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Effects of a somatosensory discrimination training on phantom limb pain in amputees

机译:躯体感觉辨别训练对患者幻影肢体疼痛的影响

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Phantom limb pain (PLP) as a form of neuropathic pain might result from changes at several levels of the peripheral and central nervous system. Central plasticity is difficult to treat. Somatosensory discrimination training (SDT) at the stump is one possibility to reduce central plasticity and PLP. The study was aimed to replicate previous findings in arm amputees in a patient with upper leg amputation.We describe a case report of one patient with upper leg amputation. He received SDT for 10 days (2 weeks, 2 hours/day). Discrimination was measured at the beginning and the end of each training session. Assessment of PLP was performed using different inventories such as McGill Pain questionnaire and VAS.We found an increase in somatosensory discrimination during training. More interestingly, PLP decreased over time. We thus replicated that SDT is able to reduce PLP.
机译:Phantom LiMB疼痛(PLP)作为神经性疼痛的形式可能因周围和中枢神经系统的几个层次的变化而导致。中央可塑性难以治疗。树桩处的躯体感觉歧视培训(SDT)是减少中央可塑性和PLP的一种可能性。该研究旨在复制上腿截肢的患者手臂急需的先前发现。我们描述了一个患有高腿截肢的患者的病例报告。他收到了SDT 10天(2周,2小时/天)。在每个培训课程的开始和结束时衡量歧视。使用不同的库存进行PLP评估,例如McGill疼痛问卷调查问卷和VAS.WE在培训期间发现患有躯体感觉歧视的增加。更有趣的是,PLP随着时间的推移而下降。因此,我们复制了SDT能够减少PLP。

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