Term
|
Definition
| syhndrome with pain out of proprotion to the injury |
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Term
|
Definition
| pain in combination with sensory, autonomic, tropic and motor abnormalities |
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Term
|
Definition
swelling
abnormal sweating
trophic changes
abnormal motor activity |
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Term
| How is a diagnosis of CRPs excluded |
|
Definition
| by the existence of conditions which would otherwise account for the degree of pain and dysfunction |
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Term
| Differential dx for CRPS (4) |
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Definition
Practice Pattern 5f
Raynaud's
Cellulitis
T4 syndrome |
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Term
| What is practice pattern 5F |
|
Definition
| impaired peripheral nn integrity and mm performance associated with peripheral nn injury |
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Term
|
Definition
Shoulder hand syndrome
Sudeck's atrophy
Post traumatic vasomotor disorder
Sympathalgia
Post-traumatic spreading neuralgia
Causalgia
Reflex Sympathetic dystrophy |
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Term
|
Definition
| occurs in the absence of any known nerve injury |
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Term
| What led to CRPS 1 historically |
|
Definition
| reflex sympathetic dystrophy |
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Term
|
Definition
|
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Term
|
Definition
| follow a peripheral nn injury |
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|
Term
| CRPS epidemiology: age affected |
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Definition
|
|
Term
| CRPS epidemiology: gender affected |
|
Definition
| female more than male 3:1 |
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Term
| CRPS epidemiology: average age |
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Definition
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|
Term
| CRPS epidemiology: extremity involvement |
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Definition
|
|
Term
| CRPS epidemiology: bilateral limb involvement |
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Definition
|
|
Term
| CRPS is a reaction pattern to what |
|
Definition
| injury or excessive restriction of activity |
|
|
Term
|
Definition
a complication of injury
iatrogenically induced |
|
|
Term
| CRPS as a disease process |
|
Definition
| not an independent disease process |
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|
Term
|
Definition
|
|
Term
| CRPS pathophysiology: abnormal sympathetic not activity |
|
Definition
|
|
Term
| CRPS pathophysiology: CNS and PNS |
|
Definition
|
|
Term
| CRPS pathophysiology: when does the injury occur |
|
Definition
|
|
Term
| CRPS pathophysiology: injury occuring at time of stress when.... |
|
Definition
| sympathetic system is hyperactive |
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|
Term
| CRPS pathophysiology: 3 major pathophysiological pathways |
|
Definition
aberrant inflammatory mechanisms
vasomotor dysfunction
maladaptive neuroplasticity |
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|
Term
| CRPS Risk Factors: related to injury (4) |
|
Definition
repeated injury to same body region
prolonged period of disuse after injury
stress at time of injury
previous cerebral injury |
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|
Term
| CRPS Risk Factors: 4 non injury related |
|
Definition
genetic predisposition
cervical spine/spinal cord disorders
repetive predisposition
no evidence of predective psychologicla risk factor |
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|
Term
| CRPS Risk Factors: largest risk factor |
|
Definition
| appears to be excessive limb protection and immobility following injury |
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|
Term
| CRPS Clinical presentation: pain related (5) |
|
Definition
allodynia
hyperalgesia
pain often spreads
hyperpathia
pain typically burns and is longer in duration than expected |
|
|
Term
| CRPS Clinical presentation: changes in (2) |
|
Definition
sweating
hair and nail growth |
|
|
Term
| CRPS Clinical presentation: motor/mm changes (2) |
|
Definition
mm weakness
voluntary motor control reduced |
|
|
Term
| CRPS Clinical presentation: types of hyperalgesia that is frequently present |
|
Definition
|
|
Term
| CRPS Clinical presentation: sensory signs |
|
Definition
|
|
Term
| CRPS Clinical presentation: mixture of ______ sensations and ______ loss |
|
Definition
noxious sensations
sensory loss |
|
|
Term
| CRPS Clinical presentation: limb temperature over months |
|
Definition
| warm limb often becomes cold |
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|
Term
| CRPS Clinical presentation: neurologic signs (3) |
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Definition
|
|
Term
| CRPS Clinical presentation: what will typically exacerbate s/s |
|
Definition
|
|
Term
| CRPS Clinical presentation: clinical features and their spread |
|
Definition
spread proximally but not distally
can even emerge on the opposite or ipsilateral limb |
|
|
Term
| CRPS Impairment Location: (2) |
|
Definition
usually extremity
pain distribution does not follow peripheral or dermatomal pattern |
|
|
Term
| CRPS Impairment spread of pain (2) |
|
Definition
usually proximal ipsilaterally
any invasive techniques may exacerbate symptoms |
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|
Term
| CRPS Impairment: pain description |
|
Definition
burning or deep ache
allodynia or hyperalgesia usually present |
|
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Term
|
Definition
| excessive painful response to non-noxious stimuli |
|
|
Term
| CRPS Impairment: other symptoms (9) |
|
Definition
edema
skin color changes
abnormal sweating
temperature changes
weakness
numbness
depression
sleep disorder
anxiety |
|
|
Term
|
Definition
| presence of an initiating noxious event or a cause of immobilization |
|
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Term
|
Definition
| continuing pain, allodynia, hyperalgesia, disproprotionate to the inciting event |
|
|
Term
|
Definition
| evidence at some time of edema, changes in skin, blood flow, or abnormal sudomotor activity in the area of pain |
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|
Term
| Dx of CRPS 1: exclusion of CRPS dx |
|
Definition
| existence of any condition that would otherwise account for the degree of pain and dysfunction |
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|
Term
| Dx of CRPS 1: senstivity and specificity |
|
Definition
sensitivity 98-100%
specificity 36-55% |
|
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Term
|
Definition
| presence of continuing pain, allodynia, or hyperalgesia after a nn injury, not necessarily limited to the distribution of the injured nn |
|
|
Term
|
Definition
| evdience at some time of edema, changes in skin, blood flow, or abnormal sudomotor activity in the region of pain |
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|
Term
| Dx of CRPS 2: exclusion of dx of CRPS II |
|
Definition
| existence of any condition that would otherwise account for the degree of pain and dysfunction |
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|
Term
| CRPS Phases: Phase I name |
|
Definition
|
|
Term
| CRPS Phases: Phase I Acute Inflammatory lasts how long |
|
Definition
|
|
Term
| CRPS Phases: Phase I Acute Inflammatory s/s (6) |
|
Definition
edema
severe
constant pain
burning
aching
reversible |
|
|
Term
| CRPS Phases: Phase II name |
|
Definition
| Vasomotor Instability/Dystrophic |
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Term
| CRPS Phases: Phase II Vasomotor Instability/Dystrophic lasts how long |
|
Definition
|
|
Term
| CRPS Phases: Phase II Vasomotor Instability/Dystrophic s/s (7) |
|
Definition
contracture
limb is cool
edema
sweating
mm wasting
jt stiffness
contracture |
|
|
Term
| CRPS Phases: Phase III name |
|
Definition
|
|
Term
| CRPS Phases: Phase III atrophic/cold end phase lasts how long |
|
Definition
|
|
Term
| CRPS Phases: Phase III atrophic/cold end phase s/s (5) |
|
Definition
irreversible
osteoporosis
mm atrophy
pain lessens
skin is pale, glossy, or cyanotic |
|
|
Term
| Pain Progression: reduced (1) |
|
Definition
| mobility secondary to postural guarding |
|
|
Term
| Pain Progression: increased (2) |
|
Definition
edema secondary to mm pumping
venous pressure |
|
|
Term
| Pain Progression: decreased (3) |
|
Definition
arterial profusion
oxidative metabolism secondary to local ischemia
large pain fiber inhibition |
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|
Term
| Pain Progression: -ic changes (2) |
|
Definition
local fibrotic changes
trophic changes secondary to decreased blood flow |
|
|
Term
| Pain Progression: ortho, tissue changes, biomechanics (4) |
|
Definition
contractures
adhesions
myofascial dysfunction
breakdown of peripheral articular cartilage
biomechanical imbalances |
|
|
Term
|
Definition
multidisciplinary approach
physical rehab
psychological therapy
medical mgmt |
|
|
Term
| CRPS tx: Physical rehabilitation (4) |
|
Definition
education
edema mgmt
pacing of activities
emphasis on function |
|
|
Term
| Guide to PT Practice of CRPS: how many patients are expected to achieve anticipated goals and outcomes |
|
Definition
|
|
Term
| Guide to PT Practice of CRPS: 80% of patients with CRPS are expected to achieve anticipated goals and outcomes in how many visits |
|
Definition
|
|
Term
| Guide to PT Practice of CRPS: resolution rate in the first eyar |
|
Definition
|
|
Term
| Guide to PT Practice of CRPS: resolution rate within 6 months |
|
Definition
|
|
Term
| Physical Therapy mgmt of CRPS: A's (3) |
|
Definition
axial loading
aquatic therapy
avoid aggressive tx |
|
|
Term
| Physical Therapy mgmt of CRPS: N and M |
|
Definition
Neural tissue stretching
Myofascial techniques |
|
|
Term
| Physical Therapy mgmt of CRPS: D and P |
|
Definition
desensitization (thermal and tactile)
progressive weight bearing |
|
|
Term
| PT traditional interventions (5) |
|
Definition
TENS
AROM (ADLs)
aquatic therapy
moist heat
massage
weight bearing ex |
|
|
Term
| Medical Traditional interventions (5) |
|
Definition
sympathetic nerve blocks
NSAIDS
antidepressants
tramadol
mm relaxants |
|
|
Term
| Exercise for CRPS should be based on what |
|
Definition
|
|
Term
| What does QUota based exercise mean |
|
Definition
| establish a tolerance baseline for each activity/ex based on the onset of weakness, fatigue, or pain increase |
|
|
Term
| Quota based exercise should begin at what % of baseline |
|
Definition
|
|
Term
| how much should the quota based ex increase per session |
|
Definition
|
|
Term
| Quota based exercise quote |
|
Definition
|
|
Term
| CRPS study was found to actually be a misdiagnosis of what |
|
Definition
|
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