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Efficacy of a combined physical and occupational therapy intervention in patients with subacute neuralgic amyotrophy: a pilot study.
[neuralgic amyotrophy]
Neuralgic
Amyotrophy
(
NA
)
is
characterized
by
neuropathic
pain
,
subsequent
patchy
paresis
and
possible
sensory
loss
in
the
upper
extremity
.
Many
patients
experience
difficulties
in
performing
activities
of
daily
life
and
are
unable
to
resume
work
.
We
developed
a
combined
physical-
and
occupational
therapy
program
for
patients
recovering
from
NA
.
Evaluation
of
the
effectiveness
of
a
multidisciplinary
intervention
program
for
patients
with
subacute
NA
.
We
performed
a
within
subject
proof-of-principle
pilot
study
in
eight
patients
with
subacute
NA
.
Patients
followed
8
hours
of
physical
and
8
hours
of
occupational
therapy
spread
over
a
16
-
week
period
.
The
Canadian
Occupational
Performance
Measure
(
COPM
)
and
Shoulder
Rating
Questionnaire
(
SRQ
)
.
Disability
of
Arm
Shoulder
and
Hand
(
DASH
)
.
Improvements
(
mean
(
95
%
CI
)
)
were
found
in
the
performance
and
satisfaction
scores
of
the
COPM
+
2
.
3
(
0
.
9
-
3
.
7
)
and
+
1
.
4
(
0
.
4
-
2
.
4
)
points
,
respectively
and
the
SRQ
+
14
.
8
(
7
.
4
-
22
.
0
)
points
.
The
majority
of
patients
(
6
out
of
8
)
also
demonstrated
improvements
in
the
DASH
.
T
he
proposed
physical
and
occupational
therapy
program
,
may
be
effective
for
patients
with
subacute
NA
,
as
demonstrated
by
improvements
in
activity
,
performance
and
participation
.
