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Verfasst von:Larbig, Wolfgang [VerfasserIn]   i
 Andoh, Jamila [VerfasserIn]   i
 Flor, Herta [VerfasserIn]   i
Titel:Pre- and postoperative predictors of phantom limb pain
Verf.angabe:Wolfgang Larbig, Jamila Andoh, Ellena Huse, Dietlinde Stahl-Corino, Pedro Montoya, Ze’ev Seltzer, Herta Flor
Jahr:2019
Jahr des Originals:2018
Umfang:77 S.
Fussnoten:Available online 29 November 2018 ; Gesehen am 10.10.2019
Titel Quelle:Enthalten in: Neuroscience letters
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1975
Jahr Quelle:2019
Band/Heft Quelle:702(2019), Seite 44-50
ISSN Quelle:1872-7972
Abstract:Phantom limb (PLP) as well as residual limb pain (RLP) are still a very significant problem after amputation and their causes are only partially known. Here we tested whether the predisposition for the frequency, duration and intensity of PLP and RLP is shared with other prior chronic pains and/or the presence of postamputation subacute pain. A week preoperatively we collected data using validated questionnaires, a pain diary and interviews on past chronic pain conditions, acute pain, depression, anxiety, pain interference, life control, social support and affective distress and pain ratings one day before the amputation in 52 patients scheduled for limb amputation. In the week postamputation and again three and 12 months thereafter, we collected data on postoperative wound pain, PLP, RLP and non-painful phantom sensation (PLS). Phantom and residual limb pain indices were calculated per patient, integrating the intensity, frequency and duration of past chronic pain, PLP, RLP and PLS into a single value to index the overall burden of pain. We report that acute and chronic pain long before but not on the day before the amputation and subacute pain postamputation significantly predicted up to half of the variance in the incidence and severity of PLP, RLP and PLS 12 months postamputation. Moreover, the severity of these painful sensations at 12 months postamputation was partially predicted by preamputation scores of depression and anxiety. These findings corroborate the hypothesis that chronic pain and non-painful sensations following limb amputation are strongly related to longstanding preoperative chronic pain and to subacute postoperative pain as well as to psychological factors before the amputation that may be inherited and/or acquired (learning- and memory-related). Furthermore, we also confirm that subacute pain postamputation comprises an additional risk factor for long-term painful sensations postamputation. Our results suggest that timely interventions might prevent the development of chronic pain.
DOI:doi:10.1016/j.neulet.2018.11.044
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.neulet.2018.11.044
 Verlag: http://www.sciencedirect.com/science/article/pii/S0304394018308309
 DOI: https://doi.org/10.1016/j.neulet.2018.11.044
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Amputation
 Non-Painful phantom limb
 Phantom limb pain
 Psychological factors
 Residual limb pain
K10plus-PPN:1678709301
Verknüpfungen:→ Zeitschrift

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