Automatisierte Zweipunktdiskrimination bei Phantomschmerzen

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• 作者：T. Koller ; D. Baumgartner
• 关键词：SchlüsselwörterAmputation ; Phantomschmerzen ; Kortikale Repräsentation ; Zweipunktdiskrimination ; Intervention
• 刊名：Der Schmerz
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：31
• 期：1
• 页码：69-73
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Pain Medicine; Anesthesiology; Chiropractic Medicine; Psychotherapy;
• 出版者：Springer Medizin
• ISSN：1432-2129
• 卷排序：31

文摘

There is preliminary evidence that phantom pain is associated with disturbed organization of the sensory cortex and that this organization can be normalized with two-point discrimination (TPD) training. In this case study, a reduction in phantom pain and painful phantom sensation during a test period of 19 days, was achieved using an automated TPD procedure. In a patient with a transtibial amputation, pain levels decreased from a mean of 2.3/10 on the visual analog scale (VAS) to 1.3/10 (VAS) and the painful phantom sensation level decreased from a mean 3.7/10 (VAS) to 2.0/10 (VAS). These results show a positive trend, but are (except of the nocturnal pain attacks) rather of limited clinical relevance.