chronische pijn: complex regionaal pijnsyndroom complex regional pain syndrome
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients: adult patients with upper limb CRPS who have chronic pain (> 3 months) in the left or right upper limb (i.e., unilateral problems) diagnosed by a physician. Age between 18 and 65 years. BMI
Exclusion criteria
Exclusion criteria: Exclusion criteria for participation in MRI studies for patients and healthy persons include: claustrophobia, active medical implants, passive implants deemed unsuitable, pregnancy; previous experience with metalworking without eye protection. Exclusion for patients and healthy persons: Cardiovascular, psychiatric, and/or neurological disease. Diagnosed with (another) chronic pain syndrome (e.g. fibromyalgia, whiplash associated disorders, chronic migraine). 65 year. Exclusion for healthy persons: injury at the fingers/hands, clinical depression or anxiety (current or past), acute or chronic pain (current or past).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome: functional MRI blood-oxygen-level dependent (BOLD) responses in the brain to the tactile fear conditioning paradigm (acquisition, generalization, extinction phase). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes and correlates: - in-scanner fear of touch self-reports - fMRI finger mapping assessing finger representations in the primary somatosensory cortex (S1) - Quantitative Sensory Testing (QST) measurements at the non-affected and affected upper limb examining tactile acuity, allodynia, and hyperalgesia - self-reported validated questionnaires using the secure online survey software Qualtrics assessing pain catastrophizing, pain-related fear, fear avoidance, positive and negative affect, optimism, resilience, trait anxiety, pain-related disability, quality of life, current pain, average pain (past week, month), and pain diagram assessing pain spreading. | — |
Countries
Netherlands