PMID: 9188033Apr 1, 1997Paper

Reflex sympathetic dystrophy: the clinician's perspective

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
M A Hardy, S G Hardy

Abstract

Theories on the etiology of reflex sympathetic dystrophy (RSD) are reviewed and presented in three categories: peripheral, spinal, and supraspinal. The peripheral pathophysiology involves a prolonged inflammatory, response to injury due to the axon reflex with release of vasoactive neuropeptides and sensitized nociceptors. The spinal component of RSD genesis involves nociceptive spinal cord neurons with lowered thresholds due to chronic pain input. These sensitized spinal neurons respond in turn by signaling pain reflexes through the sympathetic system. A physical-emotional diathesis may predispose individuals to respond to stress through autonomic arousal. Autonomic arousal, coupled with injury, signals the supraspinal influence on this syndrome. Since the puzzle of RSD remains to be solved, measurement and treatment strategies are suggested to provide intervention at each level. Measurement techniques should include a battery of static tests and stress tests. Static tests are used to quantify a physiological parameter at one point in time. Stress tests access physiological response to various neuro-vaso-motor challenges. A "hands off" treatment regime is presented that includes pain control, methods to reset sensory threshold...Continue Reading

References

Aug 1, 1978·The Journal of Pediatrics·B H BernsteinV Hanson
Jul 1, 1978·The Journal of Pediatrics·D M RichlinR D Goldner
May 1, 1978·Physiology & Behavior·D E Bunnell, S B Manuck
Jul 1, 1978·Journal of Neurology, Neurosurgery, and Psychiatry·L Loh, P W Nathan
Dec 1, 1992·The Clinical Journal of Pain·B Van HoudenhoveH Vertommen
Dec 1, 1992·The Clinical Journal of Pain·J L Ochoa
Apr 1, 1991·Brain : a Journal of Neurology·D Yarnitsky, J L Ochoa
Dec 1, 1990·Clinical Rheumatology·M H LunterB G Heggelman
Jul 1, 1990·The Journal of Hand Surgery·B K GrunertD Green
Jul 1, 1990·Journal of the Autonomic Nervous System·S GuzzettiA Malliani
Sep 1, 1990·Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association·B Rothschild
Jan 1, 1990·Neurology·R J Schwartzman, J Kerrigan
Sep 1, 1990·Neurology
Aug 1, 1990·Brain : a Journal of Neurology·D Yarnitsky, J L Ochoa
Jul 1, 1989·Pain·M Nakamura-Craig, T W Smith
Jun 1, 1989·Brain : a Journal of Neurology·M A ClineH E Torebjörk
Oct 1, 1989·British Journal of Rheumatology·M D Chard
Oct 1, 1989·British Journal of Rheumatology·E D CookeJ A Beacham
Mar 17, 1987·European Journal of Pharmacology·M Nakamura, S H Ferreira
Feb 1, 1988·Scandinavian Journal of Clinical and Laboratory Investigation·H WollersheimT Thien
May 1, 1988·The Journal of Hand Surgery·H S AnW T Jackson
May 1, 1987·Journal of the Autonomic Nervous System·Y Sato, H G Schaible
Sep 1, 1987·The Journal of Hand Surgery·H K Watson, L Carlson
Mar 1, 1985·Annals of Surgery·H B Shumacker
Feb 1, 1984·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J G Hannington-Kiff
Jan 21, 1984·British Medical Journal·C D MarsdenF La Cruz
Feb 25, 1984·British Medical Journal·J Jessop
Sep 1, 1984·Pain·T LundebergD Ottoson

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Citations

Apr 2, 2010·BMC Neurology·Roberto S PerezUNKNOWN CRPS I task force
Sep 27, 2000·AORN Journal·D Dunn
Sep 17, 1999·Archives of Physical Medicine and Rehabilitation·J L SeverensR J Goris
Nov 26, 1999·American Journal of Physical Medicine & Rehabilitation·H M OerlemansR A Oostendorp

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