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Prediction of reflex sympathetic dystrophy in hemiplegia by evaluation of hand edema

  • Manabu Iwata
    Affiliations
    Department of Physical Therapy, School of Health Sciences, Hirosaki University, Hirosaki-shi (Iwata); Departments of Rehabilitation Medicine (Kondo, Sato) and of Vascular Biology (Satoh), Institute of Brain Science, Hirosaki University School of Medicine, Hirosaki-shi; Rehabilitation Center, Hirosaki University Hospital, Hirosaki-shi (Soma), Japan; and Children's Exercise & Nutrition Centre, McMaster University, Hamilton, Ont, Canada (Bar-Or)
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  • Izumi Kondo
    Affiliations
    Department of Physical Therapy, School of Health Sciences, Hirosaki University, Hirosaki-shi (Iwata); Departments of Rehabilitation Medicine (Kondo, Sato) and of Vascular Biology (Satoh), Institute of Brain Science, Hirosaki University School of Medicine, Hirosaki-shi; Rehabilitation Center, Hirosaki University Hospital, Hirosaki-shi (Soma), Japan; and Children's Exercise & Nutrition Centre, McMaster University, Hamilton, Ont, Canada (Bar-Or)
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  • Yoshihiro Sato
    Affiliations
    Department of Physical Therapy, School of Health Sciences, Hirosaki University, Hirosaki-shi (Iwata); Departments of Rehabilitation Medicine (Kondo, Sato) and of Vascular Biology (Satoh), Institute of Brain Science, Hirosaki University School of Medicine, Hirosaki-shi; Rehabilitation Center, Hirosaki University Hospital, Hirosaki-shi (Soma), Japan; and Children's Exercise & Nutrition Centre, McMaster University, Hamilton, Ont, Canada (Bar-Or)
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  • Kei Satoh
    Affiliations
    Department of Physical Therapy, School of Health Sciences, Hirosaki University, Hirosaki-shi (Iwata); Departments of Rehabilitation Medicine (Kondo, Sato) and of Vascular Biology (Satoh), Institute of Brain Science, Hirosaki University School of Medicine, Hirosaki-shi; Rehabilitation Center, Hirosaki University Hospital, Hirosaki-shi (Soma), Japan; and Children's Exercise & Nutrition Centre, McMaster University, Hamilton, Ont, Canada (Bar-Or)
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  • Masashi Soma
    Affiliations
    Department of Physical Therapy, School of Health Sciences, Hirosaki University, Hirosaki-shi (Iwata); Departments of Rehabilitation Medicine (Kondo, Sato) and of Vascular Biology (Satoh), Institute of Brain Science, Hirosaki University School of Medicine, Hirosaki-shi; Rehabilitation Center, Hirosaki University Hospital, Hirosaki-shi (Soma), Japan; and Children's Exercise & Nutrition Centre, McMaster University, Hamilton, Ont, Canada (Bar-Or)
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  • Oded Bar-Or
    Affiliations
    Department of Physical Therapy, School of Health Sciences, Hirosaki University, Hirosaki-shi (Iwata); Departments of Rehabilitation Medicine (Kondo, Sato) and of Vascular Biology (Satoh), Institute of Brain Science, Hirosaki University School of Medicine, Hirosaki-shi; Rehabilitation Center, Hirosaki University Hospital, Hirosaki-shi (Soma), Japan; and Children's Exercise & Nutrition Centre, McMaster University, Hamilton, Ont, Canada (Bar-Or)
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      Abstract

      Iwata M, Kondo I, Sato Y, Satoh K, Soma M, Bar-Or O. Prediction of reflex sympathetic dystrophy in hemiplegia by evaluation of hand edema. Arch Phys Med Rehabil 2002;83:1428-31. Objective: To determine the predictive value of measurements of hand edema for the development of reflex sympathetic dystrophy (RSD). Design: Cohort study. Setting: Departments of rehabilitation medicine in 3 general hospitals and 1 rehabilitation hospital in Japan. Participants: Thirty-four stroke patients. Interventions: Not applicable. Main Outcome Measures: Measurement of the circumference of the middle finger was used to evaluate hand edema. The degree of hand edema was expressed by the ratio of circumference of the middle finger (RCMF) in the affected side to that in the uninvolved extremity. Results: Eight of 34 patients developed clinical RSD from 2 to 4 months after stroke. Hand edema showed a significant relationship to the development of RSD (ie, the patients who had an RCMF of above 1.06 at 4 weeks poststroke had significantly higher incidence of RSD than those with a lower RCMF; P=.0127). Conclusion: It is possible to predict the development of RSD in hemiplegia by measuring hand edema 4 weeks poststroke. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation

      Keywords

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      References

        • Davis SW
        • Petrillo CR
        • Eichberg RD
        • Chu DS.
        Reflex sympathetic dystrophy in a hemiplegic population: a 5-year retrospective study.
        Arch Phys Med Rehabil. 1977; 58: 353-356
        • Van Ouwenaller C
        • Laplace PM
        • Chantraine A.
        Painful shoulder in hemiplegia.
        Arch Phys Med Rehabil. 1986; 67: 23-26
        • Steinbrocker O.
        The reflex sympathetic dystrophy: present perspective.
        Arch Phys Med Rehabil. 1968; 49: 388-395
        • Steinbrocker O
        • Argyros TG.
        The reflex sympathetic dystrophy: present status as a diagnostic and therapeutic entity.
        Med Clin North Am. 1958; 42: 1533-1553
        • Subbarao J
        • Stillwell GK.
        Reflex sympathetic dystrophy of the upper extremity: analysis of total outcome of management of 125 cases.
        Arch Phys Med Rehabil. 1981; 62: 549-554
        • Braus DF
        • Krauss JK
        • Strobel J.
        The reflex sympathetic dystrophy after stroke: a prospective clinical trial.
        Ann Neurol. 1994; 36: 728-733
        • Cheng PT
        • Hong CZ.
        Prediction of sympathetic dystrophy in hemiplegic patients by electromyographic study.
        Stroke. 1995; 26: 2277-2280
        • Tepperman PS
        • Greyson ND
        • Hilbert L
        • Jimenez J
        • William JI.
        Reflex sympathetic dystrophy in hemiplegia.
        Arch Phys Med Rehabil. 1984; 65: 442-447
        • Weiss L
        • Alfano A
        • Bardfeld P
        • Weiss J
        • Friedmann LW.
        Prognostic value of triple phase bone scanning for reflex sympathetic dystrophy in hemiplegia.
        Arch Phys Med Rehabil. 1993; 74: 716-719
        • Chu DS
        • Petrillo C
        • Davis SW
        • Eichberg R.
        Reflex sympathetic dystrophy: importance of early diagnosis and treatment.
        J Am Geriatr Soc. 1981; 29: 58-60
        • Davidoff G
        • Werner R
        • Cremer S
        • Jackson MD
        • Ventocilla C
        • Wolf L.
        Predictive value of the triple-phase technetium bone scan in diagnosis of reflex sympathetic dystrophy.
        Arch Phys Med Rehabil. 1989; 70: 135-137
        • Kozin F
        • Ryan LM
        • Carrera GF
        • Soin JS
        • Wortmann RL.
        Reflex sympathetic dystrophy (RSD).
        Am J Med. 1981; 70: 23-30
        • Streiner DL
        • Norman GR.
        Health measurements scales.
        2nd ed. Oxford Univ Pr, Oxford1995
        • Vasiliauskas R
        • Dijkers M
        • Abela MB
        • Lundgren L.
        Characteristics in addition to size of the contralateral hand predict hand volume but are not clinically useful.
        J Hand Ther. 1995; 8: 258-263
        • Bear-Lehman J
        • Abreu BC.
        Evaluating the hand: issues in reliability and validity.
        Phys Ther. 1989; 69: 1025-1033
        • Kurvers HA
        • Jacobs MJ
        • Beuk RJ
        • et al.
        The spinal component to skin blood flow abnormalities in reflex sympathetic dystrophy.
        Arch Neurol. 1996; 53: 58-65
        • Holzer P.
        Neurogenic vasodilatation and plasma leakage in the skin.
        Gen Pharmacol. 1998; 30: 5-11
        • Iwata M
        • Kondo I.
        Consideration on hand edema in hemiplegia.
        Tohoku Arch Orthop Surg Trauma. 1990; 34: 401-404
        • Sorenson MK.
        The edematous hand.
        Phys Ther. 1989; 69: 1059-1064
        • Lindgren A
        • Brattstrom L
        • Norrving B
        • Hultberg B
        • Andersson A
        • Johansson BB.
        Plasma homocysteine in the acute and convalescent phases after stroke.
        Stroke. 1995; 26: 795-800
        • Dursun E
        • Dursun N
        • Eksi UC
        • Cakci A.
        Glenohumeral joint subluxation and reflex sympathetic dystrophy in hemiplegic patients.
        Arch Phys Med Rehabil. 2000; 81: 944-946

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      • Correction
        Archives of Physical Medicine and RehabilitationVol. 100Issue 7
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          There are several errors in the article Iwata M, Kondo I, Sato Y, Satoh K, Soma M, Bar-Or O. Prediction of reflex sympathetic dystrophy in hemiplegia by evaluation of hand edema, published in Archives of Physical Medicine and Rehabilitation 2002;83:1428-31 ( https://doi.org/10.1053/apmr.2002.34830 ), Prediction of reflex sympathetic dystrophy in hemiplegia by evaluation of hand edema, contained several errors.
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