Background and aim: Although mirror therapy (MT) and phantom exercises (PE) have been shown to reduce pain, the efficacy of these methods in terms of pain, quality of life (QoL) and psychological status (PS) has not been investigated and compared to date. The aim of this study was to determine whether there is any difference between MT and PE in the treatment of phantom limb pain (PLP).
Materials and methods: Forty unilateral transtibial amputees (aged 18-45 YR) participated in this study. Subjects were randomly divided into ‘MT group’ and ‘PE group’. QoL was assessed using Short-Form 36 (SF-36), psychological status using the Beck Depression Inventory (BDI) and pain intensity using a Visual Analog Scale (VAS), before and at the end of the program, and on the 3rd and 6th months thereafter.
Results: All assessments for all parameters improved significantly in both groups (p<0.05). Comparison of the two groups revealed a significant difference in changes for VAS and BDI in all measurements, and in pre- and post-treatment scores for all SF-36 parameters (except for Role-Emotional) in favor of MT group (p<0.05).
Conclusion: While pain intensity decreased and QoL and PS improved in both MT and PE groups, these improvements were greater in the MT group.
Keywords: Mirror therapy, Phantom exercises, Phantom limb pain, Physiotherapy, Rehabilitation
Reports in the rehabilitation literature suggest that patients with trans-femoral amputation ambulate well after suitable prosthetic treatment. The effects of exercise protocols on function, however, have not been documented in this population. This study was conducted to compare the outcome of traditional and proprioceptive neuromuscular facilitation (PNF) techniques on weight bearing and gait. Fifty unilateral trans-femoral amputees who were attending for their first prosthesis, participated in this study. Amputees were randomly assigned into groups receiving the traditional training or PNF. Traditional treatment was consisted of weight-shifting, balancing, stool-stepping and gait exercises. In the other group the same activities were given by PNF. Amputees were trained 30 minutes daily, for a total of 10 treatments. Pre-and post-training assessment included weight bearing measurements by using two bathroom scales and time-distance characteristics of gait from footprints. A statistically significant difference was found in all parameters within the groups due to pre-and post-training evaluation data (p<0.05), but more obvious improvement was observed in the group who received PNF (p<0.05). The results of the study suggest that the prosthetic training based on proprioceptive feedback was more effective All correspondence to be addressed to K. Yiğiter,
Phantom exercises appear to be effective in reducing phantom pain, but further research is required to confirm this.The results of this study indicate that phantom exercises can be used safely to alleviate phantom limb pain in lower and upper limb amputees.
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