:+: 대한임상통증학회 :+:

19(01) 23-27

https://doi.org/10.35827/cp.2020.19.1.23

뇌졸중 후 복합부위통증증후군에서 부위별 위상각을 이용한 평가

박세흠¹ㆍ김우진²ㆍ조근열¹ㆍ권준구¹

인제대학교 해운대 백병원 재활의학교실¹, 호주 엡워스 병원 재활의학과²

Clinical Pain 2020 Jun; 19(01) 23-27

Application of Segmental Phase Angle for Assessment of Post-Stroke Complex Regional Pain Syndrome

Se-Heum Park, M.D.¹, Woo-Jin Kim, M.D., Ph.D.², Geun-Yeol Jo, M.D., Ph.D.¹ and Jun-Koo Kwon, M.D.¹

¹Department of Rehabilitation Medicine, Inje University Haeundae Paik Hospital, Busan, Korea, ²Department of Rehabilitation, Epworth Rehabilitation, Epworth Healthcare, Hawthorn, VIC, Australia

Our objective is to evaluate the applicability of segmental phase angle (PhA) via bioelectrical impedance analysis (BIA) for post-stroke complex regional pain syndrome (CRPS). Due to its noninvasiveness and convenience, various studies have used BIA in clinical conditions. We measured segmental PhA in 4 patients at the time of CRPS diagnosis and repeated 4 weeks after 2 weeks of steroid pulse therapy. In 3 cases, the affected-to-unaffected ratio of the upper limb PhA decreased at the time of diagnosis. In 2 cases with improvement of more than 5 points in the CRPS severity score (CSS), increased ratios were observed. In other 2 cases with improvement of less than 4 points in the CSS, no remarkable changes in the ratios were found. We suggest that the segmental PhA can be helpful in assessment of post-stroke CRPS and its recovery.

Clinical Pain 2020 Jun; 19(01) 23-27

Keyword : Stroke, Electric impedance, Complex regional pain syndrome