Abstract
Objective: The effects of the application of CO2-baths for the purposes of the specific early functional combined therapy in cases of reflexsympathetic dystrophy should be differentiated.Subjects: Forty patients suffering from acute post-traumatic reflex sympathetic dystrophy in the hand.Design: A four weeks’ omission test was carried out in group B. The resultswere contrasted to group A. The relevant parameters in the process of regeneration were statistically calculated as a chronological serial analysis.Results: In regard of the multi-variable design the results demonstrated highly significant group differences in the case of the progression of regeneration, at which group A was definitely superior to group B. Group B displayed an additional effect of delay. Conclusion: The potential influences with regard to the effects of the CO2-bath are: better organisation of the exercises and superior progression of regeneration. Obviously there are beneficial effects of the combination therapy.
Highlights
In regard of the multi-variable design the results demonstrated highly significant group differences in the case of the progression of regeneration, at which group A was definitely superior to group B
Reflex sympathetic dystrophy (Algodystrophy, Complex regional pain syndrome) is a painful neuropathic disorder that may develop as a disproportionate consequence of minor trauma affecting the limbs, a bone fracture or a remote process like stroke or myocardial infarction
In order to identify the factors influencing the course of the disease and regeneration as precisely as possible, the following inclusion criteria were applied to include patients in the test groups: confirmed high-activity reflex sympathetic dystrophy of the hand of exclusively post-traumatic genesis, no other diseases; no signs of regression of existing symptoms and findings with a manifestation period of at least two and at most six weeks
Summary
The potential influences with regard to the effects of the CO2-bath are: better organisation of the exercises and superior progression of regeneration.
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