Effectiveness of phantom exercises for phantom limb pain: A pilot study

Ülger, Özlem; Topuz, Semra; Bayramlar, Kezban; Şener, Gül; Erbahçeci, Fatih

doi:10.2340/16501977-0380

Cited by 29 publications

(42 citation statements)

References 12 publications

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“…The studies included a total of 150 subjects; 116 with upper limb amputation, 11 with lower limb amputation, 6 with brachial plexus avulsion and 17 with orthopaedic upper limb disability. Three of these studies were case reports,4,7-8 5 of them were noncontrolled clinical series9-12 and one of them was randomised controlled trial 13. Methodological quality-based on the classification of Jovell & Navarro-Rubio6 of included studies are listed in Table-III.…”

Section: Resultsmentioning

confidence: 99%

The importance of rehabilitation concerning upper extremity amputees: A Systematic Review

et al. 2016

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Objective:To evaluate and point out the importance of prosthetic rehabilitation of upper extremity.Methods:A systematic literature search was performed to identify studies concerning prosthetic rehabilitation in upper extremity. The PRISMA Statement 2009 was used to establish the study and the methodological quality was assessed.Results:The literature search identified 620 studies. Of these 620, 9 studies fulfilled the inclusion criteria and were included for data extraction. The studies pointed out the upper limb prosthetic rehabilitation protocols consist of general exercise programme, motor tasks, phantom exercises, Muscle Training System, edema control, functional activities, signal strengthening, prosthetic education exercises, neuromuscular reeducation, virtual image and virtual reality exercises.Conclusions:The current systematic literature review has shown that the prosthetic rehabilitation seems promising especially for upper extremity amputees.

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Section: Resultsmentioning

confidence: 99%

The importance of rehabilitation concerning upper extremity amputees: A Systematic Review

et al. 2016

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“…• Phantom movement therapy -mental imagery has been shown to modify the cortical map associated with the amputated limb and to both relieve [35] and worsen [36] phantom pain experienced by patients.…”

Section: Traditional Therapy Approachesmentioning

confidence: 99%

Design of a robotic sensorimotor system for Phantom Limb Pain rehabilitation

Snow

Loureiro

Comley

2014

5th IEEE RAS/EMBS International Conference on Biomedical Robotics and Biomechatronics

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The use of robotics in rehabilitation has shown to have a positive outcome when applied to stroke patients and other movement based therapies. Despite recent studies looking at these types of therapies in helping patients with Phantom Limb Pain very few have looked at employing the elements that make robotics successful with stroke patients towards amputees. Phantom Limb Pain affects the majority of amputees, resulting in the need for further study due to the vast range of potential treatments available. This paper examines the effects of Phantom Limb Pain, its treatment, paradigms based on robotic rehabilitation, and provides an outline of a possible therapy method based on an immersive system providing proprioceptive and kinaesthetic feedback to the user while performing a manipulation task.

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“…Similarly, concurrent desensitisation massage taught as standard at RCDM, with the rationale of helping acceptance of the residual limb, as well as normalising sensation and pain responses, may have affected responses to treatment. Nevertheless, there is conflicting evidence regarding the efficacy of exercise, distraction or desensitisation as a treatment for PLP 42 43. In reality, pain management is likely to involve a combination of interventions, all affecting the complex biopsychosocial model of pain.…”

Section: Active Treatment Modalitiesmentioning

confidence: 99%

Lessons learned from early rehabilitation of complex trauma at the Royal Centre for Defence Medicine

Pope

Vickerstaff

Wareham³

2016

J R Army Med Corps

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During the recent conflicts in Iraq and Afghanistan, substantial numbers of service personnel survived devastating injuries, presenting significant challenges for early rehabilitation at Queen Elizabeth Hospital Birmingham. Royal Centre for Defence Medicine personnel augmented NHS therapy provision, gaining significant experience in rehabilitating complex trauma. Multidisciplinary working was key to delivering this service, with a unique rehabilitation coordinating officer position established to manage the rehabilitation pathway. A military exercise rehabilitation instructor provided daily gym-based rehabilitation, developing exercise tolerance. Emphasis was placed on early independence, reducing pain, eliminating complications and optimising function. Innovative solutions and non-standard combinations of rehabilitation were required, with therapy working practices redesigned that, we believe, exceed provision elsewhere, including novel applications such as unique patient transfers, specialist seating, additional equipment, problem-solving teaching and early upper limb prosthetic provision. Active pain management allowed engagement in rehabilitation. With limited evidence available, therapeutic modalities attempting to alleviate phantom limb pain centred on patients' ability to engage in treatment. Finally, the requirement to measure change in early trauma rehabilitation was identified, leading to the development of the preprosthetic functional outcome measure. This article aims to document advances made, lessons learned, encourage debate and identify priorities for future research for military complex trauma rehabilitation.

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Effectiveness of phantom exercises for phantom limb pain: A pilot study

Abstract: Phantom exercises appear to be effective in reducing phantom pain, but further research is required to confirm this.The results of this study indicate that phantom exercises can be used safely to alleviate phantom limb pain in lower and upper limb amputees.

Cited by 29 publications

References 12 publications

The importance of rehabilitation concerning upper extremity amputees: A Systematic Review

The importance of rehabilitation concerning upper extremity amputees: A Systematic Review

Design of a robotic sensorimotor system for Phantom Limb Pain rehabilitation

Lessons learned from early rehabilitation of complex trauma at the Royal Centre for Defence Medicine

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