幻肢,残余肢体和身体疼痛的差异在疼痛回忆和增加活动强度的人与单边下肢截肢的人
Eric J Earley1,2, Kylie G Shaw2, Mohamed E Awad1,2
1Bone-Anchored Limb Research Group, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
PM & R : the journal of injury, function, and rehabilitation
|February 7, 2026
概括
幻肢,残余肢体和身体疼痛经历在下肢截肢后显著不同. 区分这些疼痛亚型对于准确的评估和有针对性的治疗策略至关重要.
科学领域:
- 截肢者康复服务 截肢者康复服务
- 疼痛管理 疼痛管理
- 假肢和整形手术
背景情况:
- 幻肢,残余肢体和身体疼痛是截肢后常见的,但在调查中往往没有区分.
- 缺少亚型差异化阻碍了截肢者的临床诊断和有针对性的疼痛治疗.
研究的目的:
- 描述主要下肢截肢者的疼痛经历 (幻肢,残余肢体,身体) 和生活质量.
- 为了将疼痛经历与整体疼痛自我评估在休息和活动水平上进行比较.
- 为了研究口和骨的四肢之间的假肢相关的疼痛差异.
主要方法:
- 参与者内部的横截面研究设计.
- 这项研究涉及83名成年人,他们使用插座或骨的假肢进行了单边的腿骨转移或腿骨穿越截肢.
- 在调查时评估了整体,幻肢,残余肢体和身体疼痛,并在过去一个月的休息时间,轻度活动和最大活动期间平均.
主要成果:
- 剩余四肢疼痛与其他疼痛亚型相关联,在转骨套假肢使用者中,但不是骨四肢使用者.
- 增加的活动与更高的疼痛强度相关联的变骨套假肢使用者.
- 幻肢和身体疼痛并没有随着骨骨的肢体用户的活动显著增加.
结论:
- 幻肢,残肢和身体疼痛对整体疼痛感知,生活质量和日常活动有不同的影响.
- 疼痛亚型的体验因活动水平而异,特别是在插座和骨假肢用户之间.
- 同时评估疼痛亚型对于截肢者的全面评估至关重要.
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