Evidence map›Paper›PMID 28676749›Full record

ArticleFrontiers in human neuroscience2017

Preliminary Evidence for Training-Induced Changes of Morphology and Phantom Limb Pain.

Sandra Preißler, Désirée Thielemann, Caroline Dietrich, Gunther O Hofmann, Wolfgang H R Miltner, Thomas Weiss

Open access · goldAbstract read
In one paragraph

Article in Frontiers in human neuroscience, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 32 citations in OpenAlex.

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  9. Structural and functional motor cortex asymmetry in unilateral lower limb amputation with phantom limb pain.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Sandra PreißlerDepartment of Biological and Clinical Psychology, Friedrich Schiller UniversityJena, Germany.
Désirée ThielemannDepartment of Biological and Clinical Psychology, Friedrich Schiller UniversityJena, Germany.
Caroline DietrichDepartment of Biological and Clinical Psychology, Friedrich Schiller UniversityJena, Germany.
Gunther O HofmannClinic for Trauma and Reconstructive Surgery, Berufsgenossenschaftliche Kliniken Bergmannstrost HalleHalle, Germany.
Wolfgang H R MiltnerDepartment of Biological and Clinical Psychology, Friedrich Schiller UniversityJena, Germany.
Thomas WeissDepartment of Biological and Clinical Psychology, Friedrich Schiller UniversityJena, Germany.
Friedrich Schiller University Jena · DEJena University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to investigate whether a special prosthetic training in phantom limb pain patients aimed at increasing the functional use of the prosthesis leads to neural morphological plasticity of brain structures and a reduction in phantom limb pain. For chronic pain disorders, it was shown that morphological alterations due to pain might become at least partially reversed by pain therapies. Phantom limb pain is a chronic pain disorder that is frequently followed by neural plasticity of anatomical brain structures. In our study, 10 patients with amputation of the upper limb participated in a two-week training with a myoelectric prosthesis with somatosensory feedback. Grip strength was fed back with electrocutaneous stimulus patterns applied to the stump. Phantom limb pain was assessed before and after the two-week training. Similarly, two T1 weighted MRI scans were conducted for longitudinal thickness analyses of cortical brain structures. As result of this treatment, patients experienced a reduction in phantom limb pain and a gain in prosthesis functionality. Furthermore, we found a change of cortical thickness in small brain areas in the visual stream and the post-central gyrus ipsilateral to the amputation indicating morphological alterations in brain areas involved in vision and pain processing.

Indexed as

gray matterplasticityprosthesissomatosensory feedbackupper limb amputation

Identifiers

PMID28676749
PMCPMC5476738
OpenAlexW2695718511

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.