Evidence map›Paper›PMID 29755399›Full record

ArticleFrontiers in neurology2018

Leg Prosthesis With Somatosensory Feedback Reduces Phantom Limb Pain and Increases Functionality.

Caroline Dietrich, Sandra Nehrdich, Sandra Seifert, Kathrin R Blume, Wolfgang H R Miltner, Gunther O Hofmann, Thomas Weiss

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05807607 (Peripheral Nerve and Spinal Cord Stimulation in Patients With Pain Syndrome as a Result of Lower Limb Amputation in Order to Relieve Pain Syndrome and Develop Phantom Pain Biomarkers), which is not on this map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
9.6field-weighted citation impact, top 1% 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.

NCT05807607 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Peripheral Nerve and Spinal Cord Stimulation in Patients With Pain Syndrome as a Result of Lower Limb Amputation in Order to Relieve Pain Syndrome and Develop Phantom Pain Biomarkers

TypeinterventionalSponsorArtur BiktimirovRan2022 to 2025Enrolled10ConditionsPhantom Limb Pain, Phantom Pain, Amputation, Lower Limb AmputationArmsImplantation of PNS electrodes during surgery, mapping to select sites with the best effect and daily modulation., SCS electrode implantation at surgery, mapping to select sites with the best effect and pain modulation, Change according to the scale of the PainDetect questionnaire
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. A review of user needs to drive the development of lower limb prostheses.Journal of neuroengineering and rehabilitation · 2022
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Clinical Applications and Future Translation of Somatosensory Neuroprostheses.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Review
  16. Review
  17. Article
  18. Epidemiology and risk factors for phantom limb pain.Frontiers in pain research (Lausanne, Switzerland) · 2024
    Review
  19. Article
  20. Pain and Reorganization after Amputation: Is Interoceptive Prediction a Key?The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Caroline DietrichDepartment of Clinical Psychology, Friedrich Schiller University, Jena, Germany.
Sandra NehrdichDepartment of Clinical Psychology, Friedrich Schiller University, Jena, Germany.
Sandra SeifertDepartment of Clinical Psychology, Friedrich Schiller University, Jena, Germany.
Kathrin R BlumeDepartment of Clinical Psychology, Friedrich Schiller University, Jena, Germany.
Wolfgang H R MiltnerDepartment of Clinical Psychology, Friedrich Schiller University, Jena, Germany.
Gunther O HofmannBerufsgenossenschaftliche Kliniken Bergmannstrost Halle/Saale, Halle, Germany.
Thomas WeissDepartment of Clinical Psychology, Friedrich Schiller University, Jena, Germany.
Friedrich Schiller University Jena · DEBG Klinikum Bergmannstrost Halle · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Phantom limb pain (PLP) develops in most patients with lower limb amputation. Changes in the peripheral and central nervous system (CNS) are hypothesized to contribute to PLP. Based on ideas to modify neural reorganization within the CNS, the aim of the study was to test, whether prostheses with somatosensory feedback might help to reduce PLP, and increase the functionality of movement with a prosthesis. We therefore equipped the prostheses of 14 lower leg amputees with a simple to use feedback system that provides electrocutaneous feedback to patients' thigh whenever the foot and toes of the prosthesis touch the ground. Two weeks of training with such a feedback prosthesis reduced PLP, increased the functional use of the prosthesis, and increased patients' satisfaction with prosthesis use. We found a significant overall reduction of PLP during the course of the training period. Most patients reported lower PLP intensities at the end of the day while before training they have usually experienced maximal PLP intensities. Furthermore, patients also reported larger walking distances and more stable walking and better posture control while walking on and across a bumpy or soft ground. After training, the majority of participants (9/14) preferred such a feedback system over no feedback. This study extends former observations of a similar training procedure with arm amputees who used a similar feedback training to improve the functionality of an arm prosthesis in manipulating and grasping objects.

Indexed as

functionalitylower leg amputationphantom limb painprosthesisprosthesis trainingsomatosensory feedback

Identifiers

PMID29755399
PMCPMC5932153
OpenAlexW2801346405

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.