P. Gallagher et al., Phantom limb pain and residual limb pain following lower limb amputation: a descriptive analysis, DISABIL REH, 23(12), 2001, pp. 522-530
Purpose: This research aimed to develop a clearer picture of the experience
of residual limb pain and phantom limb pain following a lower limb amputat
ion and to gain a greater understanding of their relationships with physica
l and psychosocial variables.
Method: One hundred and four participants completed the Trinity Amputation
and Prosthesis Experience Scales (TAPES), which includes a section on each
of. psychosocial issues, activity restriction, satisfaction with a prosthes
is and pain (incidence. duration, level and extent of interference).
Results: The results showed that 48.1 % of the sample experienced residual
limb pain and 69.2 % experienced phantom limb pain. While fewer people expe
rienced residual limb pain, those who did. experienced it for longer period
s, at a greater level of intensity and with a greater amount of interferenc
e in their daily lifestyle, than people who were experiencing phantom limb
pain. The experience of residual limb pain was associated with other medica
l problems and low levels of Adjustment to Limitation. Phantom limb pain wa
s associated with older age. being female, above knee amputation, causes ot
her than congenital causes, not receiving support prior to the amputation,
the experience of other medical problems, low scores on Adjustment to Limit
ation and high scores on Aesthetic Satisfaction with the prosthesis.
Conclusion: These findings provide a greater understanding of the issues to
be taken into consideration in the rehabilitation of people with a lower l
imb amputation.