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Volume 7 Journal of Pain & Relief
ISSN: 2167-0846 Pain Management 2018
October 11-12, 2018
October 11-12, 2018 | Zurich, Switzerland
7th International Conference and Exhibition on
Pain Research and Management
Mirror therapy in neuropathic pain and disability treatment in patients with complex regional pain
syndrome developed after the distal radius fractures
Viktor Kotiuk1, Alexander Buryanov2, Alexander Kostrub3, Ivan Zasadnyuk1 and Roman Blonskiy 1
1SI Institute of Traumatology and Orthopedics of the Academy of Medical Sciences of Ukraine, Ukraine
2Bogomolets National Medical University, Ukraine
Title: The influence of mirror therapy on neuropathic pain and disability in patients with complex regional pain syndrome
developed after fractures of the distal radius.
Objectives: Mirror therapy is a simple to perform, cheap and effective for various pathological conditions method. The effect
of mirror therapy on different aspects of pain and disability in complex regional pain syndrome type I (CRPS I) patients, is not
well determined. The aim of the study was to investigate the influence of mirror therapy on pain and disability in patients with
CRPS I developed after fractures of the distal radius.
Methods: We analyzed the results of treatment of 30 patients with CRPS I, developed after the distal radius fractures, with help
of mirror therapy together with exercise therapy and medications. There were 20 patients with CRPS I developed as a result of
the distal radius fractures treated only with exercise therapy and medications in the control group. The results were evaluated
before the treatment, after three days and after 6 weeks of treatment according to VAS, McGill Pain Questionnaire, Pain Detect
scale, ABILHAND.
Results: 86.67% patients experienced the positive effect of mirror therapy on the pain at least according to one of the scales after
6 weeks of treatment, and 70% - from standard treatment without mirror therapy. The positive effect was statistically significant
accordingly to McGill Pain Questionnaire after 6 weeks of treatment compared to the control group and even accordingly
to VAS. In some patients we observed improvements even after 3 days of treatment. Though they were less pronounced, the
improvement in VAS was the least impressive among the others pain scales.
Conclusions: Mirror therapy can help to decrease the pain (mostly on neuropathic pain scales) and disability as an element of
integrated treatment of CRPS I developed after fractures of the distal radius.
J Pain Relief 2018, Volume 7
DOI: 10.4172/2167-0846-C1-021