Effectivity of Motor Imagery and MirrorTherapy in Amputees

This study is currently recruiting participants. (see Contacts and Locations)

Verified May 2016 by Universidad de Almeria

Purpose
This study evaluates the effectiveness of imagery motor on phantom pain and amputation process

Condition
Amputees

Intervention
Other: Treatment Traditional and Imaginary Motor Program
Other: Treatment Traditional and Mirror Therapy

Study Type:

Interventional

Study Design:

Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment

Official Title:

Effectivity of Differences Therapies on Central Nerve System for Pain, Phantom, Disability and Quality of Life in Amputees

Resource links provided by NLM:

MedlinePlus related topics: Limb Loss
U.S. FDA Resources

Further study details as provided by Universidad de Almeria:

Primary Outcome Measures:

Numerical Rating Scale (NRS) [ Time Frame: Changes from Baseline Numerical Rating Scale at one month. Changes from Baseline Numerical
Rating Scale at three months ] [ Designated as safety issue: No ]
Secondary Outcome Measures:

McGiII Pain Questionnaire (MPQ) [ Time Frame: Changes from Baseline McGiII Pain Questionnaire at one month. Changes from Baseline McGiII
Pain Questionnaire at three months ] [ Designated as safety issue: No ]

The Vividness of Visual Imagery Questionnaire [ Time Frame: Changes from Baseline Vividness of Visual Imagery Questionnaire at one month and
three months ] [ Designated as safety issue: No ]

Beck Depression Inventory [ Time Frame: Changes from Baseline Beck Depression Inventory at one month. Changes from Baseline Beck
Depression Inventory at three months ] [ Designated as safety issue: No ]

Neuropathic Pain Questionnaire (DN4) [ Time Frame: Changes from Baseline Neuropathic Pain Questionnaire at one month. Changes from
Baseline Neuropathic Pain Questionnaire at three months ] [ Designated as safety issue: No ]

Pressure Algometer (kg/cm2) [ Time Frame: Changes from Baseline Pressure Algometer at one month. Changes from Baseline Pressure
Algometer at three months ] [ Designated as safety issue: No ]
Pressure algometer in lumbar pain, amputated limb and health limb

West-Haven-Yale Multidimensional Pain Inventory [ Time Frame: Changes from Baseline West-Haven-Yale Multidimensional Pain Inventory at one
month. Changes from Baseline West-Haven-Yale Multidimensional Pain Inventory at three months ] [ Designated as safety issue: No ]

The Barthel Index of ADLs [ Time Frame: Changes from Baseline Barthel Index of ADLs at one month. Changes from Baseline Barthel Index of
ADLs at three months ] [ Designated as safety issue: No ]

Instrumental Activities of Daily Living Scale (IADL) [ Time Frame: Changes from Baseline Instrumental Activities of Daily Living Scale at one month.
Changes from Baseline Instrumental Activities of Daily Living Scale at three months ] [ Designated as safety issue: No ]

The Functional Independence Measure Scale (FIM) [ Time Frame: Changes from Baseline Functional Independence Measure Scale at one month.
Changes from Baseline Functional Independence Measure Scale at three months ] [ Designated as safety issue: No ]

Quality of Life Questionnaire scoring (SF36) [ Time Frame: Changes from Baseline Quality of Life Questionnaire Scoring at one month. Changes
from Baseline Quality of Life Questionnaire Scoring at three months ] [ Designated as safety issue: No ]

Multidimensional Body Self Relations Questionnaire (MBSRQ) [ Time Frame: Changes from Baseline Multidimensional Body Self Relations
Questionnaire at one month. Changes from Baseline Multidimensional Body Self Relations Questionnaire at three months ]
[ Designated as safety issue: No ]

Tampa Scale for Kinesiophobia (TSK) [ Time Frame: Changes from Baseline Tampa Scale for Kinesiophobia at one month. Changes from Baseline
Tampa Scale for Kinesiophobia at three months ] [ Designated as safety issue: No ]

Pain Catastrophizing Scale (PCS) [ Time Frame: Changes from Baseline Pain Catastrophizing Scale at one month. Changes from Baseline Pain
Catastrophizing Scale at three months ] [ Designated as safety issue: No ]

Pain Management Inventory [ Time Frame: Changes from Baseline Pain Management Inventory at one month. Changes from Baseline Pain
Management Inventory at three months ] [ Designated as safety issue: No ]

Arms

Assigned Interventions

Experimental: Treatment Traditional and Motor Imaginary Program

Other: Treatment Traditional and Imaginary Motor Program

Amputees patients also conservative protocol will undergo physiotherapy

Amputees patients also conservative protocol will undergo physiotherapy

techniques work Motor Imaginary Program, based on a system of two

techniques work Imaginary Motor. The first video will include two

videos that allow the patient to recreate the "normal" way. The first video

sequences of a harmonic gear that will allow the patient to examine, with

will include two sequences of a harmonic gear that will allow the patient to

the physiotherapist, the characteristics of the different body segments

examine, with the physiotherapist, the characteristics of the different body

involved in locomotion and place the member in space. The second video

segments involved in locomotion and place the member in space. The

include an analysis in five phases: a) relaxation of Benson, b) phase

second video include an analysis in five phases. This protocol will be

external imagination where cycles of normal running on a video provided

applied 3 days a week (25-30minutos) for one month.

by the physiotherapist, c) phase internal imagination where the patient will

identify the problem discussed compared with the normal course
presented in the video, d) recreation of images in the first person made an
e normalized locomotion) closing his eyes, prompted the patient to
mentally recreate sequences normal gait and analyzed and subsequently
verbalize differences of these with respect to their own way of getting
around.

Active Comparator: Treatment Traditional and Mirror Therapy

Other: Treatment Traditional and Mirror Therapy

Amputees patients also conservative protocol will undergo physical

Amputees patients also conservative protocol will undergo physiotherapy

therapy techniques mirror therapy work. The protocol will consist of mirror

techniques mirror therapy work. The protocol will consist of mirror therapy

therapy sessions three days a week (25-30 minutes) for a month, where

sessions three days a week (25-30 minutes) for a month, where

participants will move the intact limb looking in the mirror and imagining

participants will move the intact limb looking in the mirror and imagining

the movement of the limb with phantom sensation.

the movement of the limb with phantom sensation.

Detailed Description:
The expected increase in the number of amputations in the coming decades requires special attention to the common effect after called phantom limb
amputation. That term refers to the phenomena covering the sensations that occur in the affected limb and whose prevalence rate is an important part of
amputees subjects. Developed theories about their origin focus their attention on the central nervous system and the peripheral nervous system. Thus, the
imaginary movement is a complex cognitive, sensory and proprioceptive process leading to a mental representation of movement and it is a widely used
technique in neurological rehabilitation and complex pain syndrome.

Eligibility
Ages Eligible for Study:

18 Years to 65 Years (Adult)

Genders Eligible for Study:

Both

Accepts Healthy Volunteers:

No

Criteria
Inclusion Criteria:
1. Pain in the stump area 3 months, no intermittent
2. Have three months elapsed amputation,
3. Submit subjective sensation of phantom limb not blinking
Exclusion Criteria:

Clinical signs of radiculopathy.

Lumbar stenosis, fibromyalgia, spondylolisthesis.

History of spinal surgery.

Corticosteroid therapy in the past two weeks.

Disease of the central nervous system or peripheral.