Home Based Tactile Sensory Discrimination Training (TDT) Alleviates Phantom Limb Pain: a Pilot Study
Author : Robert Wakolbinger
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)
Book Synopsis Home Based Tactile Sensory Discrimination Training (TDT) Alleviates Phantom Limb Pain: a Pilot Study by : Robert Wakolbinger
Download or read book Home Based Tactile Sensory Discrimination Training (TDT) Alleviates Phantom Limb Pain: a Pilot Study written by Robert Wakolbinger and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BackgroundPhantom limb pain (PLP) affects a high percentage of amputees. Since treatment options are limited, low quality of life and addiction to pain medication frequently occur. New treatments, such as mirror therapy or electrical sensory discrimination training, make use of the brainu2019s plasticity to alleviate this centrally derived pain.This pilot study assessed the question of whether home-based tactile discrimination training (TDT) leads to a stronger decrease in PLP levels compared to standard massage treatment.MethodsAmputees (upper/lower extremity) with a PLP score of 4/10 or higher on the NRS were included.Eight patients participated in the study. TDT treatment in the intervention group and standardized gentle massage in the control group were performed 15min daily over 2 weeks. Subjects were examined at baseline, after treatment, 2 weeks after completing treatment, and 4 weeks after completing treatment. Pain was assessed using the West Havenu2013Yale Multidimensional Pain Inventory.In the intervention group, 4 defined points (with initially 3cm distance between the points) on the residual limb were stimulated in a pseudorandomized order and subjects were prompted to verbally report the number of the stimulated point. Based on the percentage of correct ratings, the distance between the points was adapted.ResultsThere was a significantly (p