The Impact of Complex Regional Pain Syndrome Type I on an Individual's Occupational Performance

Abstract

This research study examined the effect of Complex Regional Pain Syndrome (CRPS) Type I, on a person's occupational performance. Ten subjects with a diagnosis of CRPS Type I were investigated by using a semi-structured interview followed by two standardised assessments: the Canadian Occupational Performance Measure (COPM) and a Visual Analogue Scale (VAS). The COPM measured occupational performance, and the VAS measured pain intensity. Descriptive data on participants’ views and their perspectives on responsibilities regarding work, leisure and self-care were collected. The effects of CRPS ranged from loss of movement, impairment in sensation, physical symptoms such as drowsiness and general malaise, hand function problems and a variety of emotional and psychological problems. Statistical analysis, which evaluated performance and satisfaction scores attained from the COPM showed a significant positive correlation between satisfaction and performance scores (r=0.982, p<0.05). A significant correlation was also found between performance and pain intensity and satisfaction and pain intensity. Results suggest that both the professional team together with CRPS I sufferers are insufficiently informed about this disease and its development. Within the local context, it was evident that there is lack of knowledge in relation to the condition. Therefore a medical oriented model of treatment is being followed, without consideration of patients’ perceptions and needs. It is suggested that the management of CRPS I patients needs to be focused upon the individual. A further cross-sectional study would assist in the analysis of the physical and psychological effects of CRPS I on the individual.