Correlation between kinesthetic motor imagery of an amputated limb and phantom limb pain.
Journal
Prosthetics and orthotics international
ISSN: 1746-1553
Titre abrégé: Prosthet Orthot Int
Pays: France
ID NLM: 7707720
Informations de publication
Date de publication:
01 Aug 2022
01 Aug 2022
Historique:
received:
29
04
2021
accepted:
06
01
2022
pubmed:
26
3
2022
medline:
12
8
2022
entrez:
25
3
2022
Statut:
ppublish
Résumé
Phantom limb pain (PLP) is a frequent painful sensation in amputees, and motor imagery (MI) is a useful approach for the treatment of this type of pain. However, it is not clear regarding the best MI modality for PLP. The purpose of this study was to investigate the relationship between the PLP and MI modality in upper limb amputees. Observational study. Eleven patients who underwent unilateral upper limb amputation participated in this study. The MI modality (kinesthetic and visual) and PLP intensity were evaluated using the Kinesthetic and Visual Imagery Questionnaire (KVIQ)-20 and a visual analog scale. MI ability was also assessed during the hand mental rotation task. We examined the correlation between MI modalities, ability, and pain intensity. The total KVIQ kinesthetic score was negatively correlated with pain intensity (r = -0.71, P < 0.01): the more vivid the kinesthetic imagery, the weaker the pain. In particular, the reduction in pain intensity was associated with strong kinesthetic imagery of opposing movements of the deficient thumb (r = -0.81, P < 0.01). The KVIQ visual score and MI ability were not associated with pain intensity. Our data showed that the reduction of PLP could be associated with the kinesthetic modality of MI but not with visual modality or MI ability. In other words, it was suggested that the more vivid the sensation of moving muscles and joints in the defect area, the lower the PLP intensity. To reduce PLP, clinicians may prefer interventions using the kinesthetic modality.
Sections du résumé
BACKGROUND
BACKGROUND
Phantom limb pain (PLP) is a frequent painful sensation in amputees, and motor imagery (MI) is a useful approach for the treatment of this type of pain. However, it is not clear regarding the best MI modality for PLP.
OBJECTIVES
OBJECTIVE
The purpose of this study was to investigate the relationship between the PLP and MI modality in upper limb amputees.
STUDY DESIGN
METHODS
Observational study.
METHODS
METHODS
Eleven patients who underwent unilateral upper limb amputation participated in this study. The MI modality (kinesthetic and visual) and PLP intensity were evaluated using the Kinesthetic and Visual Imagery Questionnaire (KVIQ)-20 and a visual analog scale. MI ability was also assessed during the hand mental rotation task. We examined the correlation between MI modalities, ability, and pain intensity.
RESULTS
RESULTS
The total KVIQ kinesthetic score was negatively correlated with pain intensity (r = -0.71, P < 0.01): the more vivid the kinesthetic imagery, the weaker the pain. In particular, the reduction in pain intensity was associated with strong kinesthetic imagery of opposing movements of the deficient thumb (r = -0.81, P < 0.01). The KVIQ visual score and MI ability were not associated with pain intensity.
CONCLUSIONS
CONCLUSIONS
Our data showed that the reduction of PLP could be associated with the kinesthetic modality of MI but not with visual modality or MI ability. In other words, it was suggested that the more vivid the sensation of moving muscles and joints in the defect area, the lower the PLP intensity. To reduce PLP, clinicians may prefer interventions using the kinesthetic modality.
Identifiants
pubmed: 35333837
doi: 10.1097/PXR.0000000000000122
pii: 00006479-202208000-00004
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
320-326Informations de copyright
Copyright © 2022 International Society for Prosthetics and Orthotics.
Références
Moore CI, Stern CE, Dunbar C, et al. Referred phantom sensations and cortical reorganization after spinal cord injury in humans. Proc Natl Acad Sci USA 2000; 97: 14703–14708.
Sherman RA, Sherman CJ, Parker L. Chronic phantom and stump pain among American veterans: results of a survey. Pain 1984; 18: 83–95.
Sumitani M, Miyauchi S, McCabe CS, et al. Mirror visual feedback alleviates deafferentation pain, depending on qualitative aspects of the pain: a preliminary report. Rheumatology 2008; 47: 1038–1043.
Kooijman CM, Dijkstra PU, Geertzen JH, et al. Phantom pain and phantom sensations in upper limb amputees: an epidemiological study. Pain 2000; 87: 33–41.
Collins KL, Russell HG, Schumacher PJ, et al. A review of current theories and treatments for phantom limb pain. J Clin Invest 2018; 128: 2168–2176.
Ramachandran VS, Rogers-Ramachandran D, Cobb S. Touching the phantom limb. Nature 1995; 377: 489–490.
Osumi M, Inomata K, Inoue Y, et al. Characteristics of phantom limb pain alleviated with virtual reality rehabilitation. Pain Med 2019; 20: 1038–1046.
Nico D, Daprati E, Rigal F, et al. Left and right hand recognition in upper limb amputees. Brain 2004; 127: 120–132.
Chan BL, Witt R, Charrow AP, et al. Mirror therapy for phantom limb pain. N Engl J Med 2007; 357: 2206–2207.
Jeannerod M. The representing brain: neural correlates of motor intention and imagery. Behav Brain Sci 1994; 17: 187–245.
Page SJ, Levine S, Johnston MV. A randomized efficacy and feasibility study of imagery in acute stroke. Clin Rehabil 2001; 15: 233–240.
Page SJ, Levine P, Leonard A. Mental practice in chronic stroke: results of a randomized, placebo-controlled trial. Stroke 2007; 38: 1293–1297.
Osumi M, Sumitani M, Wake N, et al. Structured movement representations of a phantom limb associated with phantom limb pain. Neurosci Let 2015; 605: 7–11.
Malouin F, Richards CL, Jackson PL, et al. The Kinesthetic and Visual Imagery Questionnaire (KVIQ) for assessing motor imagery in persons with physical disabilities: a reliability and construct validity study. J Neurol Phys 2007; 31: 20–29.
Randhawa B, Harris S, Boyd LA. The kinesthetic and visual imagery questionnaire is a reliable tool for individuals with parkinson disease. J Neurol Phys 2010; 34: 161–167.
Saruco E, Guillot A, Saimpont A, et al. Motor imagery ability of patients with lower-limb amputation: exploring the course of rehabilitation effects. Eur J Phys Rehabil Med 2019; 55: 634–645.
Date S, Kurumadani H, Yoshimura M, et al. Long-term disuse of the hand affects motor imagery ability in patients with complete brachial plexus palsy. Neuroreport 2019; 30: 452–256.
Breckenridge JD, Ginn KA, Wallwork SB, et al. Do people with chronic musculoskeletal pain have impaired motor imagery? A meta-analytical systematic review of the left/right judgment task. J Pain 2019; 20: 119–132.
Osumi M, Ichinose A, Sumitani M, et al. Restoring movement representation and alleviating phantom limb pain through short-term neurorehabilitation with a virtual reality system. Eur J Pain 2017; 21: 140–147.
Gallagher I. Philosophical conceptions of the self: implications for cognitive science. Trends Cognit Sci 2000; 4: 14–21.
Yoshimura M, Kurumadani H, Sunagawa T, et al. Virtual reality-based action observation facilitates the acquisition of body-powered prosthetic control skills. J NeuroEng Rehabil 2020; 17: 113.
Cole J, Crowle S, Austwick G, et al. Exploratory findings in virtual induced agency for phantom limb pain; from stump motion to agency and analgesia. Disabil Rehabil 2009; 31: 846–854.