Hirakawa Yoshiyuki, Fujiwara Akira, Imai Ryota, Hiraga Yuki, Morioka Shu
Department of Rehabilitation, Fukuoka Rehabilitation Hospital, Fukuoka City, Fukuoka, Japan.
Department of Orthopedics, Fukuoka Reha Orthopedic Clinic, Fukuoka City, Fukuoka, Japan.
J Pain Res. 2020 May 6;13:971-977. doi: 10.2147/JPR.S236786. eCollection 2020.
A woman in her thirties developed complex regional pain syndrome in her left shoulder due to a traffic accident. She demonstrated autonomic nervous symptoms (swelling, sweating, and skin color asymmetry) in her left hand, severe allodynia, neglect-like symptoms (NLS), impaired body image associated with impaired body awareness, and functional impairment of the left shoulder and elbow. She also reported physical self-disgust toward her affected limb, describing it as "reptilian," as well as aversion to touching others; this body awareness exacerbated her pain and NLS. We therefore conducted stepwise interventions using body shadows. The intervention did not trigger physical self-disgust, enabling formation of body ownership and a body image unaccompanied by pain. Consequently, the patient showed improvements in pain, NLS, and autonomic nervous symptoms.
一名三十多岁的女性因交通事故在左肩患上了复杂性区域疼痛综合征。她左手出现自主神经症状（肿胀、出汗和皮肤颜色不对称）、严重的痛觉过敏、类忽视症状（NLS）、与身体意识受损相关的身体意象障碍以及左肩和肘部的功能障碍。她还报告了对患侧肢体的身体自我厌恶，形容它“像爬虫类”，以及厌恶触碰他人；这种身体意识加剧了她的疼痛和NLS。因此，我们使用身体影子进行了逐步干预。该干预未引发身体自我厌恶，从而能够形成身体所有权和无疼痛伴随的身体意象。结果，患者的疼痛、NLS和自主神经症状均有所改善。
