Treatment of phantom pain with contralateral injection into tender points : a new method of treatment
المؤلفون المشاركون
Labib, Ala A. al-Aziz
Casale, Roberto
المصدر
Egyptian Rheumatology and Rehabilitation
العدد
المجلد 42، العدد 3 (30 سبتمبر/أيلول 2015)، ص ص. 103-110، 8ص.
الناشر
الجمعية المصرية للروماتيزم و التأهيل
تاريخ النشر
2015-09-30
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الموضوعات
الملخص EN
Objective The aim of this study was to ascertain the existence of contralateral painful muscle areas mirroring phantom pain and to evaluate the short-term effects of anaesthetics versus saline, injected contralaterally to control phantom and phantom limb pain.
Design This was a double-blinded cross-over study.
Participants This study included eight lower-limb amputees with phantom limb pain in the past 6 months.
Interventions Either 1 ml of 0.25% bupivacaine or 0.9% saline was injected alternately in each point with a 28-G needle, with 72 h between injections.
The main outcomes measured were phantom sensation modification and the intensity of phantom limb pain (visual analogue scale) before and after injections.
Results Painful muscle areas in the healthy limb do not mirror the topographical distribution of phantom limb pain.
At 60 min after the injection, a statistically significantly greater relief of phantom limb pain was observed after using a local anaesthetic compared with that when using saline injection (P = 0.003).
Bupivacaine consistently reduced/abolished the phantom sensation in six out of eight patients.
These effects on phantom sensation were not observed after saline injections.
Conclusion Contralateral injections of 1 ml of 0.25 % bupivacaine in the myofascial hyperalgesic areas attenuated phantom limb pain and affected phantom limb sensation.
Our study gives a basis of a new method of management of that kind of severe pain to improve the method of rehabilitation of amputee.
However, further longitudinal studies with larger number of patients are needed to confirm our study.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Labib, Ala A. al-Aziz& Casale, Roberto. 2015. Treatment of phantom pain with contralateral injection into tender points : a new method of treatment. Egyptian Rheumatology and Rehabilitation،Vol. 42, no. 3, pp.103-110.
https://search.emarefa.net/detail/BIM-629017
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Labib, Ala A. al-Aziz& Casale, Roberto. Treatment of phantom pain with contralateral injection into tender points : a new method of treatment. Egyptian Rheumatology and Rehabilitation Vol. 42, no. 3 (Sep. 2015), pp.103-110.
https://search.emarefa.net/detail/BIM-629017
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Labib, Ala A. al-Aziz& Casale, Roberto. Treatment of phantom pain with contralateral injection into tender points : a new method of treatment. Egyptian Rheumatology and Rehabilitation. 2015. Vol. 42, no. 3, pp.103-110.
https://search.emarefa.net/detail/BIM-629017
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 109-110
رقم السجل
BIM-629017
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر