Đang chuẩn bị liên kết để tải về tài liệu:
báo cáo khoa học: "Combined mirror visual and auditory feedback therapy for upper limb phantom pain: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Combined mirror visual and auditory feedback therapy for upper limb phantom pain: a case report | Wilcher et al. Journal of Medical Case Reports 2011 5 41 http www.jmedicalcasereports.eom content 5 1 41 WV journalof medical l rCASE REPORTS CASE REPORT Open Access Combined mirror visual and auditory feedback therapy for upper limb phantom pain a case report Delia G Wilcher1 Ivan Chernev1 Kun Yan2 Abstract Introduction Phantom limb sensation and phantom limb pain is a very common issue after amputations. In recent years there has been accumulating data implicating mirror visual feedback or mirror therapy as helpful in the treatment of phantom limb sensation and phantom limb pain. Case presentation We present the case of a 24-year-old Caucasian man a left upper limb amputee treated with mirror visual feedback combined with auditory feedback with improved pain relief. Conclusion This case may suggest that auditory feedback might enhance the effectiveness of mirror visual feedback and serve as a valuable addition to the complex multi-sensory processing of body perception in patients who are amputees. Introduction There are over 130 000 limb amputations in the USA each year 1 . Nearly every amputee experiences some form of phantom limb effect such as phantom sensation voluntary or involuntary movements of the amputated limb certain positions or sense of tactile stimulation of the amputated limb telescoping and or phantom spasms. Additionally a significant percentage of patients who are amputees may also experience phantom limb pain PLP . The estimated prevalence of PLP varies from 49 to 83 2 . PLP may negatively impact the quality of life of patients who are amputees and consume significant medical resources. The pathophysiology of phantom limb sensation and PLP is not yet well understood however complex peripheral and central mechanisms have been suggested 3 . Various types of treatments for PLP have been attempted the outcomes of which have largely been disappointing. Mirror therapy for phantom pain was first described by Ramachandran and Rogers-Ramachandran 4 . .