TY - JOUR
T1 - Mirror therapy for phantom limb pain in moderate intellectual disability
T2 - a case report
AU - Folch, Annabel
AU - Gallo, Daniel
AU - Miró, Jordi
AU - Salvador-Carulla, Luis
AU - Martínez-Leal, Rafael
N1 - Funding Information:
JM’s work is supported in part by the Spanish Ministry of Economy, Industry and Competitiveness (RTI2018‐09870‐B‐I00; RED2018‐102546‐T), the European Regional Development Fund (ERDF), the Government of Catalonia (AGAUR; 2017SGR‐1321), Fundación Grünenthal (Spain), Universitat Rovira i Virgili (PFR program) and ICREA‐Acadèmia.
Funding Information:
JM?s work is supported in part by the Spanish Ministry of Economy, Industry and Competitiveness (RTI2018-09870-B-I00; RED2018-102546-T), the European Regional Development Fund (ERDF), the Government of Catalonia (AGAUR; 2017SGR-1321), Fundaci?n Gr?nenthal (Spain), Universitat Rovira i Virgili (PFR program) and ICREA-Acad?mia. The authors thank the patient for her collaboration, and the professionals from Villablanca Social for their contribution.
Publisher Copyright:
© 2021 The Authors. European Journal of Pain published by John Wiley & Sons Ltd on behalf of European Pain Federation - EFIC ®.
PY - 2022/1
Y1 - 2022/1
N2 - Background: Phantom limb pain (PLP) is a common problem after limb amputation. There is mounting evidence supporting the use of mirror therapy (MT) in the treatment of individuals with PLP. However, there is no research studying the effects of MT on PLP in individuals with intellectual developmental disorders (IDD). The aim of this study was to increase our understanding of MT when used with adults with IDD and PLP through a case study approach. Methods: Here, we describe the use of MT with a 53-year-old female with moderate IDD and PLP, related to her left leg being amputated after ulcer complications. The study followed an A-B-A-B design (baseline—treatment—withdrawal of treatment—re-introduction of treatment), lasting 2 years, which included a long-term follow-up. Results: The data showed that the PLP sensation decreased after the MT treatment, with a raw change of 3.92 points and a 48% decrease in mean pain intensity ratings from pre- to post-treatment. Conclusions: This is a unique case-report on the use of MT with an individual with IDD suffering from PLP. The findings show that MT helped to significantly reduce the intensity of the PLP in this patient. Significance: This is a case-report that illustrates how mirror therapy can be applied to people with intellectual developmental disorders and phantom limb pain. The results showed that phantom limb pain decreased after the mirror therapy, with a raw change of 3,92 points and a percent change of 48%.
AB - Background: Phantom limb pain (PLP) is a common problem after limb amputation. There is mounting evidence supporting the use of mirror therapy (MT) in the treatment of individuals with PLP. However, there is no research studying the effects of MT on PLP in individuals with intellectual developmental disorders (IDD). The aim of this study was to increase our understanding of MT when used with adults with IDD and PLP through a case study approach. Methods: Here, we describe the use of MT with a 53-year-old female with moderate IDD and PLP, related to her left leg being amputated after ulcer complications. The study followed an A-B-A-B design (baseline—treatment—withdrawal of treatment—re-introduction of treatment), lasting 2 years, which included a long-term follow-up. Results: The data showed that the PLP sensation decreased after the MT treatment, with a raw change of 3.92 points and a 48% decrease in mean pain intensity ratings from pre- to post-treatment. Conclusions: This is a unique case-report on the use of MT with an individual with IDD suffering from PLP. The findings show that MT helped to significantly reduce the intensity of the PLP in this patient. Significance: This is a case-report that illustrates how mirror therapy can be applied to people with intellectual developmental disorders and phantom limb pain. The results showed that phantom limb pain decreased after the mirror therapy, with a raw change of 3,92 points and a percent change of 48%.
UR - http://www.scopus.com/inward/record.url?scp=85121130117&partnerID=8YFLogxK
U2 - 10.1002/ejp.1859
DO - 10.1002/ejp.1859
M3 - Article
C2 - 34464481
AN - SCOPUS:85121130117
SN - 1532-2149
VL - 26
SP - 246
EP - 254
JO - European Journal of Pain (United Kingdom)
JF - European Journal of Pain (United Kingdom)
IS - 1
ER -