Phantom Pain and Sensation Among British Veteran Amputees

Wartan, S. W.; Hamann, Wolfgang; Wedley, J.R.; McColl, Ian

doi:10.1097/00132586-199806000-00044

Cited by 20 publications

(33 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Traditionally (in the Vietnam war era), mechanical/body-powered prostheses were provided initially, which was problematic because use of a mechanical/body-powered prosthesis requires the surgical site to be healed and the residual limb shaped and desensitized. Subsequent studies have shown a positive relationship between early fitting, satisfaction, and use [3,6,31,[35][36][37][38][39][40]. An additional benefit of myoelectric/hybrid prosthesis use has been the reduction in phantom limb pain [41].…”

Section: Discussionmentioning

confidence: 99%

“…In 2005, 41,000 persons in the United States were living with major upper-limb loss, 62 percent of whom had trauma-related injuries [2]. The proportion of trauma-related upper-limb loss increases during times of warfare: limb loss involved the upper limb in 14 to 15 percent of 5,283 Vietnam servicemembers [4][5], 18.5 percent of 89 British World War II veterans [6], 14 percent of 14 Persian Gulf servicemembers [7], and 12.5 percent of 200 Iraq-Iran conflict servicemembers during the late 1980s [8][9][10][11][12]. As of January 2009, 161 (22%) of 737 servicemembers in the Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) conflict had limb loss involving the upper limb.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Unilateral upper-limb loss: Satisfaction and prosthetic-device use in veterans and servicemembers from Vietnam and OIF/OEF conflicts

McFarland¹,

Winkler²,

Heinemann³

et al. 2010

JRRD

192

136

View full text Add to dashboard Cite

Abstract-Prosthetic use and satisfaction in wounded servicemembers and veterans with unilateral upper-limb loss has not been thoroughly explored. Through a national survey, we enrolled 47 participants from the Vietnam conflict and 50 from Operation Iraqi Freedom/Operation Enduring Freedom (OIF/ OEF) with combat-associated major unilateral upper-limb loss. Upper-limb prosthetic devices were used by 70% of the Vietnam group and 76% of the OIF/OEF group. Mechanical/bodypowered upper-limb devices were favored by the Vietnam group, while a combination of myoelectric/hybrid and mechanical/body-powered devices were favored by the OIF/OEF group. Upper-limb devices were completely abandoned in 30% of the Vietnam and 22% of the OIF/OEF groups. Abandonment was more frequent for transhumeral and more proximal levels (42% of Vietnam and 40% of OIF/OEF) than more distal limb-loss levels. Upper-limb prostheses were rejected because of dissatisfaction with the device by significantly fewer (23%) members of the Vietnam group than the OIF/OEF group (45%) (p < 0.001). Most common reasons for rejection included pain, poor comfort, and lack of functionality. A significant paradigm shift has been noted in the OIF/OEF group, who use a greater number and diversity of upper-limb prostheses than the Vietnam group.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Unilateral upper-limb loss: Satisfaction and prosthetic-device use in veterans and servicemembers from Vietnam and OIF/OEF conflicts

McFarland¹,

Winkler²,

Heinemann³

et al. 2010

JRRD

192

136

View full text Add to dashboard Cite

show abstract

“…There is evidence that there are misconceptions among health professionals about the likely occurrence of pain in those with physically disabling conditions (Piwko, et al, 2007). Indeed, studies of people with pain associated with various conditions, including spinal cord injury, cerebral palsy, and multiple sclerosis, indicate that those affected perceive the available treatments and access to them to be inadequate (Cardenas, et al, 2009;Henwood & Ellis, 2004;Kennedy, Lude, & Taylor, 2006;Pollmann, Feneberg, & Erasmus, 2004;Wartan, Hamann, Wedley, & McColl, 1997). In addition, the economic costs of pain among those with physically disabling conditions appears to be large, with a Canadian study estimating that the cost of pain among people multiple sclerosis over a 6 month period was Can$80 million (Piwko, et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Chronic Pain in People with Physically Disabling Conditions: A Review of the Application of Biopsychosocial Models

Perry¹

2012

Pain Management - Current Issues and Opinions

View full text Add to dashboard Cite

“…[1][2][3][4][5] This wide range may be ascribed to differences in study populations, in the place of amputation (upper or lower limb), in the research design (prospective, retrospective or crosssectional) and in the method of assessment (interview or questionnaire), to a lack of a clear definition of phantom pain, or it may be ascribed to differences in cut-off points for phantom pain. 1,4,[6][7][8][9] Generally, it is assumed that phantom pain decreases slightly over time. However, the prevalence rate remains more or less constant, but the duration and frequencies of phantom pain attacks decrease.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with phantom limb pain: a 3½-year prospective study

et al. 2010

View full text Add to dashboard Cite

Objective: To analyse the prevalence of phantom (limb) pain over time and to analyse factors associated with phantom (limb) pain in a prospective cohort of amputees. Design: A multicentre longitudinal study. Patients: One hundred and thirty-four patients scheduled for amputation were included. Methods: Patients filled in questionnaires before amputation, and postal questionnaires six months, 1½ years and 2½ years to a maximum of 3½ years after amputation. Preoperative assessment included patients' characteristics, date, side and level of, and reason for amputation. The follow-up questionnaires assessed the frequencies of the experienced phantom pain, prosthetic use and walking distance. The occurrence of phantom pain was defined as phantom pain a few times a day or more frequently. Results: Pre-and postoperative questionnaires were available filled in by 85 amputees (33 females and 52 males). The percentage of lower limb amputees with phantom pain was the highest at six months after amputation, and of upper limb amputees at 1½ years. In general, more women than men experienced phantom pain. One and a half years and 2½ years after amputation the highest percentages of the lower limb amputees used their prosthesis more than 4 hours a day (66%), after that time this percentage decreased to 60%. The results of the two-level logistic regression analysis to predict phantom pain show that phantom pain was less frequently present in men (odds ratio (OR) ¼ 0.12), in lower limb amputees (OR ¼ 0.14) and that it decreased in due course (OR ¼ 0.53 for 1 year). Conclusion: Protective factors for phantom pain are: being male, having a lower limb amputation and the time elapsed since amputation.

show abstract

Phantom Pain and Sensation Among British Veteran Amputees

Cited by 20 publications

References 0 publications

Unilateral upper-limb loss: Satisfaction and prosthetic-device use in veterans and servicemembers from Vietnam and OIF/OEF conflicts

Unilateral upper-limb loss: Satisfaction and prosthetic-device use in veterans and servicemembers from Vietnam and OIF/OEF conflicts

Chronic Pain in People with Physically Disabling Conditions: A Review of the Application of Biopsychosocial Models

Factors associated with phantom limb pain: a 3½-year prospective study

Contact Info

Product

Resources

About