title: [Two-point discrimination for phantom pain: effect of a 4-week therapy in an upper arm amputee with phantom pain].
abstract: There is evidence that phantom pain is associated with a disrupted organization of the sensory cortex and that this organization can be normalized by training with two-point discrimination (TPD). In this case study a reduction in all three phantom modalities (i.e. phantom pain, phantom feeling and painful phantom sensation) and a reduction in pain level from m= 4.13/10 visual analogue scale (VAS) to m= 0.67/10 (VAS) could be observed in a patient with an upper limb amputation during a test period of 28 days with TPD. The quality of life and performance increased significantly. This can be a promising indication for a better social and work reintegration.
authors.affiliation: Orthopädische und Handchirurgische Rehabilitation, Rehabilitationsklinik Bellikon, CH-5454 Bellikon, Schweiz. thomas.koller@rehabellikon.ch
authors.forename: T
authors.initials: T
authors.lastname: Koller
authors.forename: H
authors.initials: H
authors.lastname: Luomajoki
mesh_terms: D000672:Amputation Stumps; D000674:Amputees; D001132:Arm / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods*; D010591:Phantom Limb / Q000175:diagnosis*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity