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dc.contributor.authorOl, Ha Sam
dc.contributor.authorVan Heng, Yang
dc.contributor.authorDanielsson, Lena Elsa
dc.contributor.authorHusum, Hans
dc.date.accessioned2019-05-27T11:54:45Z
dc.date.available2019-05-27T11:54:45Z
dc.date.issued2018-07-03
dc.description.abstract<i>Background and aims</i>: The aim of the study was to examine the effect of mirror and tactile therapy on phantom and stump pain in patients with traumatic amputations, with particular reference to amputees in low-income communities.<p> <p><i>Methods</i>: The study was conducted with an open, randomized, semi-crossover case-control design in rural Cambodia. A study sample of 45 landmine victims with trans-tibial amputations was allocated to three treatment arms; mirror therapy, tactile therapy, and combined mirror-and-tactile therapy. Non-responders from the mono-therapy interventions were crossed over to the alternative intervention. The intervention consisted of 5 min of treatment every morning and evening for 4 weeks. Endpoint estimates of phantom limb pain (PLP), stump pain, and physical function were registered 3 months after the treatment.<p> <p><i>Results</i>: All three interventions were associated with more that 50% reduction in visual analogue scale (VAS)- rated PLP and stump pain. Combined mirror-tactile treatment had a significantly better effect on PLP and stump pain than mirror or tactile therapy alone. The difference between the three treatment arms were however slight, and hardly of clinical relevance. After treatment, the reduction of pain remained unchanged for an observation period of 3 months.<p> <i>Conclusions</i>: The study documents that a 4-week treatment period with mirror and/or tactile therapy significantly reduces PLP and stump pain after trans-tibial amputations.<p> <i>Implications</i>: The article reports for the first time a randomized controlled trial of mirror therapy in a homogenous sample of persons with traumatic amputations. The findings are of special relevance to amputees in low-resource communities.en_US
dc.description.sponsorshipLancelot Holding AS, Norwayen_US
dc.descriptionAccepted manuscript version, licensed <a href=http://creativecommons.org/licenses/by-nc-nd/4.0/> CC BY-NC-ND 4.0. </a> Published version available at <a href=https://doi.org/10.1515/sjpain-2018-0042>https://doi.org/10.1515/sjpain-2018-0042. </a>en_US
dc.identifier.citationOl, H.S., Van Heng, Y., Danielsson, L. & Husum, H. (2018). Mirror therapy for phantom limb and stump pain: A randomized controlled clinical trial in landmine amputees in Cambodia. <i>Scandinavian Journal of Pain, 18</i>(4). https://doi.org/10.1515/sjpain-2018-0042en_US
dc.identifier.cristinIDFRIDAID 1607462
dc.identifier.doi10.1515/sjpain-2018-0042
dc.identifier.issn1877-8860
dc.identifier.issn1877-8879
dc.identifier.urihttps://hdl.handle.net/10037/15384
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalScandinavian Journal of Pain
dc.rights.accessRightsopenAccessen_US
dc.subjectamputationsen_US
dc.subjectCambodiaen_US
dc.subjectmirror therapyen_US
dc.subjectphantom limb painen_US
dc.subjectstump painen_US
dc.subjecttactile therapyen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Traumatology: 783en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Traumatologi: 783en_US
dc.titleMirror therapy for phantom limb and stump pain: A randomized controlled clinical trial in landmine amputees in Cambodiaen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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