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Related Experiment Video

Updated: Sep 16, 2025

Chronic Post-Ischemia Pain Model for Complex Regional Pain Syndrome Type-I in Rats
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Chronic Post-Ischemia Pain Model for Complex Regional Pain Syndrome Type-I in Rats

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Cognitive Function in Patients With Complex Regional Pain Syndrome (CRPS).

S Liesto1,2, T Aho1, S K Jääskeläinen3

  • 1Dept. of Anaesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

European Journal of Pain (London, England)
|July 8, 2025
PubMed
Summary
This summary is machine-generated.

Thirty percent of Complex Regional Pain Syndrome (CRPS) patients exhibit cognitive decline. Neuropsychological assessment is crucial for CRPS diagnostics and rehabilitation planning to address cognitive impairments effectively.

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Area of Science:

  • Neuroscience
  • Psychology
  • Rehabilitation Medicine

Background:

  • Complex Regional Pain Syndrome (CRPS) presents with diverse symptoms including pain, sensory, motor, and trophic changes, alongside reported cognitive difficulties.
  • CRPS is a complex, disabling condition often stemming from central nervous system neuroplasticity.
  • Previous research has limited exploration of cognitive domains in CRPS, excluding lateralized cognitions and body perception.

Purpose of the Study:

  • To investigate the neuropsychological profile of patients diagnosed with Complex Regional Pain Syndrome (CRPS) types 1 and 2.
  • To identify the prevalence of cognitive decline in CRPS patients.
  • To explore the relationship between psychological factors and cognitive performance in CRPS.

Main Methods:

  • A neuropsychological examination was administered to 54 CRPS patients using a battery of tests assessing intelligence, memory, executive functions, and attention.
  • Cognitive decline was defined as performance below -0.67 SD compared to a healthy Finnish population in at least three tests.
  • Validated questionnaires assessed insomnia, depression, pain catastrophizing, resilience, functional disability, and anxiety.

Main Results:

  • A significant subgroup of 30% of CRPS patients demonstrated objective cognitive decline.
  • Increased pain catastrophizing correlated with poorer performance on the Trail Making Test Part A.
  • No significant differences in cognitive functioning were observed between CRPS 1 and CRPS 2 patients, nor between left and right-sided attention tests.

Conclusions:

  • Cognitive decline is prevalent in 30% of CRPS patients, underscoring the need for neuropsychological assessment in diagnosis and rehabilitation.
  • Psychological factors, such as pain catastrophizing, may disproportionately influence subjective cognitive complaints over objective test performance.
  • Understanding the cognitive profile of CRPS patients is essential for tailoring effective multidisciplinary rehabilitation strategies.