Mirror Therapy for Phantom Limb Pain

Kim, Sae Young; Kim, Yun Young

doi:10.3344/kjp.2012.25.4.272

Cited by 71 publications

(56 citation statements)

References 14 publications

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“…Among the studies in the literature, mirror therapy was practiced on regular basis and the duration of therapy sessions was 10-30 minutes. [33,[35][36][37][38] In the case study of Darnal (2009), patient stated that when he stopped doing mirror therapy, PLP started again after 1-2 days. In this study, patients were asked to practice mirror therapy every day for at least 20 minutes.…”

Section: Discussionmentioning

confidence: 99%

“…There are certain findings which proove that mirror therapy decreases PLP by helping the regression of changed cortical map. [28][29][30][31][32][33][34][35][36][37][38][39] Patients with cosmetic prostheses took off the prostheses only when practicing mirror therapy. For a large portion of the day, they were wearing the prosthesis, and thus, may be blocking possible positive effect of mirror therapy on their cortical brain map.…”

Section: Discussionmentioning

confidence: 99%

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The Effect of Mirror Therapy on the Management of Phantom Limb Pain

Yildirim

Kanan

2016

Agri

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SummaryObjectives: In the last two decades, mirror therapy has become a frequently used method of managing phantom limb pain (PLP). However, the role of nurses in mirror therapy has not yet been well defined. This study examined the effect of mirror therapy on the management of PLP, and discusses the importance of mirror therapy in the nursing care of amputee patients. Methods: This quasi-experimental study was conducted in the pain management department of a university hospital and a prosthesis clinic in İstanbul, Turkey, with 15 amputee patients who had PLP. Forty minutes of practical mirror therapy training was given to the patients and they were asked to practice at home for 4 weeks. Patients were asked to record the severity of their PLP before and after the therapy each day using 0-10 Numeric Pain Intensity Scale. Results: Mirror therapy practiced for 4 weeks provided a significant decrease in severity of PLP. There was no significant relationship between the effect of mirror therapy and demographic, amputation or PLP-related characteristics. Patients who were not using prosthesis had greater benefit from mirror therapy. Conclusion: Mirror therapy can be used as an adjunct to medical and surgical treatment of PLP. It is a method that patients can practice independently, enhancing self-control over phantom pain. As mirror therapy is a safe, economical, and easy-to-use treatment method, it should be considered in the nursing care plan for patients with PLP.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Effect of Mirror Therapy on the Management of Phantom Limb Pain

Yildirim

Kanan

2016

Agri

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“…93% of participants reported vivid sensations of the finger that was missing, 25% of those who reported feeling the finger also reported experiencing tingling or numbness, and 50% experienced a change in the perceived size of the finger which they attributed to the way the experimenter mimed stroking [25]. Another proposed underlying hypothesis behind mirror therapy is that it reduces pain by removing conflicting sensory information that leads to the sensation of pain [22].…”

Section: Previously Proposed Mechanisms Of Phantom Limb and Treatmentsmentioning

confidence: 99%

Etiology of phantom limb syndrome: Insights from a 3D default space consciousness model

Jerath¹,

Crawford²,

Jensen

2015

Medical Hypotheses

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Available online xxxx a b s t r a c tIn this article, we examine phantom limb syndrome to gain insights into how the brain functions as the mind and how consciousness arises. We further explore our previously proposed consciousness model in which consciousness and body schema arise when information from throughout the body is processed by corticothalamic feedback loops and integrated by the thalamus. The parietal lobe spatially maps visual and non-visual information and the thalamus integrates and recreates this processed sensory information within a three-dimensional space termed the ''3D default space.'' We propose that phantom limb syndrome and phantom limb pain arise when the afferent signaling from the amputated limb is lost but the neural circuits remain intact. In addition, integration of conflicting sensory information within the default 3D space and the loss of inhibitory afferent feedback to efferent motor activity from the amputated limb may underlie phantom limb pain.

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“…One treatment option available is mirror box therapy, which has been shown to have an effect in some amputees in reducing PLP [6], [7], however this tends to result in short term relive [8], [9]. It is believed this is due to the amputee embodying the visual mirror image of their intact limb where their amputated limb is located.…”

Section: Introductionmentioning

confidence: 99%

Robotic therapy for phantom limb pain in upper limb amputees

Snow

Sedki

Sinisi

et al. 2017

2017 International Conference on Rehabilitation Robotics (ICORR)

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Abstract-Advances associated in terms of cost and quality in virtual reality have brought new paradigms to help with rehabilitation in a vast range of areas. Previous systems have focused on visual based only paradigms with varied results. The system described in this paper draw not only from visual based approaches but also adding elements of haptics to increase the level of immersion but in combination also invoke the sense of agency in patients with phantom limb pain. This paper presents three case studies of an on-going clinical study. The initial results suggest an increased sense of embodiment of the virtual limb promotes a decrease in perceived levels of pain. The results strengthen the view that the cortical map does not fully "disappear" yet lays dormant.

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Mirror Therapy for Phantom Limb Pain

Cited by 71 publications

References 14 publications

The Effect of Mirror Therapy on the Management of Phantom Limb Pain

The Effect of Mirror Therapy on the Management of Phantom Limb Pain

Etiology of phantom limb syndrome: Insights from a 3D default space consciousness model

Robotic therapy for phantom limb pain in upper limb amputees

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