10.1016/S0885-3924(99)00076-7
  22. J. B Geertzen, H. De Bruyn, and A. T. De Bruyn-Kofman, "Reflex Sympathetic Dystrophy: Early Treatment and Psychological Aspects," Archives Physical Medicine and Rehabilitation, Vol.75, No.4, pp.442-446, 1994. https://doi.org/10.1016/0003-9993(94)90169-4
  23. U. T. Egle and S. O. Hoffman, Psychosomatic Aspects of Reflex Symathetic Dystrophy, Kluwer Academic Publishers, 1990.
  24. D. S. Ciccone, E. B. Bandilla, and W. Wu, "Psychological Dysfunction in Patients With Reflex Sympathetic Dystrophy," Pain, Vol.71, No.3, pp.323-333, 1997. https://doi.org/10.1016/S0304-3959(97)00009-2
  25. B. Van Houdenhove, G. Vasquez, P. Onghena, L. Stans, C. Vandeput, and H. Vertommen, "Eiopathogenesis of Reflex Sympathetic Dystrophy: A review and Biopsychosocial Hypothesis," Clinical J. of Pain, Vol.82, No.4, pp.300-306, 1992.
  26. R. N. Harden, N. J. Rudin, and S. Bruehl, "Increased Systemic Catecholamines in Complex Regional Pain Syndrome and Relationship to Psychological Factors: A Pilot Study," Anesthesia Analog, Vol.99, No.5, pp.1478-1485, 2004. https://doi.org/10.1213/ 01.ANE.0000132549.25154.ED
  27. K. C. Light, R. V. Kothandapani, and M. T. Allen, "Enhanced Cardiovascular and Catecholamine Response in Women With Depressive Symptoms," International J. of Psychophysics, Vol.28, No.3, pp.157-166, 1998. https://doi.org/10.1016/S0167-8760(97)00093-7
  28. P. Raj, J. Cannella, and J Kelly, Multidisciplinary Management of Reflex Sympatheric Dystrophy, Kluwer Academic Publishers, 1990.
  29. S. Bruehl, O. Y. Chung, and J. W. Burns, "Differential Effects of Expressive Anger Regulation on Chronic Pain Intensity in CRPS and Non-CRPS Limb Pain Patients," Pain, Vol.104, No.3, pp.647-654, 2003. https://doi.org/10.1016/S0304-3959(03)00135-0
  30. S. Bruehl and O. Y. Chung, "Psychological and Behavioral Aspects of Complex Regional Pain Syndrome Management," Clinical J. of Pain. Vol.22, No.5, pp.430-437, 2006. https://doi.org/10.1097/01.ajp.0000194282.82002.79
  31. J. H. B. Geertzen, A. T. de Bruijin-Kofman, H. P. de Bruijin, H. B. M. van de Wiel, and P. U. Dijkstra, "Stressful Life Events and Psychological Dysfunction in Complex Regional Pain Syndrome Type I," Clinical J. of Pain, Vol.14, No.2, pp.143-147.
  32. D. V. Nelson and D. M. Novy, "Psychological Characteristics of Reflex Sympathetic Dystrophy Versus Myofascial Pain Syndromes," Regional Anesthesia, Vol.21, No.3, pp.202-208, 1996.
  33. R. N. Harden, M. Swan, A. King, B. Costa, and J. Barthel, "Treatment of Complex Regional Pain Syndrome: Functional Restoration," Clinical J. of Pain. Vol.22, No.5, pp.420-424, 2006. https://doi.org/10.1097/01.ajp.0000194280.74379.48
  34. L. K. Carlson and H. K. Watson, "Treatment of Reflex Sympathetic Dystrophy Using The Stress-loading Program," J. of Hand Therapy, Vol.1, No.1, pp.149-154, 1988. https://doi.org/10.1016/S0894-1130(88)80022-X
  35. M. E. Phillips, J. Kate, and R. N. Harden, "The Use of Nerve Block in Conjunction With Occupational Therapy for Complex Regional Pain Syndrome Type I," American J. of Occupational Therapy, Vol.54, No.5, pp.544-549, 2000. https://doi.org/10.5014/ajot.54.5.544
  36. J. T. Alitot, "Behavioral Treatment of Reflex Sympathetic Dystrophy," Psychosomatics, Vol.22, No.6, pp.539-540, 1981. https://doi.org/10.1016/S0033-3182(81)73501-1
  37. 김택현, 이지하, 최승원, “바이오피드백의 심리학적 활용”, 한국심리학회 연차학술대회 논문집, pp.94-95, 2007.
  38. E. L. Barowsky, J. B. Zweig, and J. Moskowitz, "Thermal Biofeedback in The Treatment of Symptoms Associated With Reflex Sympathetic Dystrophy," J. of Children and Neurology, Vol.2, No.3, pp.229-232, 1987. https://doi.org/10.1177/088307388700200311
  39. E. B. Blanchard, "The Use of Temperature Biofeedback in The Treatment of Chronic Pain due to Causalgia," Biofeedback of Self-regulation, Vol.4, No.2, pp.183-188, 1979. https://doi.org/10.1007/BF01007112
  40. M. J. Gainer, "Hypotherapy for Reflex Sympathetic Dystrophy," American J. of Clinical Hyposis, Vol.34, No.2, pp.227-232, 1992. https://doi.org/10.1080/00029157.1992.10402852
  41. S. Bruehl, B. Husfeldt, and T. Lubenow, "Psychological Differences Between Reflex Sympathetic Dystrophy and Non-RSD Chronic Pain Patients," Pain, Vol.67, No.1, pp.107-114, 1996. https://doi.org/10.1016/0304-3959(96)81973-7
  42. D. A. Williams and F. J. Keefe, "Pain Beliefs and The Use of Cognitive Behavioral Coping Strategies," Pain, Vol.46, No.2, pp.185-190, 1991. https://doi.org/10.1016/0304-3959(91)90074-8
  43. M. Stanton-Hicks, R. Baron, and R. Boas, "Complex Regional Pain Syndromes: Guidelines for Therapy," Clinical J. of Pain, Vol.14, No.2, pp.155-166, 1998. https://doi.org/10.1097/00002508-199806000-00012
  44. M. Stanton-Hicks, R. Baron, and S. P. Bruel, "An Updated Interdisciplinary Clinical Pathway for CRPS: Report of an Expert Panel," Pain and Practice, Vol.2, No.1, 2002. https://doi.org/10.1046/j.1533-2500.2002.02009.x
  45. H. Blake, "Strain and Psychological Distress Among Informal Supporters of Reflex Sympathetic Dystrophy," Disability and Rehabilitation, Vol.22, No.18, pp.827-832, 2000. https://doi.org/10.1080/09638280050207875
  46. S. I. Feldman, G. Downey, and R. Schaffer-Neitz, "Pain, Negative Mood, and Perceived Social Support in Chronic Pain Patients: A Daily Diary Study of People With Reflex Sympathetic Dystrophy Syndrome," J. of Consulting and Clinical Psychology, Vol.67, No.5, pp.776-785, 1999. https://doi.org/10.1037/0022-006X.67.5.776
  47. R. W. Teasell and C. Bombadier, "Employment-related Factors in Chronic Pain and Chronic Pain Disability," Clinical J. of Pain, Vol.17, No.4. pp.S39-S45, 2001. https://doi.org/10.1097/00002508-200112001-00010
  48. G. L. Dent, Return to Work... by Design, Dennison Press, 2001.