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Gepubliceerd in:

01-04-2002 | Onderzoek

Therapie bij sympathische reflexdystrofiebewegingsapparaat literatuuronderzoek onderzoek pijn reflexdystrofie

Een systematisch overzicht

Auteurs: Pieter van den Berg, Sita Bierma-Zeinstra, Bart Koes

Gepubliceerd in: Huisarts en wetenschap | Uitgave 4/2002

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Samenvatting

Doel De effectiviteit van in de literatuur beschreven behandelingen van sympathische reflexdystrofie is onderzocht.
Methode Er is een systematisch literatuuronderzoek gedaan met een uitgebreide zoekstrategie in Medline en het Cochrane Controlled Trial Register. Onderzoeken naar het effect van een behandeling voor sympathische reflexdystrofie die een interventie vergelijken met een controlegroep, werden ingesloten.
Resultaten Er werden 28 onderzoeken gevonden, waaronder 16 RCT's. Zeven RCT's (n 20-135) waren van goede methodologische kwaliteit. Deze RCT's onderzochten uiteenlopende interventies voornamelijk gericht op de botopbouw (bifosfonaten en calcitonine), de zenuwgeleiding (intraveneuze regionale blokkades en elektrische ruggenmergblokkade), het ontstekingsproces (antioxidant) en op revalidatie (fysiotherapie, ergotherapie en maatschappelijk werk).Voor geen van de 19 onderzochte interventies was overtuigend bewijs voor effectiviteit voorhanden. Opvallend was het geringe aantal onderzoeken per interventie.
Conclusie Op basis van het bestaand onderzoek kan (nog) geen behandeling worden aangewezen die duidelijk effectiever is dan de behandeling van een controlegroep.
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Metagegevens
Titel
Therapie bij sympathische reflexdystrofiebewegingsapparaat literatuuronderzoek onderzoek pijn reflexdystrofie
Een systematisch overzicht
Auteurs
Pieter van den Berg
Sita Bierma-Zeinstra
Bart Koes
Publicatiedatum
01-04-2002
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Huisarts en wetenschap / Uitgave 4/2002
Print ISSN: 0018-7070
Elektronisch ISSN: 1876-5912
DOI
https://doi.org/10.1007/BF03083044