Phantom Limb Pain
Conditions
Keywords
phantom limb pain, mirror therapy, amputees, phantom limb, occupational therapy
Brief summary
The aim of the study is the measurement of the short term effect of post surgical mirror therapy concerning pain intensity and frequency of patients with upper or lower amputation in comparison to standard occupational or physical therapy. The hypothesis is that patients in the intervention group (mirror therapy) suffer significantly less from phantom limb pain and pain attacks within a follow-up period of 4-8 weeks.
Detailed description
Aim: * Measurement of the short term effect of post surgical/ post-operative mirror therapy concerning pain intensity of patients with upper or lower amputation in comparison to standard occupational/ physical therapy * Hypothesis: patients in the intervention group (mirror therapy) suffer from significant less phantom limb pain and a lower pain frequency within a follow-up period of 4-8 weeks Methods: * Design: multicenter, prospective, randomized controlled trial * Participants: 70, 35 per intervention and con-trol group * Intervention group: treatment sessions of 60 minutes with mirror therapy over a period of 14 days starting directly post surgical (24-48 hours) * Control group: receive treatment session of 60 minutes with the same treatment frequency over a period of 14 days * Measurement tools: Primary objectives * pain intensity (11 point NRS, phantom limb in-tensity) * pain frequency (amount of pain attacks) Secondary objectives * diary * daily assessment of mirror and physical thera-py sessions * analysis: * in significant differences between the groups a covariance analysis will be performed * comparison of medians
Interventions
\- Intervention group: treatment sessions of 60 minutes with mirror therapy over a period of 14 days starting directly post surgical (24-48 hours)
Sponsors
Study design
Eligibility
Inclusion criteria
* major amputation of lower and upper body * phantom pain, or pain attacks in combination with a treatment wish * age of 18 years * signed informed consent * linguistic and cognitive comprehension
Exclusion criteria
* bilateral amputation * major neurologic comorbidities (stroke, Parkinson disease) * morbidities of the contralateral side with functional limitations * experience with long term standardised mirror therapy * internal comorbidities (pAVK) * psychological comorbidities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Current pain intensity | after 14 treatment sessions | Current Pain intensity assessed by the Numeric Rating Scale (0-10) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Frequence of pain attacks | after 14 treatment sessions | Total number of phantom limb pain attacks per day is documented |
Countries
Germany