Virtual reality is a new and developing technique entering the medical community that may be effective in relieving pain. A specific type of pain termed phantom limb pain (PLP), is the occurrence of pain in an area that has been amputated and is reported to affect more than 50% of patients with amputations. Currently, the treatment of phantom limb pain is highly variable in the strategies used and their effectiveness. Based on the theory of maladaptive cortical reorganization causing PLP, we hypothesized that the use of a virtual reality intervention would elicit a reduction in PLP. Using the Oxford Centre of Evidence‐based Medicine (OCEBM) classification, a systematic review of the literature, was conducted to determine the pathophysiological mechanisms contributing to PLP and how virtual reality techniques could beneficially impact cortical reorganization. Based on OCEBM, the majority of the articles reviewed were level 2 evidence and supported virtual reality as a resource for alleviating PLP. We concluded that the available evidence supports that the use of virtual reality could be an alternative treatment for PLP and could decrease PLP.This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.

Despite the wide acceptance of the International Classification of Function, Disability, and Health (ICF) model, there remains a fundamental gap in the utilization of the ICF to foster clinical decision-making in physical therapy students. This article proposes a shift from initiating the patient examination with assessment of body structures and functions to a model that incorporates adult learning theory and clinical expertise theory to facilitate students' transition to expert clinicians. The authors offer the example of an older patient with a neurological condition to demonstrate the reasoning process that delineates typical aging from the disease process for optimal patient outcomes.