Chronic phantom sensations, phantom pain, residual limb pain, and other regional pain after lower limb amputation
Chronic phantom sensations, phantom pain, residual limb pain, and other regional pain after lower limb amputation
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DOI：
10.1053/apmr.2000.7583
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发表时间：
2000-08-01
影响因子：
4.3
通讯作者：
Robinson, LR
中科院分区：
文献类型：
--
作者：
Ehde, DM;Czerniecki, JM;Robinson, LR
目的：为了确定幻肢感觉，幻肢痛，和残肢疼痛的特点，并评估疼痛相关的残疾与幻肢pains.Design：回顾性，横断面调查。下肢截肢后6个月或更长时间，参与者（n = 255）完成截肢疼痛问卷，其中包括几个标准化的疼痛措施。设置：基于社区的调查，从临床数据库。参与者：基于社区的样本的人与下肢截肢。主要结果措施：幻肢和残肢疼痛的频率、持续时间、强度和质量，以及通过慢性疼痛等级测量的疼痛相关残疾。在受访者中，79%的人报告幻肢感觉，72%的人报告幻肢疼痛，74%的人报告残肢疼痛。许多人将他们的幻肢和残肢疼痛描述为偶发性的，并不是特别令人烦恼。大多数幻肢疼痛的参与者被分为两个低疼痛相关的残疾类别：I级，低残疾/低疼痛强度（47%）或II级，低残疾/高疼痛强度（28%）。许多参与者报告有疼痛的其他解剖位置，包括背部（52%）。结论：幻肢和残肢疼痛是常见的下肢截肢后。对于大多数人来说，疼痛是间歇性的，并不是特别致残。然而，对于一个值得注意的子集，疼痛可能是相当禁用。截肢后的疼痛应该从一个广泛的角度来看待，考虑其他解剖部位以及疼痛对功能的影响。
Objectives: To determine the characteristics of phantom limb sensation, phantom limb pain, and residual limb pain, and to evaluate pain-related disability associated with phantom limb pain.Design: Retrospective, cross-sectional survey. Six or more months after lower limb amputation, participants (n = 255) completed an amputation pain questionnaire that included several standardized pain measures.Setting: Community-based survey from clinical databases.Participants: A community-based sample of persons with lower limb amputations.Main Outcome Measures: Frequency, duration, intensity, and quality of phantom limb and residual limb pain, and pain-related disability as measured by the Chronic Pain Grade.Results: Of the respondents, 79% reported phantom limb sensations, 72% reported phantom limb pain, and 74% reported residual limb pain. Many described their phantom limb and residual limb pain as episodic and not particularly bothersome. Most participants with phantom limb pain were classified into the two low pain-related disability categories: grade I, low disability/low pain intensity (47%) or grade Il, low disability/high pain intensity (28%). Many participants reported having pain in other anatomic locations, including the back (52%).Conclusions: Phantom limb and residual limb pain are common after a lower limb amputation. For most, the pain is episodic and not particularly disabling. However, for a notable subset, the pain may be quite disabling. Pain after amputation should be viewed from a broad perspective that considers other anatomic sites as well as the impact of pain on functioning.