Effectivity of Motor Imagery and MirrorTherapy in Amputees

Universidad de Almeria40 enrolled

Overview

This study evaluates the effectiveness of imagery motor on phantom pain and amputation process

The expected increase in the number of amputations in the coming decades requires special attention to the common effect after called phantom limb amputation. That term refers to the phenomena covering the sensations that occur in the affected limb and whose prevalence rate is an important part of amputees subjects. Developed theories about their origin focus their attention on the central nervous system and the peripheral nervous system. Thus, the imaginary movement is a complex cognitive, sensory and proprioceptive process leading to a mental representation of movement and it is a widely used technique in neurological rehabilitation and complex pain syndrome.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Amputees

Interventions

Treatment Traditional and Imaginary Motor ProgramOTHER

Amputees patients also conservative protocol will undergo physiotherapy techniques work Imaginary Motor. The first video will include two sequences of a harmonic gear that will allow the patient to examine, with the physiotherapist, the characteristics of the different body segments involved in locomotion and place the member in space. The second video include an analysis in five phases: a) relaxation of Benson, b) phase external imagination where cycles of normal running on a video provided by the physiotherapist, c) phase internal imagination where the patient will identify the problem discussed compared with the normal course presented in the video, d) recreation of images in the first person made an e normalized locomotion) closing his eyes, prompted the patient to mentally recreate sequences normal gait and analyzed and subsequently verbalize differences of these with respect to their own way of getting around.

Treatment Traditional and Mirror TherapyOTHER

Amputees patients also conservative protocol will undergo physiotherapy techniques mirror therapy work. The protocol will consist of mirror therapy sessions three days a week (25-30 minutes) for a month, where participants will move the intact limb looking in the mirror and imagining the movement of the limb with phantom sensation.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Pain in the stump area ≥ 3 months, no intermittent 2. Have three months elapsed amputation, 3. Submit subjective sensation of phantom limb not blinking Exclusion Criteria: * Clinical signs of radiculopathy. * Lumbar stenosis, fibromyalgia, spondylolisthesis. * History of spinal surgery. * Corticosteroid therapy in the past two weeks. * Disease of the central nervous system or peripheral.

Locations (1)

Hospital de Puerto Real

Cadiz, Spain

Outcomes

Primary Outcomes

Numerical Rating Scale (NRS)

Time frame: Changes from Baseline Numerical Rating Scale at one month. Changes from Baseline Numerical Rating Scale at three months

Secondary Outcomes

McGiII Pain Questionnaire (MPQ)

Time frame: Changes from Baseline McGiII Pain Questionnaire at one month. Changes from Baseline McGiII Pain Questionnaire at three months

The Vividness of Visual Imagery Questionnaire

Time frame: Changes from Baseline Vividness of Visual Imagery Questionnaire at one month and three months

Beck Depression Inventory

Time frame: Changes from Baseline Beck Depression Inventory at one month. Changes from Baseline Beck Depression Inventory at three months

Neuropathic Pain Questionnaire (DN4)

Time frame: Changes from Baseline Neuropathic Pain Questionnaire at one month. Changes from Baseline Neuropathic Pain Questionnaire at three months

Pressure Algometer (kg/cm2)

Pressure algometer in lumbar pain, amputated limb and health limb

Time frame: Changes from Baseline Pressure Algometer at one month. Changes from Baseline Pressure Algometer at three months

West-Haven-Yale Multidimensional Pain Inventory

Time frame: Changes from Baseline West-Haven-Yale Multidimensional Pain Inventory at one month. Changes from Baseline West-Haven-Yale Multidimensional Pain Inventory at three months

The Barthel Index of ADLs

Time frame: Changes from Baseline Barthel Index of ADLs at one month. Changes from Baseline Barthel Index of ADLs at three months

Data from ClinicalTrials.gov

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