Effectivity of Motor Imagery and MirrorTherapy in Amputees

Not Applicable

Completed

• Conditions: Amputees
• Interventions: Other: Treatment Traditional and Mirror Therapy; Other: Treatment Traditional and Imaginary Motor Program

• Registration Number: NCT02761447
• Lead Sponsor: Universidad de Almeria

Brief Summary

This study evaluates the effectiveness of imagery motor on phantom pain and amputation process

Detailed Description

The expected increase in the number of amputations in the coming decades requires special attention to the common effect after called phantom limb amputation. That term refers to the phenomena covering the sensations that occur in the affected limb and whose prevalence rate is an important part of amputees subjects. Developed theories about their origin focus their attention on the central nervous system and the peripheral nervous system. Thus, the imaginary movement is a complex cognitive, sensory and proprioceptive process leading to a mental representation of movement and it is a widely used technique in neurological rehabilitation and complex pain syndrome.

Study Timeline

• Study Start: 2016-01
• Study First Submitted: 2016-04-21
• Study First Submitted QC: 2016-05-01
• Study First Posted: 2016-05-04
• Primary Completion: 2019-06
• Status Verified: 2019-10
• Study Completion: 2019-10
• Last Update Submitted: 2019-10-11
• Last Update Posted: 2019-10-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

1. Pain in the stump area ≥ 3 months, no intermittent
2. Have three months elapsed amputation,
3. Submit subjective sensation of phantom limb not blinking

Read More

Exclusion Criteria

• Clinical signs of radiculopathy.
• Lumbar stenosis, fibromyalgia, spondylolisthesis.
• History of spinal surgery.
• Corticosteroid therapy in the past two weeks.
• Disease of the central nervous system or peripheral.

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Treatment Traditional and Mirror Therapy	Treatment Traditional and Mirror Therapy	Amputees patients also conservative protocol will undergo physical therapy techniques mirror therapy work. The protocol will consist of mirror therapy sessions three days a week (25-30 minutes) for a month, where participants will move the intact limb looking in the mirror and imagining the movement of the limb with phantom sensation.
Treatment Traditional and Motor Imaginary Program	Treatment Traditional and Imaginary Motor Program	Amputees patients also conservative protocol will undergo physiotherapy techniques work Motor Imaginary Program, based on a system of two videos that allow the patient to recreate the "normal" way. The first video will include two sequences of a harmonic gear that will allow the patient to examine, with the physiotherapist, the characteristics of the different body segments involved in locomotion and place the member in space. The second video include an analysis in five phases. This protocol will be applied 3 days a week (25-30minutos) for one month.

Primary Outcome Measures

Name	Time	Method
Numerical Rating Scale (NRS)	Changes from Baseline Numerical Rating Scale at one month. Changes from Baseline Numerical Rating Scale at three months

Secondary Outcome Measures

Name	Time	Method
McGiII Pain Questionnaire (MPQ)	Changes from Baseline McGiII Pain Questionnaire at one month. Changes from Baseline McGiII Pain Questionnaire at three months
Instrumental Activities of Daily Living Scale (IADL)	Changes from Baseline Instrumental Activities of Daily Living Scale at one month. Changes from Baseline Instrumental Activities of Daily Living Scale at three months
Neuropathic Pain Questionnaire (DN4)	Changes from Baseline Neuropathic Pain Questionnaire at one month. Changes from Baseline Neuropathic Pain Questionnaire at three months
The Vividness of Visual Imagery Questionnaire	Changes from Baseline Vividness of Visual Imagery Questionnaire at one month and three months
Beck Depression Inventory	Changes from Baseline Beck Depression Inventory at one month. Changes from Baseline Beck Depression Inventory at three months
The Barthel Index of ADLs	Changes from Baseline Barthel Index of ADLs at one month. Changes from Baseline Barthel Index of ADLs at three months
West-Haven-Yale Multidimensional Pain Inventory	Changes from Baseline West-Haven-Yale Multidimensional Pain Inventory at one month. Changes from Baseline West-Haven-Yale Multidimensional Pain Inventory at three months
The Functional Independence Measure Scale (FIM)	Changes from Baseline Functional Independence Measure Scale at one month. Changes from Baseline Functional Independence Measure Scale at three months
Quality of Life Questionnaire scoring (SF36)	Changes from Baseline Quality of Life Questionnaire Scoring at one month. Changes from Baseline Quality of Life Questionnaire Scoring at three months
Multidimensional Body Self Relations Questionnaire (MBSRQ)	Changes from Baseline Multidimensional Body Self Relations Questionnaire at one month. Changes from Baseline Multidimensional Body Self Relations Questionnaire at three months
Pain Catastrophizing Scale (PCS)	Changes from Baseline Pain Catastrophizing Scale at one month. Changes from Baseline Pain Catastrophizing Scale at three months
Pain Management Inventory	Changes from Baseline Pain Management Inventory at one month. Changes from Baseline Pain Management Inventory at three months
Pressure Algometer (kg/cm2)	Changes from Baseline Pressure Algometer at one month. Changes from Baseline Pressure Algometer at three months	Pressure algometer in lumbar pain, amputated limb and health limb
Tampa Scale for Kinesiophobia (TSK)	Changes from Baseline Tampa Scale for Kinesiophobia at one month. Changes from Baseline Tampa Scale for Kinesiophobia at three months

Trial Locations

Locations (1)

Hospital de Puerto Real; 🇪🇸 Cádiz, Spain