Noureen Ayesha, Ahmad Ashfaq, Fatima Arooj, Fatima Syeda Nida
University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore, Pakistan.
University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore, Pakistan.
J Bodyw Mov Ther. 2025 Jun;42:236-242. doi: 10.1016/j.jbmt.2024.12.007. Epub 2024 Dec 15.
To determine the effectiveness of conventional physical therapy with and without mirror therapy on phantom limb pain and improving adjustment to limitation among prosthetic users.
Single blinded Randomized controlled trial.
University of Lahore Teaching Hospital (UOLTH), Lahore.
Study enrolled 36 unilateral lower limb amputees diagnosed with PLP with pain intensity of minimum 3 on Numeric Rating Scale (NRS).
Participants received treatment based on the level of amputation and respective assessment. Group A received four weeks of mirror therapy followed by routine physical therapy while Group B received routine physical therapy only including strengthening, stretching, isometric exercise.
Severity of Phantom limb Pain was measured with Numeric Rating Scale (NRS) while The Trinity Amputation and Prosthesis Experience Scale (TAPES) assessed the limitation in daily life. Measurements were taken at baseline, at the end of 2nd and 4th week.
Among total, 18 patients received mirror therapy along with routine physical therapy and 18 received routine physical therapy alone. The mean (S.D) age of participants in Group-I was 35.22 ± 6.33 while in Group-II was 36.33 ± 6.30.At baseline, both groups (experimental and control group) were comparable for both NPRS (6.17 ± 1.80 and 6.33 ± 1.74) and Adjustment to limitation on TAPES scale (12.78 ± 4.36 and 11.72 ± 3.69). MT along with routine physical therapy significantly reduced the intensity of PLP at the end of 4th week (2.27 ± 1.17 and 4 ± 1.37). While on TAPES observable changes were recorded in Adjustment to limitation (19.67 ± 2.54 and 16.00 ± 3.97).
Mirror Therapy as an additional approach along with routine physical therapy over four weeks was more effective than conventional therapy only in managing severity of PLP and significantly improved adjustment to limitation.
确定常规物理治疗联合或不联合镜像疗法对幻肢痛的疗效以及改善假肢使用者对肢体缺失的适应情况。
单盲随机对照试验。
拉合尔大学教学医院（UOLTH），拉合尔。
本研究纳入了36名单侧下肢截肢且诊断为幻肢痛的患者，其疼痛强度在数字评分量表（NRS）上至少为3分。
参与者根据截肢水平和相应评估接受治疗。A组接受为期四周的镜像疗法，随后进行常规物理治疗，而B组仅接受常规物理治疗，包括强化训练、伸展运动和等长运动。
使用数字评分量表（NRS）测量幻肢痛的严重程度，同时使用三位一体截肢与假肢体验量表（TAPES）评估日常生活中的肢体缺失情况。在基线、第2周和第4周结束时进行测量。
总共有18名患者接受了镜像疗法联合常规物理治疗，18名患者仅接受常规物理治疗。第一组参与者的平均（标准差）年龄为35.22±6.33岁，第二组为36.33±6.30岁。在基线时，两组（实验组和对照组）在NPRS评分（6.17±1.80和6.33±1.74）以及TAPES量表上的肢体缺失适应情况（12.78±4.36和11.72±3.69）方面具有可比性。镜像疗法联合常规物理治疗在第4周结束时显著降低了幻肢痛的强度（2.27±1.17和4±1.37）。而在TAPES量表上，在肢体缺失适应方面观察到了明显变化（19.67±2.54和16.00±3.97）。
在四周的时间里，镜像疗法作为常规物理治疗的辅助方法，在控制幻肢痛严重程度方面比单纯常规治疗更有效，并且显著改善了对肢体缺失的适应情况。
