Phantom pain in lower limb amputees as a predictive factor for the acquisition oft gait with prosthesis use

Authors

  • Karla Barros Bezerra Lima Universidade Federal de São Paulo
  • Therezinha Rosane Chamlian Universidade Federal de São Paulo
  • Danilo Masiero Universidade Federal de São Paulo

DOI:

https://doi.org/10.11606/issn.2317-0190.v13i3a102743

Keywords:

Phantom Pain, Amputees, Gait

Abstract

The amputees' rehabilitation follows distinct phases: the patient's general assessment, preparation for the prosthetic use and prosthetic fitting. For all these phases to be successful, it is essential for the patient to be in good health, with no alterations that would impair the rehabilitation. Pathological signs and/or symptoms that persist over time are an impediment for a good rehabilitation evolution. The presence of persistent phantom pain impairs the amputee's rehabilitation, especially the gait acquisition with the prosthesis fitting. This is the hypothesis suggested in this literary review and its objective is to show the relationship between phantom pain and gait improvement with prosthesis use in lower limb amputees. After analyzing 11 studies selected from MEDLINE, LILACS and other electronic sources, we concluded that phantom pain tends to complicate the prosthesis gait improvement; however, if the prosthesis fitting is successful, it can minimize the painful phantom sensations.

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References

Pignatari TRC, Lahoz GL, Corvelo MC. Reabilitação em amputados. In: Manual de Medicina Física e Reabilitação do Departamento de Ortopedia e Traumatologia da Escola Paulista de Medicina. São Paulo: Unifesp/EPM; 1993.

Matiotti MLV, Lianza S. A reabilitação do amputado. In: Lianza S. Medicina de reabilitação. Rio de Janeiro: Guanabara Koogan; 1995. p.121-32.

Pohjolainen T, Alaranta H, Karkkainen M. Prosthetic use and functional and social outcome following major lower limb amputation. Prosthet Orthot Int. 1990;14(2):75-9.

Ehde DM, Czerniecki JM, Smith DG, Campbell KM, Edwards WT, Jensen MP, et al. Chronic phantom sensations, phantom pain, residual limb pain, and other regional pain after lower limb amputation. Arch Phys Med Rehabil. 2000;81(8):1039-44.

Melzack R. Phantom limbs. Sci Am. 1992;266(4):120-6.

Davis RW. Phantom sensation, phantom pain, and stump pain. Arch Phys Med Rehabil. 1993;74(1):79-91.

Wilkins KL, McGrath PJ, Finley GA, Katz J. Phantom limb sensations and phantom limb pain in child and adolescent amputees. Pain. 1998;78(1):7-12.

Helm P, Engel T, Holm A, Kristiansen VB, Rosendahl S. Function after lower limb amputation. Acta Orthop Scand. 1986;57(2):154-7.

Houghton AD, Nicholls G, Houghton AL, Saadah E, McColl L. Phantom pain: natural history and association with rehabilitation. Ann R Coll Surg Engl. 1994;76(1):22-5.

Krane EJ, Heller LB. The prevalence of phantom sensation and pain in pediatric amputees. J Pain Symptom Manage. 1995;10(1):21-9.

Wartan SW, Hamann W, Wedley JR, McColl I. Phantom pain and sensation among British veteran amputees. Br J Anaesth. 1997;78(6):652-9.

Dillingham TR, Pezzin LE, MacKenzie EJ, Burgess AR. Use and satisfaction with prosthetic devices among persons with trauma-related amputations: a long-term outcome study. Am J Phys Med Rehabil. 2001;80(8):563-71.

Hagberg K, Branemark R. Consequences of non-vascular trans-femoral amputation: a survey of quality of life, prosthetic use and problems. Prosthet Orthot Int. 2001;25(3):186-94.

Murray CD, Fox J. Body image and prosthesis satisfaction in the lower limb amputee. Disabil Rehabil. 2002;24(17):925-31.

Whyte AS, Carroll LJ. A preliminary examination of the relationship between employment, pain and disability in an amputee population. Disabil Rehabil. 2002;24(9):462-70.

Borsje S, Bosmans JC, van der Schans CP, Geertzen JH, Dijkstra PU. Phantom pain: a sensitivity analysis. Disabil Rehabil. 2004;26(14-15):905-10.

Whyte A, Carroll LJ. The relationship between catastrophizing and disability in amputees experiencing phantom pain. Disabil Rehabil. 2004;26(11):649-54.

Whyte AS, Niven CA. Variation in phantom limb pain: results of a diary study. J Pain Symptom Manage. 2001;22(5):947-53.

Wu CL, Tella P, Staats PS, Vaslav R, Kazim DA, Wesselmann U, et al. Analgesic effects of intravenous lidocaine and morphine on postamputation pain: a randomized double-blind, active placebo-controlled, crossover trial. Anesthesiology. 2002;96(4):841-8.

Dijkstra PU, Geertzen JH, Stewart R, van der Schans CP. Phantom pain and risk factors: a multivariate analysis. J Pain Symptom Manage. 2002;24(6):578-85.

Pohjolainen T, Alaranta H, Wikstrom J. Primary survival and prosthetic fitting of lower limb amputees. Prosthet Orthot Int. 1989;13(2):63-9.

Weiss T, Miltner WH, Adler T, Bruckner L, Taub E. Decrease in phantom limb pain associated with prosthesis-induced increased use of an amputation stump in humans. Neurosci Lett. 1999;272(2):131-4.

van der Schans CP, Geertzen JH, Schoppen T, Dijkstra PU. Phantom pain and healthrelated quality of life in lower limb amputees. J Pain Symptom Manage. 2002;24(4):429-36.

Published

2006-12-09

Issue

Section

Review Article

How to Cite

1.
Lima KBB, Chamlian TR, Masiero D. Phantom pain in lower limb amputees as a predictive factor for the acquisition oft gait with prosthesis use. Acta Fisiátr. [Internet]. 2006 Dec. 9 [cited 2024 May 18];13(3):157-62. Available from: https://revistas.usp.br/actafisiatrica/article/view/102743