Objects:
@EN Phantom limb phenomenon(PLP) is characterized by a sensation of peristence of the limb even after its removal. Limb amputation itself rise to serious functional, social and psychological problems. The aim of this study was to evaluate
clinical
and
psychiatric characteristics of PLP.
@ES Methods:
@EN This was a prospective study of 32 patients who had undergone limb amputation due to traumatic injuries and physical diseases. The researchers and semi-structured interview with patients at 3 days, 7 days and 30 days after operation in order
to
obtain information about PLP and its related clinical characteristics. At the same time self-rating scales for state anxiety(Spielberger et al 1970), depression (Beck 1961) and pain and distress(Zung 1983) were administered to patients and then
these
psychopathological states were compared between groups of patients[patients with PLP vs. Those without PLP(APLP) and patients with painful PLP(P-PLP) vs. Those with non-painful PLP(N-PLP)].
@ES Results:
@EN 1) Among 32 amputees, 27(84%) experienced PLP, 26(96%) cases out of these appeared within 3 days after amputation. In 17(70%) cases the PLP lasted till the time of the 30th day after amputation. The incidences of feeling of movement,
telescopy,
appearance of dream and pain in the PLP group were 18(40%), 11(40%), 6(22%) and 20(74%) respectively.
2) Of 20 patients with P-PLP, 14(70%) cases experienced the pain within 3 days after amputation. In 13(65%) cases the pain lasted till the time of the 30th day after amputation.
3) The types of phantom pain varied considerably among amputees. However, electric current sensation was most commonly reported after amputation. Phantom pain was often aggravated by touch or approach of stump but, relieved by distraction.
4) The scores of rating scales for anxiety, depression and pain and distress were significantly higher in PLP group than APLP group and also significantly higher in P-PLP group than N-PLP group.
@ES Conclusions:
@EN The incidence of PLP and its related clinical characteristics are similar to the studies reported by others. The psychopathological states of the amputees suggest that psychiatric intervention is required particularly for the those with PLP
but
more
for those with P-PLP.
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