Effectivity of Motor Imagery and MirrorTherapy in Amputees

Universidad de Almeria

Status: Completed

Conditions: Amputees

Treatments: Other: Treatment Traditional and Mirror Therapy; Other: Treatment Traditional and Imaginary Motor Program

Study type: Interventional

Funder types: Other

Identifiers

NCT02761447

CEI15_25

Details and patient eligibility

About

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

Full 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.

Enrollment: 40 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

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

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Treatment Traditional and Motor Imaginary Program

Experimental group

Description:

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.

Treatment:

Other: Treatment Traditional and Imaginary Motor Program

Treatment Traditional and Mirror Therapy

Active Comparator group

Description:

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:

Other: Treatment Traditional and Mirror Therapy