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This study evaluates the effectiveness of imagery motor on phantom pain and amputation process
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Traditional and Motor Imaginary Program | Experimental | Amputees patients also conservative protocol will undergo physiotherapy techniques work Motor Imaginary Program, based on a system of two videos that allow the patient to recreate the "normal" way. 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. This protocol will be applied 3 days a week (25-30minutos) for one month. |
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| Treatment Traditional and Mirror Therapy | Active Comparator | Amputees patients also conservative protocol will undergo physical therapy 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Treatment Traditional and Imaginary Motor Program | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Numerical Rating Scale (NRS) | Changes from Baseline Numerical Rating Scale at one month. Changes from Baseline Numerical Rating Scale at three months |
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Adelaida MarÃa Castro-Sánchez, PhD | Universidad de Almeria | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital de Puerto Real | Cadiz | 11510 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18295618 | Background | Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the prevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehabil. 2008 Mar;89(3):422-9. doi: 10.1016/j.apmr.2007.11.005. | |
| 16213230 | Background | Ephraim PL, Wegener ST, MacKenzie EJ, Dillingham TR, Pezzin LE. Phantom pain, residual limb pain, and back pain in amputees: results of a national survey. Arch Phys Med Rehabil. 2005 Oct;86(10):1910-9. doi: 10.1016/j.apmr.2005.03.031. |
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| ID | Term |
|---|---|
| D000088762 | Mirror Movement Therapy |
| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D013812 | Therapeutics |
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|
| Treatment Traditional and Mirror Therapy | Other | 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. |
|
| 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 |
| Pressure Algometer (kg/cm2) | Pressure algometer in lumbar pain, amputated limb and health limb | Changes from Baseline Pressure Algometer at one month. Changes from Baseline Pressure Algometer 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 |
| 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 |
| 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 |
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| 37276273 | Derived | B Aledi L, Flumignan CD, Trevisani VF, Miranda F Jr. Interventions for motor rehabilitation in people with transtibial amputation due to peripheral arterial disease or diabetes. Cochrane Database Syst Rev. 2023 Jun 5;6(6):CD013711. doi: 10.1002/14651858.CD013711.pub2. |