- -

Clinical results of lumbar sympathetic blocks in lower limb complex regional pain syndrome using infrared thermography as a support tool

RiuNet: Repositorio Institucional de la Universidad Politécnica de Valencia

Compartir/Enviar a

Citas

Estadísticas

  • Estadisticas de Uso

Clinical results of lumbar sympathetic blocks in lower limb complex regional pain syndrome using infrared thermography as a support tool

Mostrar el registro sencillo del ítem

Ficheros en el ítem

dc.contributor.author Maite Bovaira es_ES
dc.contributor.author Cañada-Soriano, Mar es_ES
dc.contributor.author garcía-Vitoria, C. es_ES
dc.contributor.author Ana Calvo es_ES
dc.contributor.author Jose de Andres es_ES
dc.contributor.author Moratal, David es_ES
dc.contributor.author Priego Quesada, Jose Ignacio es_ES
dc.date.accessioned 2024-05-31T18:17:24Z
dc.date.available 2024-05-31T18:17:24Z
dc.date.issued 2023-09 es_ES
dc.identifier.issn 1530-7085 es_ES
dc.identifier.uri http://hdl.handle.net/10251/204621
dc.description.abstract [EN] Aim To describe the clinical outcomes for a group of complex regional pain syndrome patients using infrared thermography as an intraprocedural support tool when undertaking fluoroscopy-guided lumbar sympathetic blocks.Subjects 27 patients with lower limb complex regional pain syndrome accompanied by severe pain and persistent functional impairment.Methods A series of three fluoroscopic-guided lumbar sympathetic blocks with local anesthetic and corticoids using infrared thermography as an intraprocedural support tool were performed. Clinical variables were collected at baseline, prior to each block, and one, three, and six months after blocks in a standardized checklist assessing each of the clinical categories of complex regional pain syndrome stipulated in the Budapest criteria.Results 23.75% of the blocks required more than one chance to achieve the desired thermal pattern and therefore to be considered as successful. A decrease in pain measured on a visual analogic scale was observed at all time points compared to pre-blockade data, but only 37% of the cases were categorized as responders, representing a >= 30% decrease in VAS, with the disappearance of pain at rest. An improvement of most of the clinical variables recorded was observed, such as tingling, edema, perception of thermal asymmetry, difference in coloring and sweating. There was a significant decrease of neuropathic pain and improvement of functional limitation. Logistic regression analysis showed the main variable to explain the probability of being a responder was immobilization time (odds ratio of 0.89).Conclusion A series of fluoroscopy-guided lumbar sympathetic blocks controlled by infrared thermography in the treatment of lower limb CRPS showed a responder rate of 37%. es_ES
dc.language Inglés es_ES
dc.publisher Wiley-Blackwell Publishing es_ES
dc.relation.ispartof Pain Practice es_ES
dc.rights Reconocimiento - No comercial - Sin obra derivada (by-nc-nd) es_ES
dc.subject Budapest criteria es_ES
dc.subject Complex regional pain syndrome es_ES
dc.subject Foot es_ES
dc.subject Pain es_ES
dc.subject Skin temperature es_ES
dc.subject Thermal image es_ES
dc.subject.classification TECNOLOGIA ELECTRONICA es_ES
dc.subject.classification MAQUINAS Y MOTORES TERMICOS es_ES
dc.title Clinical results of lumbar sympathetic blocks in lower limb complex regional pain syndrome using infrared thermography as a support tool es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1111/papr.13236 es_ES
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Escuela Técnica Superior de Ingenieros Industriales - Escola Tècnica Superior d'Enginyers Industrials es_ES
dc.description.bibliographicCitation Maite Bovaira; Cañada-Soriano, M.; García-Vitoria, C.; Ana Calvo; Jose de Andres; Moratal, D.; Priego Quesada, JI. (2023). Clinical results of lumbar sympathetic blocks in lower limb complex regional pain syndrome using infrared thermography as a support tool. Pain Practice. 23(7):713-723. https://doi.org/10.1111/papr.13236 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.1111/papr.13236 es_ES
dc.description.upvformatpinicio 713 es_ES
dc.description.upvformatpfin 723 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 23 es_ES
dc.description.issue 7 es_ES
dc.identifier.pmid 37086044 es_ES
dc.relation.pasarela S\494127 es_ES


Este ítem aparece en la(s) siguiente(s) colección(ones)

Mostrar el registro sencillo del ítem