Chattanooga Wireless Professional, Руководство пользователя, Страница: 245 / 283

1 4 . H O W T O U S E T H E W I R E L E S S P R O F E S S I O N A L O N S P E C I F I C
I N D I C AT I O N S
244 EN WIRELESS PROFESSIONAL
14.9 reflex sympathetic dystrophy (or complex regional pain syndrome)
Reflex sympathetic dystrophy (RSD) is a disease that physiotherapists frequently see and which they must
be able to diagnose and treat at an early stage.
the protocols proposed have been developed on the basis of the following publications:
1. Abram S, Asiddao C, Reynolds A,
Increased Skin Temperature during Transcutaneous Electrical Stimulation. Anesthesia and Analgesia 59: 22
- 25, 1980
2. Owens S, Atkinson R, Lees DE,
Thermographic Evidence of Reduced Sympathetic Tone with Transcutaneous Nerve Stimulation.
Anesthesiology 50: 62 - 65, 1979
3. Owens S, Atkinson R, Lees DE,
Thermographic Evidence of Reduced Sympathetic Tone with Transcutaneous Nerve Stimulation.
Anesthesiology 50: 62 - 65, 1979
4. Abram S,
Increased Sympathetic Tone Associated with Transcutaneous Electrical Stimulation. Anesthesiology 45: 575
- 577, 1976
5. Meyer GA, Fields HL,
Causalgia treated by selective large fibre stimulation of peripheral nerve. Brain 9: 163 - 168, 1972
diagnostic / definition
RSD is a complication which most often occurs following a trauma. In most cases, this trauma is to the
bone or joints of the limbs. The type of trauma is generally a fracture or operation, but may also involve
dislocations, wounds, burns, phlebitis, infections, etc.
RSD does not start immediately after the trauma or the operation, but appears some time later. In general,
it starts when physiotherapy begins.
This is why the role of the physiotherapist is vital.
The main sign of RSD is pain. The pain is most often located at the end of the traumatised limb. It is
described by the patient as a burning pain. The intensity of the pain is high and often disproportionate to
the initial trauma. It increases with stress and activity and decreases when the patient is calm and resting.
Mobilisation and massage accentuate it; simply touching the skin may be very painful.