Falbo Kierra J, Baca Isabel F, Shaffer John D, Hafner Brian J, Krebs Erin E, Matsumoto Mary E, Hansen Andrew H, Rich Tonya L
Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.
Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA.
Disabil Rehabil. 2025 Mar;47(6):1567-1576. doi: 10.1080/09638288.2024.2374489. Epub 2024 Jul 11.
To develop and administer an assessment tool for facilitating patient-clinician discussions regarding amputation-related pain and sensation.
An assessment tool was developed to measure the impact of different types of amputation-related pain and sensation on a patient's life. The tool first provides patients with written descriptions and images of three common types of amputation-related pain or sensations: residual limb pain, phantom limb sensation, and phantom limb pain. The tool then asks them to rate the frequency, intensity, and interference of each experience. Participants were also asked to provide qualitative descriptions of these experiences.
Fifty Veterans with lower limb amputation participated in the study. In the past month, 74% reported experiencing residual limb pain, 76% reported phantom limb sensation, and 84% reported phantom limb pain, with 52% reporting all three. Participants' descriptions of some experiences were distinct, while others (e.g., "tingling") were common between experiences. Phantom limb pain had the most varied descriptions.
The amputation-related pain and sensation assessment tool can be used to identify and measure the effects of different experiences on patients' lives, thereby improving the specificity of diagnosis and informing clinical treatment recommendations. Further development of this tool should include evaluating its psychometric properties.
开发并管理一种评估工具，以促进患者与临床医生就截肢相关疼痛和感觉进行讨论。
开发了一种评估工具，用于测量不同类型的截肢相关疼痛和感觉对患者生活的影响。该工具首先向患者提供三种常见的截肢相关疼痛或感觉的书面描述和图像：残肢痛、幻肢感觉和幻肢痛。然后要求他们对每种体验的频率、强度和干扰程度进行评分。参与者还被要求对这些体验进行定性描述。
50名下肢截肢退伍军人参与了该研究。在过去一个月中，74%的人报告有残肢痛，76%的人报告有幻肢感觉，84%的人报告有幻肢痛，其中52%的人报告三种情况都有。参与者对某些体验的描述各不相同，而其他一些描述（如“刺痛”）在不同体验中较为常见。幻肢痛的描述最为多样。
截肢相关疼痛和感觉评估工具可用于识别和测量不同体验对患者生活的影响，从而提高诊断的特异性并为临床治疗建议提供依据。该工具的进一步开发应包括评估其心理测量特性。
