Comparison between Manual Manipulation and Physical Modality for Treatment and Prevention of Complex Regional Pain Syndrome in Colles Fracture: A Systematic Review.

Introductions: Multiple treatments for complex regional pain syndrome (CRPS) have been promoted, although the degrees of supporting evidence vary and are often limited. This updated review aims to critically examine the data for treating Complex Regional Pain Syndrome (CRPS) from current randomized controlled trials (RCTs) and non-RCTs. Methods: A systematic literature search was conducted to identify all randomized controlled trials and non-randomized controlled trials addressing the rehabilitation of CRPS conducted on human subjects and published in English between 2018 and 2022 using The Cochrane Library, PubMed, and ScienceDirect (Elsevier). Results: The search yielded 6 RCTs and two non-RCTs of varying quality regarding the treatment of CRPS. 6 studies evaluate the treatment of CRPS, and two studies evaluate the prevention of CRPS. Conclusions: In conclusion, both manual manipulation and physical modality are safe and reliable procedures that provide good pain relief and functional improvement as treatment and prevention of CRPS. [ABSTRACT FROM AUTHOR]