title: Clinical factors in the prognosis of complex regional pain syndrome type I after stroke: a prospective study.
abstract: OBJECTIVE
  To evaluate clinical prognostic factors of complex regional pain syndrome type I (CRPS I) in patients with stroke in an attempt to improve the Perrigot score, which does not include shoulder subluxation, unilateral neglect, or depression.
  
  
  METHODS
  This was a prospective study. The initial clinical data (first month) included motor index, Ashworth scale, de Bats score for shoulder subluxation, Montgomery-Asberg Depression Rating Scale, and sensory disorders evaluation. The prognosis of CRPS I was evaluated from the Perrigot score. A score of CRPS I severity was measured on entry and 3 mo later.
  
  
  RESULTS
  Of the 71 patients with hemiplegia who were included, 34.8% had a CRPS I. The five main clinical factors in the prognosis of CRPS I were motor deficit, spasticity, sensory deficits, and initial coma. The prognostic score of Perrigot was strongly correlated with the CRPS I severity and was predictive of subsequent progression.
  
  
  CONCLUSIONS
  Shoulder subluxation, unilateral neglect, and depression did not seem to be determinant predictive factors of CRPS I severity.
authors.affiliation: Département de médecine physique et de réadaptation, CHU Dupuytren, rue Martin Luther King, 87042 Limoges cedex, France.
authors.forename: Jean-Christophe
authors.initials: JC
authors.lastname: Daviet
authors.forename: Pierre-Marie
authors.initials: PM
authors.lastname: Preux
authors.forename: Jean-Yves
authors.initials: JY
authors.lastname: Salle
authors.forename: Frédérique
authors.initials: F
authors.lastname: Lebreton
authors.forename: Marguerite
authors.initials: M
authors.lastname: Munoz
authors.forename: Pierre
authors.initials: P
authors.lastname: Dudognon
authors.forename: Jacques
authors.initials: J
authors.lastname: Pelissier
authors.forename: Michel
authors.initials: M
authors.lastname: Perrigot
mesh_terms: D005260:Female; D006429:Hemiplegia / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D011379:Prognosis; D011446:Prospective Studies; D012019:Reflex Sympathetic Dystrophy / Q000145:classification / Q000628:therapy*; D012720:Severity of Illness Index; D020521:Stroke / Q000150:complications