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In this paper, we explored the feasibility of analysing gait patterns during the Short Physical Performance Battery test by using an accelerometer to record the movement of the subject. 12 subjects with Complex Regional Pain Syndrome (CRPS) and 10 control subjects were recruited in this study. 21 gait features including temporal, frequency, regularity and(More)
BACKGROUND AND PURPOSE Hydrotherapy is popular with patients with rheumatoid arthritis (RA). Its efficacy as an aerobic conditioning aid is equivocal. Patients with RA have reduced muscle strength and may be unable to achieve a walking speed commensurate with an aerobic training effect because the resistance to movement increases with speed in water. The(More)
BACKGROUND There is good evidence from studies conducted in a single-centre research setting for the efficacy of graded motor imagery (GMI) treatment, a complex physiotherapy intervention, to reduce pain in long-standing complex regional pain syndrome (CRPS). However, whether GMI is effective in clinical practice is not established. AIM To establish(More)
BACKGROUND Visual disturbance, visuo-spatial difficulties, and exacerbations of pain associated with these, have been reported by some patients with Complex Regional Pain Syndrome (CRPS). AIMS We investigated the hypothesis that some visual stimuli (i.e. those which produce ambiguous perceptions) can induce pain and other somatic sensations in people with(More)
When designers of distributed systems are deciding between autonomy and interdependence their choice may be dictated by application requirements and the operational and organlsational environment. They may be constrained in their desire to design and implement a homogeneous system by the need to connect components which are already running within an(More)
The somatosensory system is an integral component of the motor control system that facilitates the recognition of location and experience of peripheral stimuli, as well as body part position and differentiation. In chronic pain, this system may be disrupted by alterations in peripheral and cortical processing. Clinical symptoms that accompany such changes(More)
Cortical reorganisation of sensory, motor and autonomic systems can lead to dysfunctional central integrative control. This may contribute to signs and symptoms of Complex Regional Pain Syndrome (CRPS), including pain. It has been hypothesised that central neuroplastic changes may cause afferent sensory feedback conflicts and produce pain. We investigated(More)
Attention and pain are linked inexorably. The manipulation of attention, via either distraction or focused attention, has been used as a therapeutic initiative for generations. Imaging evidence and clinical observations demonstrate that attention can be altered with associated changes at the cortical level and this may have positive or negative effects on(More)
BACKGROUND Unusual symptoms such as digit misidentification and neglect-like phenomena have been reported in complex regional pain syndrome (CRPS), which we hypothesized could be explained by parietal lobe dysfunction. METHODS Twenty-two patients with chronic CRPS attending an in-patient rehabilitation programme underwent standard neurological examination(More)