Traditional and augmented reality mirror therapy for patients with chronic phantom limb pain (PACT study): results of a three-group, multicentre single-blind randomized controlled trial

Clinical Rehabilitation
Andreas Stefan RothgangelRob Johannes Smeets

Abstract

To compare the effects of traditional mirror therapy (MT), a patient-centred teletreatment (PACT) and sensomotor exercises without a mirror on phantom limb pain (PLP). Three-arm multicentre randomized controlled trial. Rehabilitation centres, hospital and private practices. Adult patients with unilateral lower limb amputation and average PLP intensity of at least 3 on the 0-10 Numeric Rating Scale (NRS). Subjects randomly received either four weeks of traditional MT followed by a teletreatment using augmented reality MT, traditional MT followed by self-delivered MT or sensomotor exercises of the intact limb without a mirror followed by self-delivered exercises. Intensity, frequency and duration of PLP and patient-reported outcomes assessing limitations in daily life at baseline, 4 weeks, 10 weeks and 6 months. In total, 75 patients received traditional MT ( n = 25), teletreatment ( n = 26) or sensomotor exercises ( n = 24). Mean (SD) age was 61.1 (14.2) years and mean (SD) pain intensity was 5.7 (2.1) on the NRS. Effects of MT at four weeks on PLP were not significant. MT significantly reduced the duration of PLP at six months compared to the teletreatment ( P = 0.050) and control group ( P = 0.019). Subgroup analyses suggested...Continue Reading

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Citations

Feb 12, 2019·Disability and Rehabilitation·Narinder Kapur
Jul 30, 2019·F1000Research·Andrea Aternali, Joel Katz
Aug 28, 2020·Expert Review of Medical Devices·Kevin Pacheco-BarriosFelipe Fregni
Apr 6, 2021·Physical Medicine and Rehabilitation Clinics of North America·Joseph WebsterJessica Kiecker
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Apr 19, 2021·PM & R : the Journal of Injury, Function, and Rehabilitation·Melissa A HewittPaul F Pasquina
Jun 18, 2021·Der Schmerz·Claudia Storz, Eduard Kraft
Jul 24, 2021·Disability and Rehabilitation·Brian Hyung, Catherine Wiseman-Hakes
Aug 31, 2021·Archives of Physical Medicine and Rehabilitation·Hui-Min XieLi-Ping Huang
Oct 28, 2021·Neurorehabilitation and Neural Repair·Elisabetta AmbronH Branch Coslett

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Methods Mentioned

BETA
amputation

Clinical Trials Mentioned

NCT02076490

Software Mentioned

SPSS Statistics

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