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The study evaluates the relationship between the duration of evolution of SDRC1 and the efficacy of continuous peripheral nerve block (c-PNB) associated with an intensive rehabilitation program to improve the therapeutic strategy of SDRC1.
The main hypothesis of this study is that if c-PNB is proposed earlier, the recovery, measured with a scale achievement of objectives, will be better.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| C-BNP with intensive rehabilitation program | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intensive rehabilitation program with CPNB | Procedure | The patient will have an intensive rehabilitation program (two 30-minute kinesitherapy sessions every day and 30-minute occupational therapy sessions 5 days a week) with the CPNB. The patient will have follow-up consultation at 1 month, 3 month, 6 month and 1 year after the beggining of the intensive rehabilitation program |
| Measure | Description | Time Frame |
|---|---|---|
| The composite score (the summation of the 3 Goal Attainment Scaling (GAS) scores) | The improvement of the composite score following BNPc combined with intensive rehabilitation. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Pain assessment | EVA (Visual Analogue Scale, VAS) for all the patients at each visit This is a measure of pain intensity on a scale of 0 (no pain) to 10 (very severe pain). We will assess the percentage of pain relief with the EVA scale, before and after the PCNB. | 1 year |
| Anxiety assessment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Philippe Gallien, Doctor | Pôle Saint Hélier | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pôle Saint Hélier | Rennes | Brittany Region | 35000 | France |
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|
Hospital Anxiety and Depression (HAD) scale for all the patients at each visit There will be 2 scores One to assess anxiety : from 0 to 21 and one to assess depression : from 0 to 21 Higher scores mean a worse outcome. |
| 1 year |
| Arthrometry assessment | For an upper limb block : Passive and active arthrometry (angular measurements for shoulder, elbow and wrist) For a block of the lower limb : Passive and active arthrometry (angular measurements for hip, knee and ankle) | 1 year |
| hand joint assessment | For an upper limb block : Kapandji Index at each visit (between 0 to 10) | 1 year |
| gripping force assessment | For an upper limb block, gripping force will be evaluated with a Jamar and Pinch dynamometer at each visit after BNPc | 1 year |
| activity assessment | For an upper limb block, the activity limitation will be evaluated by leroux's scapular index (LSI) with a global score out of 100 at each visit after BNPc | 1 year |
| manual dexterity test | For an upper limb block, the dexterity will be evaluated by a Box and Block Test at each visit after BNPc | 1 year |
| Assessment of activity limitation for a block of the upper limb | DASH scale at each visit | 1 year |
| Assessment of activity limitation for a block of the lower limb | WOMAC score at each visit | 1 year |
| Assessment of functional capacity | TDM6 at each visit (number of metres travelled by the patient during 6 minutes) | 1 year |
| Assessment of the restriction of participation in social life | Return to work | 1 year |
| Evaluation of the effective dose | - Recording of effective doses (continuous and bolus) | During the CPNB |
| Evaluation of the tolerance of CPNB | - Incident reporting | During the CPNB |
| ID | Term |
|---|---|
| D020918 | Complex Regional Pain Syndromes |
| ID | Term |
|---|---|
| D001342 | Autonomic Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
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