Factors related to phantom limb pain and its effect on quality of life.

IF 1.3 4区医学 Q4 NEUROSCIENCES Somatosensory and Motor Research Pub Date : 2021-12-01 Epub Date: 2021-09-06 DOI:10.1080/08990220.2021.1973405

Cemile S Polat, Hatice E Konak, Elif U Altas, Meltem G Akıncı, Sule S Onat

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引用次数: 4

Abstract

Aims: This study aims to investigate phantom limb pain (PLP), PLP-related factors, and the effect of PLP on quality of life in patients who had undergone upper or lower extremity amputation.

Methods: One hundred four patients with unilateral amputation of the upper or lower extremity were included in this cross-sectional study. The patients were divided into two groups as patients with PLP and without PLP. Patients' demographic (age, gender, marital status, education level, employment status) and clinical information (date of amputation, amputated limb, the side, level and cause of amputation, phantom limb sensation and pain, sleep disorder) and quality of life (Nottingham extended activities of daily living index) were compared between the groups. In addition, factors associated with PLP were analysed.

Results: Of the 104 patients, 47 patients (45.19%) had PLP. In the group with PLP, phantom sensation and sleep disturbance were significantly higher, whereas the time elapsed after amputation and Nottingham extended activities of daily living index score were significantly lower (p < 0.05). The relationship between PLP and sleep disorder and between PLP and marital status was significant (p < 0.05).

Conclusions: Our study results showed that PLP was associated with sleep disorder and marital status, and the quality of life was low in the group with PLP. Therefore, PLP evaluation should not be disregarded in amputees; PLP should be treated to increase quality of life.

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幻肢痛的相关因素及其对生活质量的影响。

目的:本研究旨在探讨幻肢痛(PLP)、幻肢痛相关因素以及幻肢痛对上肢或下肢截肢患者生活质量的影响。方法:对104例单侧上肢或下肢截肢患者进行横断面研究。将患者分为有PLP组和无PLP组。比较两组患者的人口学信息(年龄、性别、婚姻状况、文化程度、就业状况)、临床信息(截肢日期、截肢肢体、截肢部位、截肢程度及原因、幻肢感觉及疼痛、睡眠障碍)和生活质量(诺丁汉日常生活延伸活动指数)。此外，还分析了与PLP相关的因素。结果:104例患者中47例(45.19%)发生PLP。PLP组幻像感和睡眠障碍显著增高，而截肢后时间和日常生活指数诺丁汉延伸活动得分显著降低(p)。结论:我们的研究结果表明，PLP组与睡眠障碍和婚姻状况有关，PLP组的生活质量较低。因此，截肢者的PLP评估不应被忽视;应治疗PLP以提高生活质量。

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来源期刊

Somatosensory and Motor Research 医学-神经科学

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>12 weeks

期刊介绍： Somatosensory & Motor Research publishes original, high-quality papers that encompass the entire range of investigations related to the neural bases for somatic sensation, somatic motor function, somatic motor integration, and modeling thereof. Comprising anatomical, physiological, biochemical, pharmacological, behavioural, and psychophysical studies, Somatosensory & Motor Research covers all facets of the peripheral and central processes underlying cutaneous sensation, and includes studies relating to afferent and efferent mechanisms of deep structures (e.g., viscera, muscle). Studies of motor systems at all levels of the neuraxis are covered, but reports restricted to non-neural aspects of muscle generally would belong in other journals.