Development and pilot administration of the amputation-related pain and sensation assessment tool.

Autor: Falbo KJ; Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.; Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA., Baca IF; Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.; Department of Occupational Science & Occupational Therapy, Saint Louis University, St. Louis, MO, USA., Shaffer JD; Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA., Hafner BJ; Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA., Krebs EE; Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.; Department of Medicine, University of Minnesota, Minneapolis, MN, USA., Matsumoto ME; Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.; Department of Rehabilitation Medicine, University of Minnesota, Minneapolis, MN, USA., Hansen AH; Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.; Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA.; Department of Biomedical Engineering, University of Minnesota, Minneapolis, MN, USA., Rich TL; Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.; Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA.
Jazyk: angličtina
Zdroj: Disability and rehabilitation [Disabil Rehabil] 2024 Jul 11, pp. 1-10. Date of Electronic Publication: 2024 Jul 11.
DOI: 10.1080/09638288.2024.2374489
Abstrakt: Purpose: To develop and administer an assessment tool for facilitating patient-clinician discussions regarding amputation-related pain and sensation.
Materials and Methods: An assessment tool was developed to measure the impact of different types of amputation-related pain and sensation on a patient's life. The tool first provides patients with written descriptions and images of three common types of amputation-related pain or sensations: residual limb pain, phantom limb sensation, and phantom limb pain. The tool then asks them to rate the frequency, intensity, and interference of each experience. Participants were also asked to provide qualitative descriptions of these experiences.
Results: Fifty Veterans with lower limb amputation participated in the study. In the past month, 74% reported experiencing residual limb pain, 76% reported phantom limb sensation, and 84% reported phantom limb pain, with 52% reporting all three. Participants' descriptions of some experiences were distinct, while others (e.g., "tingling") were common between experiences. Phantom limb pain had the most varied descriptions.
Conclusions: The amputation-related pain and sensation assessment tool can be used to identify and measure the effects of different experiences on patients' lives, thereby improving the specificity of diagnosis and informing clinical treatment recommendations. Further development of this tool should include evaluating its psychometric properties.
Databáze: MEDLINE