Calcitonin and reflex sympathetic dystrophy syndrome

Détails

ID Serval
serval:BIB_131B6160DD55
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Calcitonin and reflex sympathetic dystrophy syndrome
Périodique
Clinical Rheumatology
Auteur(s)
Gobelet  C., Meier  J. L., Schaffner  W., Bischof-Delaloye  A., Gerster  J. C., Burckhardt  P.
ISSN
0770-3198 (Print)
Statut éditorial
Publié
Date de publication
09/1986
Volume
5
Numéro
3
Pages
382-8
Notes
Clinical Trial
Journal Article
Randomized Controlled Trial --- Old month value: Sep
Résumé
Reflex sympathetic dystrophy syndrome is a difficult condition to treat. Many modalities have been proposed, all of them being clinically effective but whose efficacy is often difficult to assess, and has not been properly compared. A regimen of physical therapy (pressure therapy, antalgic electrotherapy and exercise therapy) with or without calcitonin was investigated in 24 patients randomly assigned to 2 groups, one given physical therapy alone (Group I) and the other physical therapy plus salmon calcitonin 100 MRC units daily for 3 weeks (Group II). Efficacy assessment was based on clinical (pain, oedema and movement in the affected parts), biochemical (blood and urinary phosphorus and calcium levels, plasma 25-OH-D, plasma parathyroid hormone (PTH), creatinin, alkaline phosphatases and urinary hydroxyproline) and scintigraphic parameters, as well as on the patient's ability to resume working. There was significant improvement in pain in the Group II patients after one week of treatment. As a result the authors advocate the use of calcitonin in addition to physical therapy in reflex sympathetic dystrophy syndrome - and even of calcitonin alone where physical therapy is not possible.
Mots-clé
Adult Aged Bone and Bones/radionuclide imaging Calcitonin/*therapeutic use Clinical Trials Employment Female Humans Male Middle Aged Physical Therapy Modalities Random Allocation Reflex Sympathetic Dystrophy/metabolism/radionuclide imaging/*therapy
Pubmed
Web of science
Création de la notice
25/01/2008 12:21
Dernière modification de la notice
20/08/2019 13:41
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