Complex Regional Pain Syndrome Type I
Conditions
Keywords
Children, Complex Regional Pain Syndrome, Relaxation, Bergès relaxation, Pain
Brief summary
Complex regional pain syndrome (CRPS) is a disease provoking chronic pain in the limbs, following a trauma. Patient care is complicated by the variable clinical picture and response to treatment. The stress level of the organization, for chronic pain impacts the regulation of the autonomic balance. The study of time and frequency domain analysis of Heart Rate Variability (HRV) allows non-invasive and reproducible assessment of the autonomic balance.
Detailed description
The hypothesis in this study is that the sympathovagal balance could be altered in children with CRPS. But the impact of relaxation on pain and balance has been proven. This study aims to assess the impact of the assumption by the relaxation therapy in children suffering from CRPS, on sympathovagal balance. It is an experimental prospective single-center study to highlight after a standardized relaxation program, changes in the time and frequency indices variability in heart rate, parameters of pain and quality of life with the CRPS children 6 to 16 years.
Interventions
DIAGNOSTIC_TESTquestionnaires
Children with Complex Regional Pain Syndrome (CRPS) will be filled questionnaires before and after relaxation sessions. These questionnaire evaluate the quality of life and pain of child There will be: * Questionnaire KIDSCREEN 52 * Visual Analogue Scale (EVA) * Neuropathic Pain 4 (DN4) * Pain of the child Gustave Roussy (DEGR)
DIAGNOSTIC_TESTholter electrocardiogram
Children with Complex Regional Pain Syndrome (CRPS) will be have holter electrocardiogram before and after relaxation sessions.
DIAGNOSTIC_TESTblood pressure
Blood pressure of Children with Complex Regional Pain Syndrome (CRPS) will be measured by Nexfin monitor before and after relaxation sessions.
OTHERrelaxation sessions
Children with Complex Regional Pain Syndrome (CRPS) will be performed 20 relaxation sessions and 2 per week. During relaxation sessions children will be recorded by voice recorder. Children should describe his feelings at the preceding session. After every relaxation sessions children evaluate pain according to Eland Color Scale.
Sponsors
Centre Hospitalier Universitaire de Saint Etienne
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
* Parents affiliates or entitled to a social security scheme * Children from 6 to 16 years with Complex Regional Pain Syndrome (CRPS) type 1 * Diagnosis according to the Budapest criteria.
Exclusion criteria
* Child with pathologies reaching the central nervous system or the brain stem. * Children with a severe pathology of cardio-respiratory or heart being referred to treatment. * Children requiring emergency surgery or trauma or septic or inflammatory context. * Children with some psychiatric diseases * Children who no understand french enough
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| high frequency index | at 3 months | measured by holter electrocardiogram. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| blood pressure | at 3 months | — |
| life quality of children | at 3 months | by questionnaire KIDSCREEN 52 |
| evaluation of pain | at 3 months | by questionnaire EVA |
| intensity of pain | at 3 months | with Eland Color Scale |
| location of pain | at 3 months | with Eland Color Scale |
Countries
France
Outcome results
None listed