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Training with virtual visual feedback to alleviate phantom limb pain
Neurorehabilitation and Neural Repair, 07/10/09
Mercier C et al. – Results support the use of training with virtual feedback to alleviate phantom limb pain. Our observations suggest that between-participant differences in the effectiveness of the treatment might be related more to a difference in the susceptibility to the virtual visual feedback, than to factors related to the lesion, such as the duration of the deafferentation.
Methods- Study of the individual response to training with visual virtual feedback and to explore factors influencing the response to that approach
- Single case multiple baseline study of 8 male pts with phantom limb pain (PLP) resulting from either a traumatic upper limb amputation or brachial plexus avulsion
- Training 2 times/wk for 8 wks
- Pts reported an average 38% decrease in background pain on visual analog scale, with 5 pts of 8 reporting a reduction >30%
- Decrease in pain maintained at 4 wks postintervention in 4 of 5 pts
- No significant relationship between long-term pain relief and duration of deafferentation or with immediate pain relief during exposure to feedback
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