Phantom Limb Pain
Conditions
Keywords
Phantom Limb Pain, Transcranial Direct Current Stimulation, Amputation, Diabetes Mellitus
Brief summary
* Phantom limb pain (PLP) refers to pain in a limb that has been amputated or deafferented. Phantom limb pain might be related to brain cortical plastic changes. * The purpose of this study is to determine the efficacy of a series of transcranial direct current stimulation (tDCS) sessions, a non-invasive and focal brain stimulation method, in producing long-term reduction of phantom limb pain among amputees who experience such pain. This is a Crossover sham control.
Interventions
8 active treatmments: 2mA anodal stimulation of M1 for 20 minutes (over the relevant cortex area) followed by 8 sham treatments.
8 sham treatments followed by 8 active treatmments: 2mA anodal stimulation of M1 for 20 minutes (over the relevant cortex area).
8 active treatmments: 2mA cathodal stimulation of M1 for 20 minutes (over the relevant cortex area) , followed by 8 sham treatments.
8 sham treatments followed by 8 active treatmments: 2mA cathodal stimulation of M1 for 20 minutes (over the relevant cortex area).
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 to 80 * Limb amputation from at least 6 months before study enrollment * Presence of PLP at least 2 times a week and present 4 weeks prior to onset of study * Written informed consent
Exclusion criteria
* Coexistence of major neurological or psychiatric diseases * Being actively enrolled in a separate study targeting pain relief * Post traumatic stress disorder (PTSD) diagnosed patients * Any contraindication to noninvasive brain stimulation such as past brain surgery, brain implants, cochlear implant, epilepsy or any past seizure * Pregnant women * Within the traumatic amputees group - subjects diagnosed with diabetes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduced phantom limb pain | 5 months after last stimulation session | Reduction of phantom limb pain compared to phantom limb pain before treatment, according to Visual Analog Scales (VAS) evaluation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse effects of treatment | Up to 5 weeks | Severity of any adverse effects related to the transcranial direct current stimulation treatment will be checked after each stimulation session |
| Effects of treatment on the electrical activity of the brain | Up to 5 weeks | Measurement of the electrical activity of the brain before, during and after each stimulation using an electroencephalography (EEG) device. |
Countries
Israel