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            [0] => Complex Regional Pain Syndrome Type 1: Impact of Therapeutic Education Combined with Transcutaneous Electrical Nerve Stimulation
        )

    [etablissement] => Array
        (
            [0] => Hôpital militaire de Tunis
        )

    [nom] => Array
        (
            [0] => Rihab
        )

    [prenom] => Array
        (
            [0] => Mastouri
        )

    [email] => Array
        (
            [0] => rihabmastouri40@gmail.com
        )

    [telephone] => Array
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            [0] => 92378683
        )

    [auteurs] => Array
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            [0] => 
 
Nom prénom / Name Surname: Rihab Mastouri
Email: rihabmastouri40@gmail.com
Hôpital / Hospital: Hôpital militaire de Tunis

 
Nom prénom / Name Surname: Mohamed Manai
Email: manai95mohamed@gmail.com
Hôpital / Hospital: Hôpital militaire de Tunis

 
Nom prénom / Name Surname: Sirine Ghrissi
Email: Ghrissisirine3@gmail.com
Hôpital / Hospital: Hôpital militaire de Tunis

 
Nom prénom / Name Surname: Hassen Hlel
Email: Hlelhassen@gmail.com
Hôpital / Hospital: Hôpital militaire de Tunis

 
Nom prénom / Name Surname: Khaled Khelil
Email: drkhelilbloc@gmail.com
Hôpital / Hospital: Hôpital militaire de Tunis

 
Nom prénom / Name Surname: Khalil Amri
Email: akhalil.kh@gmail.com
Hôpital / Hospital: Hôpital militaire de Tunis

        )

    [mots_cles] => Array
        (
            [0] => pain management, rehabilitation medicine, Transcutaneous electrical nerve stimulation, Complex regional pain syndrome;

        )

    [event-id] => Array
        (
            [0] => 3663
        )

    [statut] => Array
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            [0] => 1
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    [forme] => Array
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            [0] => none
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    [user_email] => Array
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            [0] => rihabmastouri40@gmail.com
        )

    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Introduction 
Algodytrophy, often subsequent to trauma, leads to a significant alteration in quality of life. The management of complex regional pain syndrome type 1 (CRPS-1), although lacking consensus, often includes multiple therapies such as pharmacological treatment, including bisphosphonates and vitamin C, as well as non-pharmacological approaches such as Scottish baths. Transcutaneous electrical nerve stimulation (TENS) is currently described as a therapeutic alternative in the treatment of algodystrophy.
The aim of our study was to evaluate the effect of therapeutic education combined with the use of TENS and Scottish baths in the management of post-traumatic algodystrophic syndrome.

Methods: 
A prospective study was conducted over a period of 2 months, involving patients meeting the criteria for CRPS-1 established by the International Association for the Study of Pain (IASP). The onset of symptoms dated back less than 6 months. The primary evaluation criterion was defined based on therapeutic objectives agreed upon with each patient, while secondary criteria included assessment of perceived pain (measured on a visual analog scale - VAS) and joint assessment (goniometry).

Results:
 A total of 20 patients were included. The mean age was 36 years, with a female predominance (13 women versus 7 men), and a history of trauma. The average pain assessed by VAS was 7/10. After 2 months of management, all patients showed an improvement in their pain according to VAS (p=0.001), and 18 no longer had vasomotor disturbances. We also noted an improvement in the mobility, both active and passive, of the joints studied, with a p-value of 0.004.
Discussion : 
Empowering patients with CRPS-1 through sessions of therapeutic education, the use of TENS, and Scottish baths yielded positive results, corroborating the previous findings of Robaina et al. on the effectiveness of TENS in pain reduction, as well as the observations of Harden et al. on the circulatory benefits of Scottish baths.
Conclusion : 
This study confirms the effectiveness of a protocol combining therapeutic education, TENS, and Scottish baths in improving CRPS-1, which is in line with previously reported results in the scientific literature.
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