Making sense of phantom limb pain.

Journal: Journal of neurology, neurosurgery, and psychiatry

Volume: 93

Issue: 8

Year of Publication: 

Affiliated Institutions:  NIMH, National Institutes of Health, Bethesda, Maryland, USA schonehunter@gmail.com. NIMH, National Institutes of Health, Bethesda, Maryland, USA. Department of Psychology, York University, Toronto, Ontario, Canada. Department of Clinical Medicine, Aarhus University, Aarhus, Denmark. Department of Anaesthesia and Perioperative Medicine, Pain Management Unit, Neuroscience Institute, University of Cape Town, Rondebosch, Western Cape, South Africa. Institute of Cognitive and Clinical Neuroscience, Central Institute of Mental Health/Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany. Institute of Cognitive Neuroscience, University College London, London, UK.

Abstract summary 

Phantom limb pain (PLP) impacts the majority of individuals who undergo limb amputation. The PLP experience is highly heterogenous in its quality, intensity, frequency and severity. This heterogeneity, combined with the low prevalence of amputation in the general population, has made it difficult to accumulate reliable data on PLP. Consequently, we lack consensus on PLP mechanisms, as well as effective treatment options. However, the wealth of new PLP research, over the past decade, provides a unique opportunity to re-evaluate some of the core assumptions underlying what we know about PLP and the rationale behind PLP treatments. The goal of this review is to help generate consensus in the field on how best to research PLP, from phenomenology to treatment. We highlight conceptual and methodological challenges in studying PLP, which have hindered progress on the topic and spawned disagreement in the field, and offer potential solutions to overcome these challenges. Our hope is that a constructive evaluation of the foundational knowledge underlying PLP research practices will enable more informed decisions when testing the efficacy of existing interventions and will guide the development of the next generation of PLP treatments.

Authors & Co-authors:  Schone Hunter R HR Baker Chris I CI Katz Joel J Nikolajsen Lone L Limakatso Katleho K Flor Herta H Makin Tamar R TR

Study Outcome 

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Statistics
Citations :  Henderson WR, Smyth GE. Phantom limbs. J Neurol Neurosurg Psychiatry 1948;11:88–112. 10.1136/jnnp.11.2.88
Authors :  7
Identifiers
Doi : jnnp-2021-328428
SSN : 1468-330X
Study Population
Male,Female
Mesh Terms
Other Terms
BRAIN MAPPING;COGNITION;MOTOR CONTROL;PAIN;SOMATISATION DISORDER
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England