Topic > Amputation: A Phantom Limb - 1566

Amputation often causes patients to experience the sensory illusion that the limb is still present. This is often called a phantom limb. This sensation of having a phantom limb is a natural and frequent development during amputation recovery. (1) (2) It has been reported that at first the phantom limb appears normal in size and shape, but over time this phantom limb size illusion usually becomes smaller. (1) Phantom limb pain is a painful sensation experienced in a part of the body that is no longer part of the body, often due to amputation. (3) Individuals have also reported experiencing tingling and various types of pain and these sensations may eventually disappear or persist as cramps, twinges, burning or squeezing sensations.(1) (4) Various studies report that phantom limb pain occurs between 0.4 and 90% of cases.( 1) (2) (4) (5) (6) It has recently been discovered that phantom limb pain occurs in approximately 50-85% of patients several months or years after amputation, rather than immediately after amputation. amputation.(1) (4)Studies have found that phantom limb pain is closely related to the somatosensory cortex.(2 ) (4) There is evidence that amputation of a limb leads to cortical reorganization and that pain of the phantom limb may be related to the incongruence between motor intention, somatosensation and visual feedback. (4) Cortical contributions to phantom limb pain come from various studies showing neuroplastic changes in primary somatosensory and motor cortices after amputation. (4)Treatment of phantom limb pain is difficult, and no specific treatment method has been confirmed.(1) (4) (5) Treatment of phantom limb pain includes medications, various forms of physical treatment, nerve block.... .. middle of paper...... pain in limb. While mirror therapy makes use of visuomotor stimulation and is beneficial depending on the type of pain experienced, illusory touch makes use of visuotactile stimulation and is said to be effective in those patients who generally experience pain during movement and it is suggested that the point of stimulation is important in the effectiveness of the sensations experienced in the phantom limb. It is also evident that more in-depth research is needed on both treatment mechanisms and that the role of occupational therapy in the use of these treatment modalities is not well documented despite their clear role for occupational therapy in phantom limb treatment . Pain. Most studies document the use of mirror therapy in occupational therapy regarding the movement of a limb rather than its use in the treatment of sensation..