Evidence map›Paper›PMID 37791790›Full record

ArticleProsthetics and orthotics international2024

Clinician perspectives on postamputation pain assessment and rehabilitation interventions.

Tonya L Rich, Kierra J Falbo, Hannah Phelan, Amy Gravely, Erin E Krebs, Jacob A Finn, Mary Matsumoto, Katherine Muschler, Christine M Olney, Jessica Kiecker and 1 more

Open access · greenAbstract read
In one paragraph

Article in Prosthetics and orthotics international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. HUMAN CENTERED DESIGN: VETERAN TESTING OF A MOBILE APP WITH AUGMENTED REALITY FOR PHANTOM LIMB PAIN.Proceedings of the ... Design of Medical Devices Conference. Design of Medical Devices Conference · 2025
    Article
  3. 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

11 authors at 3 institutions in 1 country.

Tonya L RichDepartment of Rehabilitation & Extended Care, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.ORCID 0000-0002-9419-7259
Kierra J FalboDivision of Rehabilitation Science, Department of Rehabilitation Medicine, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-6850-0373
Hannah PhelanDepartment of Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.
Amy GravelyDepartment of Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.
Erin E KrebsDivision of General Internal Medicine, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.
Jacob A FinnDepartment of Rehabilitation & Extended Care, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.
Mary MatsumotoDepartment of Rehabilitation & Extended Care, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.
Katherine MuschlerDepartment of Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.
Christine M OlneyDivision of Rehabilitation Science, Department of Rehabilitation Medicine, University of Minnesota, Minneapolis, MN, USA.
Jessica KieckerDepartment of Rehabilitation & Extended Care, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.
Andrew H HansenDepartment of Rehabilitation & Extended Care, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.
University of Minnesota · USMinneapolis VA Health Care System · USMedical College of Wisconsin · US

Funding

Developing Assessments and Interventions for Phantom Limb Pain in Veterans with AmputationsIK1RX003216 · VA · MINNEAPOLIS VA MEDICAL CENTER · PI RICH, TONYA L · 2020 to 2021
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Home-based rehabilitation intervention for phantom limb pain in Veterans with lower limb amputationsIK2RX004805 · VA · MINNEAPOLIS VA MEDICAL CENTER · PI Tonya L Rich · 2024 to 2026
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RRD VA IK1 RX003216
6 · The paper itself

Abstract

objectiveThe purpose of this study was to explore self-reported Veterans Affairs (VA) amputation clinician perspectives and clinical practices regarding the measurement and treatment for amputation-related pain. STUDY

designCross-sectional survey with 73 VA rehabilitation clinicians within the VA Health Care System.

resultsThe most frequent clinical backgrounds of respondents included physical therapists (36%), prosthetists (32%), and physical medicine and rehabilitation specialist (21%). Forty-one clinicians (56%) reported using pain outcome measures with a preference for average pain intensity numeric rating scale (generic) (97%), average phantom limb pain intensity numeric rating scale (80%), or Patient-Reported Outcomes Measurement Information System pain interference (12%) measures. Clinicians' most frequently recommended interventions were compression garments, desensitization, and physical therapy. Clinicians identified mindset, cognition, and motivation as factors that facilitate a patient's response to treatments. Conversely, clinicians identified poor adherence, lack of belief in interventions, and preference for traditional pain interventions (e.g., medications) as common barriers to improvement. We asked about the frequently used treatment of graded motor imagery. Although graded motor imagery was originally developed with 3 phases (limb laterality, explicit motor imagery, mirror therapy), clinicians reported primarily using explicit motor imagery and mirror therapy.

resultsMost clinicians who use standardized pain measures prefer intensity ratings. Clinicians select pain interventions based on the patient's presentation. This work contributes to the understanding of factors influencing clinicians' treatment selection for nondrug interventions. Future work that includes qualitative components could further discern implementation barriers to amputation pain rehabilitation interventions for greater consistency in practice.

Indexed as

Amputation, SurgicalPain MeasurementAdultAmputeesAttitude of Health PersonnelCross-Sectional StudiesFemaleHumansMaleMiddle AgedPain ManagementPhantom LimbUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID37791790
PMCPMC12720276
OpenAlexW4387326607

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.