Academic Journal
Characteristics of phantom limb pain in U.S. civilians and service members
| العنوان: | Characteristics of phantom limb pain in U.S. civilians and service members |
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| المؤلفون: | Griffin, Sarah C., Alphonso, Aimee L., Tung, Monica, Finn, Sacha, Perry, Briana N., Hill, Wendy, O’Connell, Colleen, Hanling, Steven R., Goff, Brandon J., Pasquina, Paul F., Tsao, Jack |
| المساهمون: | US Army MRMC, Center for Rehabilitative Sciences Research, Department of Veterans Affairs |
| المصدر: | Scandinavian Journal of Pain ; volume 22, issue 1, page 125-132 ; ISSN 1877-8860 1877-8879 |
| بيانات النشر: | Walter de Gruyter GmbH |
| سنة النشر: | 2021 |
| الوصف: | Objectives The population of Americans with limb loss is on the rise, with a different profile than in previous generations (e.g., greater incidence of amputation due to diabetes). This study aimed to identify the key characteristics of phantom limb sensation (PLS) and pain (PLP) in a current sample of Americans with limb loss. Methods This cross-sectional study is the first large-scale (n=649) study on PLP in the current population of Americans with limb loss. A convenience sample of military and civilian persons missing one or more major limbs was surveyed regarding their health history and experience with phantom limb phenomena. Results Of the participants surveyed, 87% experienced PLS and 82% experienced PLP. PLS and PLP typically first occurred immediately after amputation (47% of cases), but for a small percentage (3–4%) onset did not occur until over a year after amputation. Recent PLP severity decreased over time (β=0.028, 95% CI: −0.05–0.11), but most participants reported PLP even 10 years after amputation. Higher levels of recent PLP were associated with telescoping (β=0.123, 95% CI: 0.04–0.21) and higher levels of pre-amputation pain (β=0.104, 95% CI: 0.03–0.18). Those with congenitally missing limbs experienced lower levels of recent PLP (t (37.93)=3.93, p<0.01) but there were no consistent differences in PLP between other amputation etiologies. Conclusions Phantom limb phenomena are common and enduring. Telescoping and pre-amputation pain are associated with higher PLP. Persons with congenitally missing limbs experience lower levels of PLP than those with amputation(s), yet PLP is common even in this subpopulation. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1515/sjpain-2021-0139 |
| DOI: | 10.1515/sjpain-2021-0139/xml |
| DOI: | 10.1515/sjpain-2021-0139/pdf |
| الاتاحة: | http://dx.doi.org/10.1515/sjpain-2021-0139 https://www.degruyter.com/document/doi/10.1515/sjpain-2021-0139/xml https://www.degruyter.com/document/doi/10.1515/sjpain-2021-0139/pdf |
| رقم الانضمام: | edsbas.81F698F7 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1515/sjpain-2021-0139 |
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