Prediction of reflex sympathetic dystrophy in hemiplegia by evaluation of hand edema.

Abstract:

OBJECTIVE:To determine the predictive value of measurements of hand edema for the development of reflex sympathetic dystrophy (RSD). DESIGN:Cohort study. SETTING:Departments of rehabilitation medicine in 3 general hospitals and 1 rehabilitation hospital in Japan. PARTICIPANTS:Thirty-four stroke patients. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Measurement of the circumference of the middle finger was used to evaluate hand edema. The degree of hand edema was expressed by the ratio of circumference of the middle finger (RCMF) in the affected side to that in the uninvolved extremity. RESULTS:Eight of 34 patients developed clinical RSD from 2 to 4 months after stroke. Hand edema showed a significant relationship to the development of RSD (ie, the patients who had an RCMF of above 1.06 at 4 weeks poststroke had significantly higher incidence of RSD than those with a lower RCMF; P=.0127). CONCLUSION:It is possible to predict the development of RSD in hemiplegia by measuring hand edema 4 weeks poststroke.

journal_name

Arch Phys Med Rehabil

authors

Iwata M,Kondo I,Sato Y,Satoh K,Soma M,Bar-Or O

doi

10.1053/apmr.2002.34830

subject

Has Abstract

pub_date

2002-10-01 00:00:00

pages

1428-31

issue

10

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(02)00063-1

journal_volume

83

pub_type

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