Thermography as a means for quantitative assessment of stump and phantom pains

Kristen, H.; Lukeschitsch, G.; Plattner, Florian; Sigmund, Ralf; Resch, P.

doi:10.3109/03093648409145352

Cited by 24 publications

(10 citation statements)

References 2 publications

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“…Physiologically, it is well established that nociceptive afferents are not influenced by sympathetic fibers under normal conditions [166,167]. However, there may be sympathetic activation of sensitized/pathological norepinepherine receptors in the neuroma or the residual limb tissues [168] or sympathetically triggered afferent transmission [164]. The neuroma shows sensitivity to a variety of compounds including norepinephrine [28].…”

Section: Efferent Sympathetic Mechanism As a Target For Treatmentmentioning

confidence: 99%

“…Interestingly, post amputation residual limbs are consistently cooler than the contralateral unaffected limb, which has been linked to sympathetic dysfunction [155]. Using quantitative thermography, a “patchy asymmetric” temperature distribution in the residual limb has been demonstrated, specifically in patients suffering from residual limb pain [168]. Excessive sweating has been noted in some residual limbs [162] and skin conductance (an indirect correlate of sudomotor activation) significantly correlates with the intensity of PLP but not with other qualities of phantom sensation [107].…”

Section: Efferent Sympathetic Mechanism As a Target For Treatmentmentioning

confidence: 99%

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Phantom Limb Pain: A Systematic Neuroanatomical-Based Review of Pharmacologic Treatment

et al. 2013

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Currently, the best evidence (level 2) exists for the use of IV ketamine and IV morphine for the short-term perioperative treatment of PLP and PO morphine for an intermediate to long-term treatment effect (8 weeks to 1 year). Level 2 evidence is mixed for the efficacy of perioperative epidural anesthesia with morphine and bupivacaine for short to long-term pain relief (perioperatively up to 1 year) as well as for the use of gabapentin for pain relief of intermediate duration (6 weeks).

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Section: Efferent Sympathetic Mechanism As a Target For Treatmentmentioning

confidence: 99%

Section: Efferent Sympathetic Mechanism As a Target For Treatmentmentioning

confidence: 99%

Phantom Limb Pain: A Systematic Neuroanatomical-Based Review of Pharmacologic Treatment

et al. 2013

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“…This relationship has been demonstrated for throbbing, burn-ing, and tingling descriptions of phantom limb pain, but not for any other descriptions (e.g., tearing, cramping). Using thermography to examine blood flow to the stump, Kristen et al 85 recorded a significant difference between stump temperature (28ЊC) and the temperature of the contralateral limb (31ЊC). This study found that phantom limb pain is more likely to occur if the distribution of stump temperature is patchy.…”

Section: Measurement Of Phantom Limb Painmentioning

confidence: 99%

“…To support this argument, Sherman and his coworkers draw on the results of recent research showing that one class of phantom limb pain, which is characterized by "thermal" qualities, is associated with decreased blood flow to the stump and is described as burning phantom limb pain. [83][84][85] A separate class of phantom limb pain characterized by a "cramping" quality is associated with spike activity recorded from electromyography (EMG) of muscles within the stump. In the same study, no association was found between EMG spike activity and "thermal" descriptors of phantom limb pain.…”

Section: Multicausal Theoriesmentioning

confidence: 99%

Phantom Limb Pain

Hill

1999

Journal of Pain and Symptom Management

134

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This study presents a review of the literature on the attributes and potential mechanisms involved in phantom limb pain, encompassing studies describing pain in the residual limb, phantom sensation and phantom limb pain, and the difficulties that may arise when making these distinctions. A variety of theories have been proposed to explain causal mechanisms for phantom limb pain. Conceptually, research into phantom limb pain is informed by the particular theory of chronic pain that is dominant at the time the research is undertaken. For example, early physiological theories on the etiology of phantom limb pain were grounded in specificity or pattern theories of pain. Later physiological research was based on the framework provided by Gate Control Theory and focused on identifying peripheral, spinal, and central neural mechanisms. Psychological explanations were grounded in psychoanalytic or personality theories of chronic pain which propose that phantom limb pain results from pre-amputation psychological disturbance. Despite numerous studies examining phantom limb pain, much of this research has both conceptual and methodological shortcomings. As such, the application of these research findings to clinical practice has limited utility.

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“…Kristen et al [7] performed a quantitative study in which a thermal imaging camera was used for such pressure measurements in sockets requires proper measuring technology, appropriate sensors and proper sensor positioning and data collection. An ideal pressure sensor should facilitate the monitoring of the actual surface tension, i.e.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical and Thermographic Analysis in the Transtibial Prosthesis Socket - Stump Interface

Živčák¹,

Hudák²,

Rajťúková³

2015

AMS

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The study deals with the problem of a biomechanical solution for human locomotion after amputation of a lower limb. With unsuitably designed sockets for transtibial prostheses interaction between the socket and the stump occurs, leading to increased friction and subsequent surface damage to the soft tissue. This damage is manifested in local increases in the temperature of the affected area. With individual types of transtibial prostheses, sites which can be loaded and which cannot be loaded are defined. On the basis of a study of the anterior side of the stump three loadable and two non-loadable areas were monitored using a thermal imaging camera and a pressure sensor. Methods of measuring individual values were proposed for the purpose of sensing temperature and pressure. For sensing the surface temperature of the selected areas on the stump a thermal imaging FLIR SC-660 camera (Wilsonville, Oregon, USA) was used. The working of pressure on the sockets of transtibial prostheses were sensed using a Tactilus pressure sensor from the company Sensor Products Inc. (Madison, New Jersey, USA). In the submitted work 11 stumps were non-invasively monitored without interrupting the integrity of the skin. On the basis of the proposed method of assessing the distribution of temperature it was determined that in the case of a suitably made prosthesis no significant change of temperature occurs in any of the monitored areas. The results obtained by the temperature and pressure measurement were statistically processed.

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Thermography as a means for quantitative assessment of stump and phantom pains

Cited by 24 publications

References 2 publications

Phantom Limb Pain: A Systematic Neuroanatomical-Based Review of Pharmacologic Treatment

Phantom Limb Pain: A Systematic Neuroanatomical-Based Review of Pharmacologic Treatment

Phantom Limb Pain

Biomechanical and Thermographic Analysis in the Transtibial Prosthesis Socket - Stump Interface

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