Phantom Limb Pain Clinical Trial
Official title:
A Randomized Controlled Clinical Trial of Mirror Treatment in the Management of Phantom and Residual Limb Pain in Patients With Trans-tibial Land Mine Amputations in Cambodia
A randomized controlled clinical to examine the effect of mirror therapy on phantom pain and residual limb pain in patients with traumatic transtibial amputations in Cambodia. The study will be conducted with a semi-crossover design using self-rated pain and function as the main result variables.
The study will be conducted in two phases: Firstly, the effects of mirror treatment (M)
versus tactile treatment (T) will be compared in an open, randomized, semi-cross-over
case-control design study. The second phase includes the responders from the initial
treatment (M or T), the duration of the initial treatment effect will be observed, and the
effect of a second round of similar treatment will be registered.
Phase one: The study patients will be randomized for M or T treatment. The main outcome
variables will be gathered before the initial randomization and after an initial treatment
period of three weeks. Non-responders (NR) will be allocated for an immediate second
three-weeks treatment period of combined treatment (M+T); the responders (R) of the M, T and
M+T enter the second phase of the study. The M+T non-responders discontinue the study.
Phase two: The responders will be observed for a period of maximum three months. When
symptoms of phantom limb pain and/or CRPS resume, the patients will undergo a second
treatment period with the same treatment as during phase one. The duration of the second
treatment period will be maximum three weeks, but each patient may decide to interrupt the
treatment at an earlier stage if he finds the effect satisfactory. The main outcome
indicators will be gathered at the start and the end of the second treatment period.
The study closes at the end of the second treatment period. For both study phases the
treatment effects will be compared between the strata and also inside each stratum, using
each patient as his own control.
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