Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Surgery

Background: Complex regional pain syndrome (CRPS), is a chronic pain condition that may result in extreme sensitivity and pain to the hands and elbows or knees and legs. Usually diagnosed through a process of elimination, Physical and occupational therapy is a key component of the rehabilitation process in patients with CRPS and is recommended as the first-line treatment. Purpose of this study: was to evaluate the effectiveness of mirror therapy on complex regional pain syndrome (CRPS) post wrist burn. Methodology: thirty patients of both sexes with CRPS post wrist burn with age ranged from 20 to 40 from both gender participated in this study. Subjects were divided randomly into two groups (A and B) of equal numbers fifteen patients each. All individuals assessed in this study using visual analogue scale for assessment degree of pain and using baseline hand held dynamometer to assess hand grip and pinch before starting the treatment protocol and 4 weeks after starting the treatment program. The treatment protocol used for the two groups include: patients in the study group (A) received conventional hand progressive exercise program (active and active resisted hand exercises) in addition, the same exercises were done by the sound hand in front of mirror for 15 min in the first 2 weeks and 30 min in the last 2 weeks. Group (B) received only conventional hand progressive exercise program.The total duration of treatment was four weeks (30 min, 3 sessions per week). The results of this study reveled statistically significant differences in lowering degree of pain and increasing hand grip and pinch strength, in mirror group than control group.(P value < 0.01)

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