Clinical Pain

Korean Association of Pain Medicine (대한임상통증학회)
권호 표지
DOI QR코드

DOI QR Code

Application of Segmental Phase Angle for Assessment of Post-Stroke Complex Regional Pain Syndrome

뇌졸중 후 복합부위통증증후군에서 부위별 위상각을 이용한 평가

  • Park, Se-Heum (Department of Rehabilitation Medicine, Inje University Haeundae Paik Hospital) ;
  • Kim, Woo-Jin (Department of Rehabilitation, Epworth Rehabilitation, Epworth Healthcare) ;
  • Jo, Geun-Yeol (Department of Rehabilitation Medicine, Inje University Haeundae Paik Hospital) ;
  • Kwon, Jun-Koo (Department of Rehabilitation Medicine, Inje University Haeundae Paik Hospital)
  • 박세흠 (인제대학교 해운대 백병원 재활의학교실) ;
  • 김우진 (호주 엡워스 병원 재활의학과) ;
  • 조근열 (인제대학교 해운대 백병원 재활의학교실) ;
  • 권준구 (인제대학교 해운대 백병원 재활의학교실)
  • Received : 2019.09.06
  • Accepted : 2019.10.02
  • Published : 2020.06.30
⟨ Previous Next ⟩

Abstract

Our objective is to evaluate the applicability of segmental phase angle (PhA) via bioelectrical impedance analysis (BIA) for post-stroke complex regional pain syndrome (CRPS). Due to its noninvasiveness and convenience, various studies have used BIA in clinical conditions. We measured segmental PhA in 4 patients at the time of CRPS diagnosis and repeated 4 weeks after 2 weeks of steroid pulse therapy. In 3 cases, the affected-to-unaffected ratio of the upper limb PhA decreased at the time of diagnosis. In 2 cases with improvement of more than 5 points in the CRPS severity score (CSS), increased ratios were observed. In other 2 cases with improvement of less than 4 points in the CSS, no remarkable changes in the ratios were found. We suggest that the segmental PhA can be helpful in assessment of post-stroke CRPS and its recovery.

Keywords

References

  1. Pertoldi S, Di Benedetto P. Shoulder-hand syndrome after stroke. A complex regional pain syndrome. Eura Medicophys 2005; 41: 283-292
  2. Quisel A, Gill JM, Witherell P. Complex regional pain syndrome underdiagnosed. J Fam Pract 2005; 54: 524-532
  3. Petchkrua W, Weiss DJ, Patel RR. Reassessment of the incidence of complex regional pain syndrome type 1 following stroke. Neurorehabil Neural Repair 2000; 14: 59-63 https://doi.org/10.1177/154596830001400107
  4. Harden RN, Bruehl S, Perez RS, Birklein F, Marinus J, Maihofner C, et al. Validation of proposed diagnostic criteria (the "Budapest Criteria") for complex regional pain syndrome. Pain 2010; 150: 268-274 https://doi.org/10.1016/j.pain.2010.04.030
  5. Cappello ZJ, Kasdan ML, Louis DS. Meta-analysis of imaging techniques for the diagnosis of complex regional pain syndrome type I. J Hand Surg Am 2012; 37: 288-296 https://doi.org/10.1016/j.jhsa.2011.10.035
  6. Stobaus N, Pirlich M, Valentini L, Schulzke JD, Norman K. Determinants of bioelectrical phase angle in disease. Br J Nutr 2012; 107: 1217-1220 https://doi.org/10.1017/S0007114511004028
  7. Kalita J, Misra U, Kumar A, Bhoi SK. Long-term prednisolone in post-stroke complex regional pain syndrome. Pain Physician 2016; 19: 565-574 https://doi.org/10.36076/ppj/2016.19.565
  8. Wasner G, Schattschneider J, Baron R. Skin temperature side differences--a diagnostic tool for CRPS? Pain 2002; 98: 19-26 https://doi.org/10.1016/S0304-3959(01)00470-5
  9. Birklein F, Dimova V. Complex regional pain syndrome-up-to-date. Pain Rep 2017; 2: e624 https://doi.org/10.1097/pr9.0000000000000624
  10. Harden RN, Maihofner C, Abousaad E, Vatine JJ, Kirsling A, Perez R, et al. A prospective, multisite, international validation of the Complex Regional Pain Syndrome Severity Score. Pain 2017; 158: 1430-1436 https://doi.org/10.1097/j.pain.0000000000000927