Author/Editor		Godec, Marija
Title		Terapija fantomske bolečine
Type		članek
Source		In: Burger H, editor. Amputacije in protetika. Zbornik predavanj 13. dnevi rehabilitacijske medicine; 2002 mar 15-16; Ljubljana. 1. izd. Ljubljana: Inštitut Republike Slovenije za rehabilitacijo,
Publication year		2002
Volume		str. 157-8
Language		slo
Abstract		Phantom limb pain occurs in up to 80% of amputees (1,2). Both, peripheral and central factors determine its severity. Phantom pain may be more likely after amputation of a chronically painful limb (3), and is often similar to the pain in the limb prior to the amputation (4). It is less likely to occur in children and almost unknown in congenital deficiencies (5). Although Jensen et al. (1) reported a slight decrease in prevalence of phantom limb pain in the course of two years, such decrease has not been reported by other authors. Large-scale surveys of amputees show the ineffectiveness of treatment of phantom limb pain that fails to address its underlying mechanisms (2). Mechanism-based treatment was relatively effective in a few small studies. Pharmacological and behavioural treatment resulting in vasodilatation of the residual limb alleviates the burning component of phantom pain, but not the other features. Treatment for decreasing muscle tension in the residual limb reduces cramping, but not the other features. Somatosensory pain memory and altered homuncular structure in the somatosensory cortex may underlie phantom limb pain. Peripheral factors may sustain this memory.
Descriptors		AMPUTATION PHANTOM LIMB