Volume 3, Issue 3 (8-2018)                   hrjbaq 2018, 3(3): 171-176 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Saghafi M, Farahmand B, Emami Meybodi M K, Yazdani M, Turkeman O. The Effect of Vibrating Silicone Liner on Phantom Pain in People under Transtibial Amputation, a Preliminary Study. hrjbaq. 2018; 3 (3) :171-176
URL: http://hrjbaq.ir/article-1-133-en.html
Department of Orthosis and Prosthetics, Faculty of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran , (Farahmandb1@yahoo.com)
Abstract:   (643 Views)

Introduction: One of the complications of amputation, which affects more than 80% of people, is phantom pain. Among the various strategies used to reduce the phantom pain, non-invasive mechanical techniques such as vibration are widely used. Because they have no complications and costs of medical and surgical treatments and, on the other hand, their effectiveness is equal or even more than other strategies. However, considering the increasing need for treatment of this disorder, the adoption of new therapies in this area is necessary. Therefore, the purpose of this study was to design and construct a vibrating silicon liner and its effect on the phantom pain intensity of patients with subcutaneous amputation.
Materials and Methods: This study was a quasi-experimental interventional study in which 8 subjects with unilateral amputation complained of Phantom pain. This test was conducted in two sessions. After molding the patient's feet and making vibrating liner at the first session, Liner was given to the patients and they were asked to use it for one month. Patients' pain levels were measured in two sessions using a McGill Pain Questionnaire and their results were compared in SPSS software with Shapiro-Wilk, Paired T-test and Pearson correlation coefficient.
Results: Data analysis showed that after using vibrating liner, all aspects of pain including psychosocial pain, severity of pain, present pain at test time and total pain were significantly decreased (P <0.05). It was also found that there was a significant correlation between severity of psychological aspect of pain in two sessions (Pearson corr. = 0.861, sig. = 0.006).
Conclusion: The results of this study showed that the above intervention could significantly reduce phantom pain. Probably the effect of reducing it can be due to a number of reasons, including the effect of vibration on the central and peripheral nervous system, the effect on the stomach vessels, psychological effects, and even the effect of placebo.

Full-Text [PDF 1150 kb]   (139 Downloads)    
Type of Study: Research | Subject: Special
Received: 2017/02/21 | Revised: 2018/11/7 | Accepted: 2017/06/10 | ePublished ahead of print: 2018/09/2 | Published: 2018/10/15

1. Flor H. Phantom-limb pain: characteristics, causes, and treatment. Lancet Neurol. 2002;1(3):182-9. PMID: 12849487
2. Nikolajsen L, Jensen TS. Phantom limb pain. Br J Anaesth. 2001;87(1):107-16. PMID: 11460799
3. Boas RA, Covino BG, Shahnarian A. Analgesic responses to i.v. lignocaine. Br J Anaesth. 1982;54(5):501-5. PMID: 7073919
4. S.M. Walker, M.J. Cousins. Medical versus Multidimensional Management of Chronic Pain. Surgic Manage Pain. 2002:181.
5. Kooijman CM, Dijkstra PU, Geertzen JH, Elzinga A, van der Schans CP. Phantom pain and phantom sensations in upper limb amputees: an epidemiological study. Pain. 2000;87(1):33-41. PMID: 10863043
6. Wilkins KL, McGrath PJ, Finley GA, Katz J. Phantom limb sensations and phantom limb pain in child and adolescent amputees. Pain. 1998;78(1):7-12. PMID: 9822207
7. Nikolajsen L, Finnerup NB, Kramp S, Vimtrup AS, Keller J, Jensen TS. A randomized study of the effects of gabapentin on postamputation pain. Anesthesiology. 2006;105(5):1008-15. PMID: 17065896
8. Ramachandran VS, Brang D, McGeoch PD. Size reduction using Mirror Visual Feedback (MVF) reduces phantom pain. Neurocase. 2009;15(5):357-60. DOI: 10.1080/135 54790903081767 PMID: 19657972
9. Subedi B, Grossberg GT. Phantom limb pain: mechanisms and treatment approaches. Pain Res Treat. 2011;2011: 864605. DOI: 10.1155/2011/864605 PMID: 22110933
10. Sindrup SH, Jensen TS. Efficacy of pharmacological treatments of neuropathic pain: an update and effect related to mechanism of drug action. Pain. 1999;83 (3):389-400. PMID: 10568846
11. Berger SM. Conservative management of phantom-limb and amputation-stump pain. Ann R Coll Surg Engl. 1980;62(2):102-5. PMID: 6966480
12. Lundeberg T. Relief of pain from a phantom limb by peripheral stimulation. J Neurol. 1985;232(2):79-82. PMID: 2410571
13. Weeks SR, Anderson-Barnes VC, Tsao JW. Phantom limb pain: theories and therapies. Neurologist. 2010;16(5): 277-86. DOI: 10.1097/NRL.0b013e3181edf128 PMID: 20827116
14. A. Rezvani Visual analogue pain scale correlated with shortened questionnaire McGill pain in patients with chronic low back pain. J Qom Univ Med Scie. 2012;6(1).
15. PE. Bijur, W. Silver, EJ. Gallagher. Reliability of the visual analog scale for measurement of acute pain. Academic emergency medicine. 2001;8(12):1153-7.
16. Kitisomprayoonkul W, Klaphajone J, Kovindha A. Thai Short-form McGill Pain Questionnaire. J Med Assoc Thai. 2006;89(6):846-53. PMID: 16850687
17. Melzack R. The short-form McGill Pain Questionnaire. Pain. 1987;30(2):191-7. PMID: 3670870
18. Parkes CM. Factors determining the persistence of phantom pain in the amputee. J Psychosom Res. 1973;17(2):97-108. PMID: 4741689
19. Bini G, Cruccu G, Hagbarth KE, Schady W, Torebjork E. Analgesic effect of vibration and cooling on pain induced by intraneural electrical stimulation. Pain. 1984;18(3): 239-48. PMID: 6203084
20. Kitay GS, Koren MJ, Helfet DL, Parides MK, Markenson JA. Efficacy of combined local mechanical vibrations, continuous passive motion and thermotherapy in the management of osteoarthritis of the knee. Osteoarthritis Cartilage. 2009;17(10):1269-74. DOI: 10.1016/j.joca. 2009.04.015 PMID: 19433134
21. Lundeberg T. The pain suppressive effect of vibratory stimulation and transcutaneous electrical nerve stimulation (TENS) as compared to aspirin. Brain Res. 1984;294(2):201-9. PMID: 6608397
22. Lundeberg T, Nordemar R, Ottoson D. Pain alleviation by vibratory stimulation. Pain. 1984;20(1):25-44. PMID: 6333660

Add your comments about this article : Your username or Email:

Send email to the article author

© 2019 All Rights Reserved | Health Research Journal

Designed & Developed by : Yektaweb