Case Report
Year: 2017 | Month: September | Volume: 7 | Issue: 9 | Pages: 340-346
Effect of Cognitive Behaviour Therapy on Kinesiophobia after CRPS-I in A Case of Stroke Hemiplegia: A Case Report
Damayanti Sethy1*, Surjeet Sahoo2, Pankaj Bajpai3*, Eva S Kujur1*, Dr. Abhishek Biswas4, Kshanaprava Mohakud5
1Lecturer, 3Asst.Prof, 4Asst.Prof. PMR &Director,
*Occupational Therapy,
National Institute for Locomotor Disabilities (Divyangjan), BT Road, Kolkata-90
2Prof, Dept. of Psychiatry, IMS &Sum Hospital, Siksha O Anusandhan University, Odisha
5Occupational Therapist, Swamy Vivekananda National Institute of Rehabilitation Training and Research, Utkal University, Odisha.
Corresponding Author: Damayanti Sethy
ABSTRACT
Objective: To investigate the effectiveness of CBT on kinesiophobia in a stroke hemiplegic patient with Complex Regional Pain Syndrome-I.
Design: Single case study of a 57 year old female stroke hemiplegic patient with CRPS-I and Kinesiophobia.
Method: Baseline measurement of pain, kinesiophobia and upper limb function was assessed by Visual Analog Scale, Tampa Scale of Kinesiophobia and Disability Arm Shoulder Hand respectively. Intervention: The subject received CBT for a session of 1 hour, 3 sessions per week for 6 weeks. Post CBT, measurements for all the outcome measures were taken. Setting: Department of Occupational Therapy, NILD, Kolkata, West Bengal, India. Subject: A 57 year old female.
Results: The subject showed improvement in pain (VAS change score 5), kinesiophobia (TSK change score 8) and upper limb function (DASH change score 9).
Conclusion: CBT is effective in reducing pain, kinesiophobia and improving upper limb function in stroke patient with CRPS-I.
Key words: stroke hemiplegic, Complex Regional Pain Syndrome-I, kinesiophobia, Cognitive Behaviour Therapy (CBT).