Arai Nobuyuki, Yoshimura Manabu, Yamamoto Sayako, Abe Hiromasa, Hanayama Kozo
Department of Rehabilitation Medicine, Kawasaki Medical School, Kurashiki, Okayama, Japan.
Department of Occupational Therapy, Faculty of Rehabilitation, Kawasaki University of Medical Welfare, Kurashiki, Okayama, Japan.
Jpn J Compr Rehabil Sci. 2021 Apr 12;12:15-18. doi: 10.11336/jjcrs.12.15. eCollection 2021.
Arai N, Yoshimura M, Yamamoto S, Abe H, Hanayama K. Effectiveness of simple body image evaluation and manipulation for chronic pain: A case report. Jpn J Compr Rehabil Sci 2021; 12: 15-18.
We report a case in which chronic pain was successfully relieved using a new simple body image evaluation and body image manipulation based on the evaluation results.
The patient, a man in his 60s, accidentally sustained a left ulnar trunk fracture and left hand degloving injury at work. Occupational therapy for approximately 2 years could not completely relieve pain in the ring finger (allodynia), causing difficulty in changing clothes and driving a car. Images of the left and right ring fingers were compared and manipulated using bandages to make the two images similar. Allodynia was reduced (visual analog scale 10 cm → 3.6 cm), and the ability to change clothes and drive a car improved.
The bandage presumably changed the tactile and visual information inputs of size, weight, length, thickness, and thickness and reconstructed the perceptual-motor loop.
新井直、吉村真、山本史、阿部浩、花山和。简单身体意象评估与操控对慢性疼痛的有效性：一例报告。《日本综合康复科学杂志》2021年；12卷：15 - 18页。
我们报告一例使用基于评估结果的新型简单身体意象评估和身体意象操控成功缓解慢性疼痛的病例。
患者为一名60多岁男性，工作时意外导致左尺神经干骨折和左手脱套伤。约2年的职业治疗未能完全缓解无名指疼痛（痛觉过敏），导致穿衣和开车困难。使用绷带比较并操控左右无名指的图像，使两者图像相似。痛觉过敏减轻（视觉模拟量表从10厘米降至3.6厘米），穿衣和开车能力得到改善。
绷带可能改变了大小、重量、长度、厚度和粗细的触觉和视觉信息输入，并重建了感知 - 运动环路。
