CiteULike DFellNeuroPT's CiteULike Search Register Log in
CiteULike is a free online bibliography manager. Register and you can start organising your references online.

Reflex Sympathetic Dystrophy in Children: Treatment With Transcutaneous Electric Nerve Stimulation Export

by: Richard W. Kesler, Frank T. Saulsbury, Lee T. Miller, John C. Rowlingson
Pediatrics, Vol. 82, No. 5. (1 November 1988), pp. 728-732.

Citation Format

[Posts]

View FullText article


X Reviews [Write a review of this article]

X Find related articles from these CiteULike users

X Find related articles with these CiteULike tags

X Posting History

X Abstract

During the past 6 years, ten children with reflex sympathetic dystrophy were treated. Pain in an extremity was the initial complaint in all patients. The pain was unilateral in 90% of the patients; upper and lower extremities were affected with equal frequency. Tenderness to palpation, extreme hyperesthesia, and dysesthesia were other dominant features. All patients had some evidence of autonomic nervous system dysfunction in the affected extremity (swelling, color change, decreased temperature, and/or hyperhidrosis). The median duration of symptoms prior to referral and diagnosis was 5 months. All children were treated as outpatients with a transcutaneous electric nerve stimulator and homebased physical therapy. With this regimen, seven patients had complete remission within 2 months. Two other patients improved with transcutaneous electric nerve stimulation therapy, and one patient had no response to transcutaneous electric nerve stimulation. Reflex sympathetic dystrophy is frequently underdiagnosed in children. Increased awareness of this syndrome is important because accurate diagnosis is crucial and transcutaneous electric nerve stimulation offers a safe, simple, and effective outpatient therapy for reflex sympathetic dystrophy in children.


X BibTeX record

X RIS record