Role of distorted body image in pain

Lotze, Martín; Moseley, G. Lorimer

doi:10.1007/s11926-007-0079-x

Cited by 237 publications

(173 citation statements)

References 74 publications

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“…Background and Aims: Evidence indicates that chronic non-specific low back pain (CNSLBP) is associated with alteration in the brain's cortical representation of the back, resulting in body perception disturbance and contributing to the condition [1,2]. This study investigated perception via 'cortical' sensory tests, in this case two-point discrimination and graphaesthesia-whose results partly depend on the integrity of cortical representation [2].…”

Section: Tactile Thresholds Are Preserved Yet Complex Sensory Functiomentioning

confidence: 99%

“…This study investigated perception via 'cortical' sensory tests, in this case two-point discrimination and graphaesthesia-whose results partly depend on the integrity of cortical representation [2]. The hypothesis was dysfunction in these higher-order tasks, with simple tactile thresholds remaining unchanged.…”

Section: Tactile Thresholds Are Preserved Yet Complex Sensory Functiomentioning

confidence: 99%

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Tactile thresholds are preserved yet complex sensory function is impaired over the lumbar spine of chronic non-specific low back pain patients: a preliminary investigation

et al. 2010

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Section: Tactile Thresholds Are Preserved Yet Complex Sensory Functiomentioning

confidence: 99%

Section: Tactile Thresholds Are Preserved Yet Complex Sensory Functiomentioning

confidence: 99%

Tactile thresholds are preserved yet complex sensory function is impaired over the lumbar spine of chronic non-specific low back pain patients: a preliminary investigation

et al. 2010

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“…Multiple factors may influence the process of development of the body image, such as the presence of illness, age and inappropriate social relationships, as deficiencies in the nervous system for adequately processing the mental images 8 . Distortions of body image are thought to be common in some pain states 9 . Pain may be a complain in more than 50% of PD patients 10 .…”

mentioning

confidence: 99%

“…Pain may be a complain in more than 50% of PD patients 10 . It has been suggested that if body image relates to pain, treating body image may reduce pain, and treating pain may normalize body image 9,10 . A neurological dysfunction could unleash not only alterations in the body image because of the illness itself, but also because of the reaction of the individual who, to preserve their body image, ends up modifying their body image depending on the perceived experiences resulting from the dysfunction suffered.…”

mentioning

confidence: 99%

Evaluation of body image and self-concept and their correlation with depressive symptoms in Parkinson's disease

Gamarra¹,

Molski²,

Hilbig

et al. 2009

Arq. Neuro-Psiquiatr.

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Avaliação da imagem corporal, autoconceito e suas correlações com os sintomas depressivos na doença de ParkinsonResumo -Objetivo: Identificar características de imagem corporal e autoconceito em indivíduos com doença de Parkinson (DP) acima de cinqüenta anos de idade. os objetivos secundários são analisar se a imagem corporal e o autoconceito são influenciados pela gravidade da DP e, verificar se existe correlação entre depressão, autoconceito e imagem corporal na DP. Método: Participaram do estudo 48 indivíduos, sendo 26 com DP e 22 Controles. os instrumentos utilizados foram: Mini-Exame do Estado Mental, Teste A Minha Imagem Corporal, Escala Fatorial de Autoconceito, Inventário de Depressão de Beck, Unified Parkinson's Disease Rating Scale parte motora e Hoehn e Yahr Modificada. Resultados: Na DP a percepção da imagem corporal e do autoconceito, demonstraram valores reduzidos significativamente (p<0.001 e p=0.012) respectivamente, e a sintomatologia depressiva apresentou-se significativamente maior (p=0.002). Conclusão: Indivíduos com DP apresentam alteração da imagem corporal e do autoconceito, apresentaram também menos confiança pessoal e menor receptividade social correlacionados com sintomas depressivos.PAlAvRAS-CHAvE: doença de Parkinson, imagem corporal, autoconceito, depressão, fisioterapia.

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“…Body image is maintained by tactile, proprioceptive, and visual input. These stimuli are profoundly altered following amputation, with this distortion often resulting in pain [12]. Reorganization of the amputation zone within the somatosensory and motor cortex occurs, and other representative areas in the cortex expand and encroach upon the amputated zone [11].…”

Section: Discussionmentioning

confidence: 99%

Cross-sectional study of alteration of phantom limb pain with visceral stimulation in military personnel with amputation

Rafferty¹,

Bennett²,

Britton³

et al. 2015

J Rehabil Res Dev

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Abstract-While phantom limb pain is a well-recognized phenomenon, clinical experience has suggested that the augmentation of phantom limb pain with visceral stimulation is an issue for many military personnel with amputation (visceral stimulation being the sensation of the bowel or bladder either filling or evacuating). However, the prevalence of this phenomenon is not known. The aim of this study was to investigate the prevalence of the alteration in phantom limb pain and the effect that visceral stimulation has on phantom limb pain intensity. A crosssectional study of 75 military personnel who have lost one or both lower limbs completed a questionnaire to assess the prevalence of the alteration of phantom limb pain with visceral stimulation. Included in the questionnaire was a pain visual analog scale (VAS) graded from 0 to 10. Patients recorded the presence and intensity of phantom limb pain. They also recorded whether and how this pain altered with a need to micturate or micturition, and/or a need to defecate or defecation, again using a pain VAS. Time since amputation, level of amputation, and medications were also recorded. Patients reported a phantom limb pain prevalence of 85% with a mean VAS of 3.6. In all, 56% of patients reported a change in the severity of phantom limb pain with visceral stimuli. The mean increase in VAS for visceral stimulation was 2.5 +/-1.6 for bladder stimulation and 2.9 +/-2.0 for bowel stimulation. Of the patients questioned, 65% reported an improvement in symptoms over time. VAS scores were highest in the subgroup less than 6 mo postamputation. An increase in phantom limb pain with visceral stimulation is a common problem for military personnel with amputation.

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Role of distorted body image in pain

Cited by 237 publications

References 74 publications

Tactile thresholds are preserved yet complex sensory function is impaired over the lumbar spine of chronic non-specific low back pain patients: a preliminary investigation

Tactile thresholds are preserved yet complex sensory function is impaired over the lumbar spine of chronic non-specific low back pain patients: a preliminary investigation

Evaluation of body image and self-concept and their correlation with depressive symptoms in Parkinson's disease

Cross-sectional study of alteration of phantom limb pain with visceral stimulation in military personnel with amputation

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