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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
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated
