Abstract：
OBJECTIVES:To describe the prevalence and characteristics of phantom limb pain (PLP) and the use and perceived effectiveness of standard medical and self-treatment methods by traumatic amputees with combat-related injuries. DESIGN:A retrospective descriptive questionnaire study. SETTING:Outpatient amputee clinic at a major military medical center. PARTICIPANTS:Convenience sample of military members (N=30) with single or multiple traumatic amputations from combat and/or training. Inclusion criteria were 18 to 50 years old and amputation within 5 years of the study. Exclusion criteria were nontraumatic amputees and amputation or most recent surgical revision within 3 months before the study. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:The primary dependent variables were pain and relief, as measured by an investigator-developed questionnaire. RESULTS:Seventy-seven percent of participants experienced PLP at some time since their amputation. Of those with PLP, the mean average intensity was 3.3+/-2.0 out of 10 and the mean worst intensity was 5.4+/-2.6 out of 10. The PLP was intermittent, and 78% reported episodes of PLP at least weekly. Sixty-eight percent of participants with PLP were receiving treatment from their health care providers. The most common medical treatment was gabapentin, although some patients reported greater pain relief from self-treatment methods such as distraction and relaxation techniques. CONCLUSIONS:With over 750 service members living with amputations from recent combat, PLP will continue to be a troubling problem that requires effective interventions. The discrepancy between perceived effectiveness of different treatment types supports the need for highly individualized pain management plans.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Ketz AKdoi
10.1016/j.apmr.2007.11.037subject
Has Abstractpub_date
2008-06-01 00:00:00pages
1127-32issue
6eissn
0003-9993issn
1532-821Xpii
S0003-9993(08)00206-2journal_volume
89pub_type
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journal_title：Archives of physical medicine and rehabilitation
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journal_title：Archives of physical medicine and rehabilitation
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journal_title：Archives of physical medicine and rehabilitation
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journal_title：Archives of physical medicine and rehabilitation
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(98)90210-6
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1992-08-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
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更新日期：1976-06-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
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doi：10.1016/j.apmr.2007.01.019
更新日期：2007-04-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.apmr.2007.06.768
更新日期：2007-11-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
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更新日期：1992-11-01 00:00:00
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更新日期：2013-12-01 00:00:00
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更新日期：1990-05-01 00:00:00
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pub_type： 杂志文章,随机对照试验
doi：10.1016/j.apmr.2018.09.115
更新日期：2019-02-01 00:00:00
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pub_type： 杂志文章,评审
doi：10.1016/s0003-9993(95)80599-0
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更新日期：2015-03-01 00:00:00
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更新日期：2015-02-01 00:00:00
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更新日期：2020-09-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-10-01 00:00:00
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