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Titre : | Efficacy of Progressive Muscle Relaxation, Mental Imagery, and Phantom Exercise Training on Phantom Limb: A Randomized Controlled Trial (2015) |
Auteurs : | Stefano Brunelli ; Giovanni Morone ; Marco Iosa |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/2, 2015) |
Article en page(s) : | p. 181-187 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Amputation ; Douleur chronique ; Membre fantôme ; Rééducation et réadaptation |
Mots-clés: | Amputation chirurgicale ; Chronic pain ; Phantom limb ; Sensation |
Résumé : |
Objective To evaluate the reduction in phantom pain and sensation with combined training of progressive muscle relaxation, mental imagery, and phantom exercises. Design Randomized controlled prospective trial with 2 parallel groups. Setting Amputee unit of a rehabilitation hospital. Participants Subjects with unilateral lower limb amputation (N=51) with phantom limb pain (PLP) and/or phantom limb sensation (PLS). Interventions The experimental group performed combined training of progressive muscle relaxation, mental imagery, and phantom exercises 2 times/wk for 4 weeks, whereas the control group had the same amount of physical therapy dedicated to the residual limb. No pharmacological intervention was initiated during the trial period. Main Outcome Measures The Prosthesis Evaluation Questionnaire and the Brief Pain Inventory were used to evaluate changes over time in different aspects (intensity, rate, duration, and bother) of PLS and PLP. Blind evaluations were performed before and after treatment and after 1-month follow-up. Results The experimental group showed a significant decrease over time in all the Prosthesis Evaluation Questionnaire domains (in terms of both PLS and PLP; P<.04 for both and the brief pain inventory no statistically significant changes were observed in control group. between-group analyses showed a reduction intensity worst bother of plp rate pls at follow-up evaluation month after end treatment.> Conclusions Combined training of progressive muscle relaxation, mental imagery, and modified phantom exercises should be taken into account as a valuable technique to reduce phantom limb pain and sensation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314011654 |