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    Cardiff university

    Contralateral stimulation, using TENS, of phantom limb pain: two confirmatory cases.

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    OBJECTIVES: This study aims to evaluate the effectiveness of trans-electric nerve stimulation (TENS) for phantom limb pain applied to contralateral limb (nonamputated limb). DESIGN: Two detailed single case studies using TENS on the contralateral limb are reported in a longitudinal study with one-year follow-up. Five variables were measured across this period. The study comprised of five sequential stages (Pre-assessment, Preliminary baseline, Start of intervention, Extended assessment, One-year follow-up). SETTING AND PATIENTS: Patients were identified at the Rookwood Hospital in Cardiff. They subsequently received regular home visits. The first patient was a 24-year-old male who had suffered a left below-elbow amputation following a car crash. The second patient was a 38-year-old male who had a transfemoral right amputation further to a viral infection. MEASURES: The following semistructured interview and questionnaires were used: McGill Comprehensive pain questionnaire part A and B; The Cambridge Phantom Limb Profile; The Groningen Questionnaire: Problems after Arm Amputation; and 13 Visual Analog Scales. CONCLUSIONS: Both patients showed a significant improvement in their perception of phantom limb pain and sensations that was maintained at one-year follow-up. A randomized blinded controlled trial to confirm these positive outcomes is required.

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    Description

    Title : Contralateral stimulation, using TENS, of phantom limb pain: two confirmatory cases.
    Author(s) : Orazio Giuffrida, Lyn Simpson, Peter W Halligan
    Abstract : OBJECTIVES: This study aims to evaluate the effectiveness of trans-electric nerve stimulation (TENS) for phantom limb pain applied to contralateral limb (nonamputated limb). DESIGN: Two detailed single case studies using TENS on the contralateral limb are reported in a longitudinal study with one-year follow-up. Five variables were measured across this period. The study comprised of five sequential stages (Pre-assessment, Preliminary baseline, Start of intervention, Extended assessment, One-year follow-up). SETTING AND PATIENTS: Patients were identified at the Rookwood Hospital in Cardiff. They subsequently received regular home visits. The first patient was a 24-year-old male who had suffered a left below-elbow amputation following a car crash. The second patient was a 38-year-old male who had a transfemoral right amputation further to a viral infection. MEASURES: The following semistructured interview and questionnaires were used: McGill Comprehensive pain questionnaire part A and B; The Cambridge Phantom Limb Profile; The Groningen Questionnaire: Problems after Arm Amputation; and 13 Visual Analog Scales. CONCLUSIONS: Both patients showed a significant improvement in their perception of phantom limb pain and sensations that was maintained at one-year follow-up. A randomized blinded controlled trial to confirm these positive outcomes is required.
    Subject : unspecified
    Area : Other
    Language : English
    Year : 2010

    Affiliations Cardiff university
    Volume : 11
    Issue : 1
    Pages : 133-141
    Url : http://api.mendeley.com/research/contralateral-stimulation-using-tens-of-phantom-limb-pain-two-confirmatory-cases/

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