Sherman Richard A, Gall Norman, Gormly John
Clinical Psychophysiology Laboratory and Rehabilitation Medicine Service, Audie L. Murphy Memorial Veterans Hospital, San Antonio, Tex. 78284 U.S.A.
Pain. 1979 Feb;6(1):47-55. doi: 10.1016/0304-3959(79)90139-8.
Sixteen phantom limb pain patients were treated with a combination of (1) progressive muscle relaxation exercise, (2) feedback of stump and forehead muscle tension, and (3) reassurance about normal phantom sensations and the relationship between anxiety and pain. Fourteen of the patients had chronic pain (average of 12 years) and two were recent amputees (5- and 1-week). At the end of treatment, 8 of the chronic patients showed virtually complete relief from pain, 4 showed significant decreases to a point at which they no longer desired treatment and 2 showed no significant change. Both recent amputees showed complete relief from pain. These changes have been sustained for follow-up period of 6 months to 3 years. The 2 unsuccessful patients did not learn to relax and had strong psychological needs for their pain.
16名幻肢痛患者接受了以下组合治疗：（1）渐进性肌肉放松练习；（2）残肢和前额肌肉紧张度反馈；（3）关于正常幻肢感觉以及焦虑与疼痛之间关系的安抚。其中14名患者患有慢性疼痛（平均12年），2名是近期截肢者（分别为5周和1周）。治疗结束时，8名慢性疼痛患者的疼痛几乎完全缓解，4名患者疼痛显著减轻，达到不再需要治疗的程度，2名患者无显著变化。两名近期截肢者的疼痛均完全缓解。这些变化在6个月至3年的随访期内一直持续。两名治疗未成功的患者没有学会放松，对自身疼痛有强烈的心理需求。
