Comparison of Efficacy of Mirror Therapy vs Mental Imagery in Reduction of Phantom Limb Pain in AKAP

Phantom Limb Pain Clinical Trial

Official title:

Comparison of Efficacy of Mirror Therapy vs Mental Imagery in Reduction of Phantom Limb Pain in Above Knee Amputee Patients: A Comparative Study

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT06428123
• Other study ID #: MSRSW/Batch-Fall22/708
• Status: Active, not recruiting
• Phase: N/A
• Start date: November 1, 2023
• Est. completion date: October 1, 2024

Study information

• Verified date: May 2024
• Source: Superior University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Limb amputation results in many types of pain, including localized pain at the stump and projected pain experienced by the patient in the location where the amputated limb used to be, known as phantom limb pain (PLP). The aim of this study is to determine the relative benefits of mirror therapy vs mental imagery in reduction of phantom limb pain. Randomized clinical trial study design will be followed.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 24
• Est. completion date: October 1, 2024
• Est. primary completion date: April 1, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 12 Years to 75 Years

Eligibility

Inclusion Criteria:

• Both male and female gender with ages from 12 to 75 years (17).
• Individuals with a unilateral above-knee amputation (AKA) at least 6 months prior to the study.
• Experiencing phantom limb pain at least 3 months (16).

Exclusion Criteria:

• History of neurological disorders affecting pain perception or motor function (e.g., stroke, spinal cord injury, brain injury).
• Uncontrolled diabetes or other medical conditions that could affect healing or participation in the study.
• Pregnancy or breastfeeding.

Related Conditions & MeSH terms

• Phantom Limb
• Phantom Limb Pain

Intervention

Behavioral:
• Mirror Therapy on present Lower Limb
Patients will be seated close to a table on which a mirror will placed vertically. The normal (i.e., no amputated limb) will be placed in front of the mirror and made to perform movements of the different joints while the patient looking into the mirror.

Diagnostic Test:
• Mental Imagery on present Lower Limb
Mental imagery technique in which patients will be instructed to concentrate on sensations from each area of the body, including the phantom limb. Patients will be advised to imagine comfortable, thorough movement and sensation in the phantom limb, such that they could "stretch away the pain," and finally to "allow the limb to rest in a comfortable position." The actual therapy of "moving" and "feeling" the limb will lasted for 5 minutes. Patients will be asked to perform 40 minutes of meditation and imagery exercises.

Locations

Country	Name	City	State
Pakistan	Azra Naheed Medical College, Superior University	Lahore	Punjab
Pakistan	Ghurkee Hospital	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Superior University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The Numeric Rating (NRS)	it is a simple and widely used tool for measuring pain intensity. It consists of a horizontal line with 11 numbered points, ranging from 0 (no pain) to 10 (worst pain imaginable). Patients are asked to rate their pain by selecting the number that best describes their current pain intensity	12 Months