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Assistive technologies for pain management in people with amputation: a literature review

Military Medical Research 2018年第2期5卷 159-164页

作者： Kamiar Ghoseiri Mostafa Allami Mohammad Reza Soroush Mohammad Yusuf Rastkhadiv Department of Orthotics and Prosthetics School of Rehabilitation SciencesHamadan University of Medical SciencesHamadanIran Janbazan Medical and Engineering Research Center(JMERC) Farrokh AveVelenjakTehranIran Department of Occupational Therapy School of Rehabilitation SciencesHamadan University of Medical SciencesHamadanIran

The prevalence of limb amputation is increasing globally as a devastating experience that can physically and psychologically affect the lifestyle of a person. The residual limb pain and phantom limb pain are common disabling sequelae after amputation surgery. Assistive devices/technologies can be used to relieve pain in people with amputation. The existing assistive devices/technologies for pain management in people with amputation include electrical nerve block devices/technologies, TENS units, elastomeric pumps and catheters, residual limb covers, laser systems, myoelectric prostheses and virtual reality systems, etc. There is a great potential to design, fabricate, and manufacture some portable, wireless, smart, and thin devices/technologies to stimulate the spinal cord or peripheral nerves by electrical, thermal, mechanical, and pharmaceutical stimulus. Although some preliminary efforts have been done, more attention must be paid by researchers, clinicians, designers, engineers, and manufacturers to the post amputation pain and its treatment methods.

关键词： amputees Amputation stumps Self-help devices Pain Acute pain Chronic pain Pain management

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Reconstructive surgery for phantom and residual limb pain in post-conflict settings

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Chinese Journal of Plastic and Reconstructive Surgery 2024年第1期6卷 54-55页

作者： Damián Palafox Plastic and Reconstructive Surgery Department Hospital Angeles PueblaPuebla 72190Mexico

Traumatic amputations remain one of the most frequent and disturbing wounds of armed *** this scenario,most amputees develop residual and phantom limb pain,impacting their quality of *** are several elective surgical procedures available for both conditions,such as neuroma excision followed by nerve reconstruction,nerve relocation,e.g.,surgically implanting a transected nerve into a muscle,nerve transfers in cases of associated paralysis,and most recently,regenerative peripheral nerve interface *** possible in the post-conflict phase,a coordinated effort between traveling humanitarian surgeons specializing in reconstructive microsurgery and local healthcare providers is essential for successfully treating phantom and chronic residual limb pain in post-conflict *** providing a detailed logistical framework for global humanitarian missions is beyond the scope of this article,we provide a brief perspective on a topic of utmost importance for reconstructive surgeons worldwide:the high-quality care and treatment of refugees and those whose lives have been impacted by conflict,disaster,or displacement.

关键词： Residual limb pain Phantom limb pain Refugees Reconstructive surgery Microsurgery amputees

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Associations between partial foot amputation level,gait parameters,and minimum impairment criteria in para-sport:A research study protocol

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Sports Medicine and Health Science 2022年第1期4卷 70-73页

作者： Fabio C.Lucas de Oliveira Samuel Williamson Clare L.Ardern Neil Heron Dina Christa Janse van Rensburg Marleen G.T.Jansen Sean O'Connor Linda Schoonmade Jane Thornton Babette M.Pluim Center for Interdisciplinary Research in Rehabilitation and Social Integration CIUSSS-CNUniversite LavalQuebec CityQuebecCanada Research Unit in Sport and Physical Activity(CIDAF) Faculty of Sport Sciences and Physical EducationUniversity of CoimbraCoimbraPortugal English Institute of Sport LondonUK Division of Physiotherapy Karolinska InstituteStockholmSweden Center for Public Health Queen's University BelfastBelfastUK Department of General Practice Keele UniversityStaffordshireUK Section Sports Medicine Faculty of Health SciencesUniversity of PretoriaPretoriaSouth Africa Royal Dutch Lawn Tennis Association(KNLTB) Amstelveenthe Netherlands Centre for Human Movement Sciences University Medical Centre GroningenUniversity of GroningenGroningenthe Netherlands School of Medicine Dentistry and Biomedical Sciences Centre for Public HealthQueen's University BelfastBelfastUK Medical Library Vrije Universiteit AmsterdamAmsterdamthe Netherlands Department of Family Medicine Schulich School of Medicine&DentistryUniversity of Western OntarioLondonOntarioCanada Department of Epidemiology&Biostatistics Schulich School of Medicine&DentistryUniversity of Western OntarioLondonOntarioCanada AMC/VUmc IOC Research Center of Excellence Amsterdam Collaboration on Health&Safety in Sports(ACHSS)AmsterdamNetherlands

Altered biomechanics due to amputation can contribute to substantial limitations,influencing sporting *** with lower extremity amputations or congenital lower limb deficiency are encouraged to participate in ***,to compete in Paralympic sports,the candidate must have an impairment that results in lower extremity loss of function and meets or exceeds the sport's minimum impairment criteria(MIC).This review will focus on the MIC for competitive wheelchair *** deficiency is known as one of the MIC used to regulate participation in competitive para-sports since it impacts gait,kinematics,and biomechanics of both the upper and lower ***,it is questionable whether the MIC concerning limb deficiency is set at the correct level for determining eligibility for participating in Paralympic *** study aims to provide an overview of the evidence examining the impact of different partial foot amputation(PFA)levels on gait as a proxy for sporting *** scoping review will be based on a 6-step methodological framework and Preferred Reporting Items for Systematic Reviews and Meta-Analysis,extension for scoping reviews(PRISMA-ScR).Studies will be selected from PubMed,Embase,CINAHL,and *** authors will screen the titles/abstracts *** studies will be scrutinised,and the same authors will extract *** will be relevant to informing the evidence-based development of MIC for lower limb impairment after PFA and may be extrapolated to specific Paralympic sports,including wheelchair *** will be disseminated through scientific publications and conferences to audiences interested in Paralympic sports.

关键词： amputees Congenital deficiency Gait analysis Paralympic sport Partial foot amputation Wheelchair tennis

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