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Master Thesis

Efficacité des traitements basés sur l'imagerie motrice dans la prise en charge du Syndrome Douloureux Régional Complexe chez l'adulte

Abstract : Introduction: Complex Regional Pain Syndrome is a pathology generally affecting a limb following trauma or injury. It manifests as an aberrant inflammatory response, the exact origin of which is still poorly understood. This affection causes multiple symptoms including chronic neuropathic pain that is largely debilitating for patients. Treatments such as Graded Motor Imaging (GMI) or mirror therapy are based on the hypothesis of a reorganization of the primary somatosensory cortex by CRPS. Therefore, motor imagery by brain training may normalize this change and thus decrease the pain and other symptoms of CRPS. Objectives: The objective of this review is to study the effectiveness of treatments based on motor imagery in the management of patients with CRPS. Method: 3 scientific databases were investigated: PubMed, Cochrane Library and PEDro. The research strategy developed “a priori” allowed us to study 6 randomized controlled trials. After evaluating their quality in terms of methodology, extracting the data and analyzing the results, we were able to write a synthesis. Results: 2 trials compared GMI with a control treatment and the other 4 with mirror therapy. The studies were heterogeneous, small sized, and all of them did not study the same outcomes with identical measurement tools. However, treatments based on motor imagery appear to have a beneficial effect on pain as well as motor function in patients with CRPS. Conclusion: The improvement in the condition of patients induced by these treatments constitutes an encouraging progress in its use. In addition, they do not bring constraints for patients as well as for therapists. However, there remains a lack of evidence due to the heterogeneity of the studies as well as their low number of participants.
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Master Thesis
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Submitted on : Tuesday, September 28, 2021 - 11:32:41 AM
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Clémence Fornasier. Efficacité des traitements basés sur l'imagerie motrice dans la prise en charge du Syndrome Douloureux Régional Complexe chez l'adulte. Médecine humaine et pathologie. 2021. ⟨dumas-03356623⟩



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