Chronic phantom and stump pain among american veterans: results of a survey

Sherman, Richard A.; Sherman, Crystal J.; Parker, Laura

doi:10.1016/0304-3959(84)90128-3

Cited by 424 publications

(308 citation statements)

References 10 publications

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“…Phantom limbs develop in 80± 100% of traumatic amputations; in about 50±80% of those cases they are painful (Jensen et al 1983;Sherman et al 1984). Whereas there is general agreement that painful and nonpainful phantom limbs occur in traumatic amputees whose amputations took place in adult life, there is conflicting data concerning persons whose amputation is congenital or occurred in early childhood.…”

Section: Introductionmentioning

confidence: 99%

“…More recent data suggest that children and adolescents have a higher occurrence of phantom limbs and phantom pain than seems to have been estimated previously (cf., Krane and Heller 1995;Sherman 1997). For example, Krane and Heller (1995) report the occurrence of phantom limbs in 100% of the 24 children and adolescents they examined, and phantom limb pain in 92%.…”

Section: Introductionmentioning

confidence: 99%

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Cortical reorganization and phantom phenomena in congenital and traumatic upper-extremity amputees

Flor

Elbert

Mühlnickel

et al. 1998

Experimental Brain Research

273

139

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The relationship between phantom limb phenomena and cortical reorganization was examined in five subjects with congenital absence of an upper limb and nine traumatic amputees. Neuromagnetic source imaging revealed minimal reorganization of primary somatosensory cortex in the congenital amputees (M=0.69 cm, SD 0.24) and the traumatic amputees without phantom limb pain (M=0.27 cm, SD 0.25); the amputees with phantom limb pain showed massive cortical reorganization (M=2.22 cm, SD 0.78). Phantom limb pain and nonpainful phantom limb phenomena were absent in the congenital amputees. Whereas phantom limb pain was positively related to cortical reorganization (r=0.87), nonpainful phantom phenomena were not significantly correlated with cortical reorganization (r=0.34). Sensory discrimination was normal and mislocalization (referral of stimulation-induced sensation to a phantom limb) was absent in the congenital amputees. The role of peripheral and central factors in the understanding of phantom limb pain and phantom limb phenomena is discussed in view of these findings.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cortical reorganization and phantom phenomena in congenital and traumatic upper-extremity amputees

Flor

Elbert

Mühlnickel

et al. 1998

Experimental Brain Research

273

139

View full text Add to dashboard Cite

show abstract

“…The majority of the sensations are painful 45,46) . Ramachandran and Hirstein (1998) 44) hypothesized that phantom limb sensations in humans are due to reorganization in the somatosensory cortex.…”

Section: Auditory and Tactile Signals Tajadura-jiménez Et Al (2012)mentioning

confidence: 99%

The role of sensory signals in perception of the body

Sakamoto

2017

JPFSM

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Humans perceive their body posture, size, and position in space even when they do not look at their body. The ability to perceive the body correctly is essential to move accurately in space. The purpose of this review is to introduce the reader to the latest views on the role of peripheral afferent signals in the generation and alteration of perception of the body. First, the contribution of proprioceptive and cutaneous signals to perception of the body is introduced. Common methods to investigate these signals are muscle vibration, skin stretch, or electrical stimulation. These methods provide evidence that the perception of the body is flexible. Second, effects of multisensory integration on perception of the body are described. The combination of visual, tactile, proprioceptive, and auditory signals alter the perception of the body, suggesting that multiple sensory signals contribute to perception of the body. Third, the distortion of perception of the body after the loss of sensory signals is reviewed. Anesthesia or amputation of limbs, as well as experimentally-induced disintegration of sensory signals drastically alter the perception of the body. Fourth, neural mechanisms underlying the generation, or alteration, of perception of the body is described. The premotor and parietal cortices play a key role in perception of the body, as they are involved in multisensory integration. In the final section of the review, implications of the ways sensory information shapes perception of our body are discussed for athletic performance.

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“…Even in the case of missing limbs, motor commands lead to the prediction of the movement that results in phantom limbs sensation. Approximately 50-80% of all amputees have phantom limb pain [24]. Both peripheral and central mechanisms and even psychological factors have been implicated as the mechanisms of phantom limb pain [25].…”

Section: Virtual Reality For Phantom Limb Painmentioning

confidence: 99%