A controlled pilot study of the utility of mirror visual feedback in the treatment of complex regional pain syndrome (type 1)

McCabe, C. S., Haigh, R. C., Ring, E. F. J., Halligan, Peter ORCID: https://orcid.org/0000-0003-2784-6690, Wall, P. D. and Blake, D. R. 2003. A controlled pilot study of the utility of mirror visual feedback in the treatment of complex regional pain syndrome (type 1). Rheumatology 42 (1) , pp. 97-101. 10.1093/rheumatology/keg041

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Abstract

Background. We assessed mirror visual feedback (MVF) to test the hypothesis that incongruence between motor output and sensory input produces complex regional pain syndrome (CRPS) (type 1) pain. Methods. Eight subjects (disease duration ≥3 weeks to ≤3 yr) were studied over 6 weeks with assessments including two controls (no device and viewing a non‐reflective surface) and the intervention (MVF). Pain severity and vasomotor changes were recorded. Results. The control stages had no analgesic effect. MVF in early CRPS (≤8 weeks) had an immediate analgesic effect and in intermediate disease (≤1 yr) led to a reduction in stiffness. At 6 weeks, normalization of function and thermal differences had occurred (early and intermediate disease). No change was found in chronic CRPS. Conclusions. In early CRPS (type 1), visual input from a moving, unaffected limb re‐establishes the pain‐free relationship between sensory feedback and motor execution. Trophic changes and a less plastic neural pathway preclude this in chronic disease.

Item Type:	Article
Status:	Published
Schools:	Psychology Medicine MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Uncontrolled Keywords:	Complex regional pain syndrome; Mirror visual feedback.
Publisher:	Oxford University Press
ISSN:	1460-2172
Last Modified:	21 Oct 2022 09:05
URI:	https://orca.cardiff.ac.uk/id/eprint/35271

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