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Fysioterapeutiska behandlingsmetoder vid fantomsmärta: Evidens och mekanismer
2015 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Phantom limb pain is a painful sensation that is perceived in a body part that no longer exists and is a common consequence of amputation. This is poorly understood and difficult to treat condition. Aim: The purpose of this literature review was to identify physiotherapy treatment methods available to treat phantom pain, investigate the scientific evidence and mechanisms underlying these methods. Method: The literature searches were conducted in the following databases: PubMed, Scopus, CINAHL, AMED and PEDro. The quality of the studies included was assessed using PEDro scale and SBU’s samples. The assessment of the scientific evidence was made according to the SBU’s GRADE system. Result: Searches resulted in 33 publications. The investigated treatment methods were mirror therapy, treatment with stumpliner, TENS, mental motor imagery, virtual reality, phantom exercise, magnet therapy, reflexology and combination therapy. It was determined a limited scientific evidence for effect of included physiotherapy methods for people with phantom limb pain after amputation. Changes in the cortical reorganization were the most accepted mechanism for phantom limb pain. It was discovered that significant associations exist between reduction of phantom limb pain and reduction in cortical reorganization. Conclusion: There is a limited evidence for effect of included physiotherapy methods for people with phantom limb pain after amputation. Changes in the cortical reorganization are the most frequently accepted mechanism underlying physiotherapy techniques. Further research is needed to increase the evidence and investigate mechanisms.

Place, publisher, year, edition, pages
2015. , 50 p.
Keyword [en]
Medicine
Keyword [sv]
Medicin, Phantom limb pain, physiotherapy, evidence, mechanism
Identifiers
URN: urn:nbn:se:ltu:diva-43366Local ID: 13f49c02-7dbe-4d42-94c2-0f918ba9c970OAI: oai:DiVA.org:ltu-43366DiVA: diva2:1016597
Subject / course
Student thesis, at least 15 credits
Educational program
Physiotherapy, master's level
Supervisors
Examiners
Note
Validerat; 20150622 (global_studentproject_submitter)Available from: 2016-10-04 Created: 2016-10-04Bibliographically approved

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