Amputees
Conditions
Keywords
Motor control Laterality, Pain Perception, Lower Extremity, Complementary Therapies, Physical Therapy Modalities
Brief summary
This study evaluates the effectiveness of imagery motor on phantom pain and amputation process
Detailed description
The expected increase in the number of amputations in the coming decades requires special attention to the common effect after called phantom limb amputation. That term refers to the phenomena covering the sensations that occur in the affected limb and whose prevalence rate is an important part of amputees subjects. Developed theories about their origin focus their attention on the central nervous system and the peripheral nervous system. Thus, the imaginary movement is a complex cognitive, sensory and proprioceptive process leading to a mental representation of movement and it is a widely used technique in neurological rehabilitation and complex pain syndrome.
Interventions
OTHERTreatment Traditional and Imaginary Motor Program
Amputees patients also conservative protocol will undergo physiotherapy techniques work Imaginary Motor. The first video will include two sequences of a harmonic gear that will allow the patient to examine, with the physiotherapist, the characteristics of the different body segments involved in locomotion and place the member in space. The second video include an analysis in five phases: a) relaxation of Benson, b) phase external imagination where cycles of normal running on a video provided by the physiotherapist, c) phase internal imagination where the patient will identify the problem discussed compared with the normal course presented in the video, d) recreation of images in the first person made an e normalized locomotion) closing his eyes, prompted the patient to mentally recreate sequences normal gait and analyzed and subsequently verbalize differences of these with respect to their own way of getting around.
OTHERTreatment Traditional and Mirror Therapy
Amputees patients also conservative protocol will undergo physiotherapy techniques mirror therapy work. The protocol will consist of mirror therapy sessions three days a week (25-30 minutes) for a month, where participants will move the intact limb looking in the mirror and imagining the movement of the limb with phantom sensation.
Sponsors
Universidad de Almeria
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. Pain in the stump area ≥ 3 months, no intermittent 2. Have three months elapsed amputation, 3. Submit subjective sensation of phantom limb not blinking
Exclusion criteria
* Clinical signs of radiculopathy. * Lumbar stenosis, fibromyalgia, spondylolisthesis. * History of spinal surgery. * Corticosteroid therapy in the past two weeks. * Disease of the central nervous system or peripheral.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Numerical Rating Scale (NRS) | Changes from Baseline Numerical Rating Scale at one month. Changes from Baseline Numerical Rating Scale at three months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Catastrophizing Scale (PCS) | Changes from Baseline Pain Catastrophizing Scale at one month. Changes from Baseline Pain Catastrophizing Scale at three months | — |
| Pain Management Inventory | Changes from Baseline Pain Management Inventory at one month. Changes from Baseline Pain Management Inventory at three months | — |
| McGiII Pain Questionnaire (MPQ) | Changes from Baseline McGiII Pain Questionnaire at one month. Changes from Baseline McGiII Pain Questionnaire at three months | — |
| The Vividness of Visual Imagery Questionnaire | Changes from Baseline Vividness of Visual Imagery Questionnaire at one month and three months | — |
| Beck Depression Inventory | Changes from Baseline Beck Depression Inventory at one month. Changes from Baseline Beck Depression Inventory at three months | — |
| Neuropathic Pain Questionnaire (DN4) | Changes from Baseline Neuropathic Pain Questionnaire at one month. Changes from Baseline Neuropathic Pain Questionnaire at three months | — |
| Tampa Scale for Kinesiophobia (TSK) | Changes from Baseline Tampa Scale for Kinesiophobia at one month. Changes from Baseline Tampa Scale for Kinesiophobia at three months | — |
| West-Haven-Yale Multidimensional Pain Inventory | Changes from Baseline West-Haven-Yale Multidimensional Pain Inventory at one month. Changes from Baseline West-Haven-Yale Multidimensional Pain Inventory at three months | — |
| The Barthel Index of ADLs | Changes from Baseline Barthel Index of ADLs at one month. Changes from Baseline Barthel Index of ADLs at three months | — |
| Instrumental Activities of Daily Living Scale (IADL) | Changes from Baseline Instrumental Activities of Daily Living Scale at one month. Changes from Baseline Instrumental Activities of Daily Living Scale at three months | — |
| The Functional Independence Measure Scale (FIM) | Changes from Baseline Functional Independence Measure Scale at one month. Changes from Baseline Functional Independence Measure Scale at three months | — |
| Quality of Life Questionnaire scoring (SF36) | Changes from Baseline Quality of Life Questionnaire Scoring at one month. Changes from Baseline Quality of Life Questionnaire Scoring at three months | — |
| Multidimensional Body Self Relations Questionnaire (MBSRQ) | Changes from Baseline Multidimensional Body Self Relations Questionnaire at one month. Changes from Baseline Multidimensional Body Self Relations Questionnaire at three months | — |
| Pressure Algometer (kg/cm2) | Changes from Baseline Pressure Algometer at one month. Changes from Baseline Pressure Algometer at three months | Pressure algometer in lumbar pain, amputated limb and health limb |
Countries
Spain
Outcome results
None listed