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Pediatric Complex Regional Pain Syndrome and Occupational Therapy Intervention: A Scoping Review
1Touro University Nevada, Henderson, NV, USA.
Insights
Occupational therapy (OT) for pediatric complex regional pain syndrome (CRPS) involves sensory reeducation, exercises, and education. Evidence-based OT interventions are crucial for improving function and well-being in children with CRPS.
Area of Science:
- Pediatric Pain Management
- Occupational Therapy Interventions
- Rehabilitation Medicine
Background:
- Complex regional pain syndrome (CRPS) is a growing concern in pediatric populations.
- Occupational therapy (OT) is integral to the multidisciplinary treatment of pediatric CRPS.
- Existing literature on specific OT interventions for pediatric CRPS is limited.
Purpose of the Study:
- To conduct a scoping review of existing literature on occupational therapy (OT) interventions for pediatric complex regional pain syndrome (CRPS).
- To explore various OT intervention strategies and delivery methods used in treating pediatric CRPS.
Main Methods:
- A scoping review of peer-reviewed articles was performed.
- Included studies focused on pediatric participants diagnosed with CRPS.
- No publication date limitations were imposed on the reviewed literature.
Main Results:
- Eleven studies were included in the review.
- Common OT interventions addressed pain, functional deficits, motor/sensory function, social participation, and psychological health.
- Specific interventions included sensory reeducation, exercises, functional extremity use, psychoeducation, and client/family education.
Conclusions:
- Occupational therapy practitioners should utilize evidence-based interventions for pediatric CRPS.
- Interventions should be tailored to the child's age and developmental stage.
- Caregiver involvement and education are essential components of successful pediatric CRPS treatment plans.
Abstract:
Complex regional pain syndrome (CRPS) is an increasingly recognized pain condition in the pediatric population. Occupational therapy (OT) is a crucial component of a multidisciplinary approach to treating pediatric CRPS. Yet, there is limited evidence detailing these OT interventions. This review aimed to explore the existing literature on OT interventions and delivery methods for pediatric CRPS. We performed a scoping review of peer-reviewed articles that included pediatric participants with CRPS with no limitation on publication date. Most of the 11 included studies described OT interventions that addressed pain, functional disability, motor and sensory function, social participation, and psychological well-being. Interventions included sensory reeducation programs, exercises, functional use of affected extremities, psychoeducation, and client and family education. To facilitate engagement in meaningful occupations, OT practitioners treating pediatric CRPS should provide evidence-based interventions and age-appropriate client education and include caregivers in the care plan.
