The participants eyes should always focus on the reflection of the intact limb and symmetrical movements with both limbs take place. The mirror therapy took place every day for four weeks and it involved standing side on with the sound limb in front of a flat mirror (130cmx46cm). PME were repeated until the pain subsided completely with a maximum of 15 repetitions in one session. The movements included any physiological movements and the movements were repeated until the pain disappeared. to move both limbs in opposite directions.to place their intact limb at the same position as they felt their phantom limb.about the position at which they were feeling their phantom limb.PME exercises included the a form of mental imagery where the participants imagines moving the phantom limb and attempting to perform movements. Patients who were 18-60 years old with phantom limb pain scoring 4 or more on the VAS were eligible for the trial.īoth groups received 15 minutes of mirror therapy and 20 minutes of routine therapy with the experimental group also receiving 15 minutes of phantom motor execution (PME) exercises. 24 patients were split into two groups (experimental and control) using a sealed envelope method. This study is a single blinded RCT which took place in Pakistan. There is one technique, phantom motor execution (phantom exercises or PME) which is thought to be an effective treatment but has been less researched.Ī new RCT published in BMC has set out to evaluate the impact of adding PME exercises to mirror therapy and conventional physiotherapy treatment. Both of these approaches have sound evidence supporting their use.
Lots of treatments exist for PLP including mirror therapy and traditional therapy techniques such as stretching and strengthening. Because of this a multi-modal treatment approach is though to be most effective. Learn To Create a Comprehensive Rehab Plan for AmputeesĪlthough there is no consensus on the exact causes of PLP it is thought that spinal, peripheral and supra spinal mechanisms play a role in the cause of the pain.
#DOES PHANTOM PAIN MANAGEMENT WORK ON OLD AMUPTEES SKIN#
The difference between residual limb pain and phantom limb pain is that the pain from residual pain originates from physical impairments such as skin conditions, vascular abnormalities, the healing process and bone disorders etc, whereas phantom pain is a neurological condition. Although it usually subsides up to 10% of people have prolonged symptoms. Phantom limb pain (PLP) is a complex phenomenon which is estimated to affect up to 3/4s of amputees.
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