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AmputeesNCT02761447

Effectivity of Motor Imagery and MirrorTherapy in Amputees

A study testing Treatment Traditional and Imaginary Motor Program and Treatment Traditional and Mirror Therapy in people with Amputees, run by Universidad de Almeria at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study evaluates the effectiveness of imagery motor on phantom pain and amputation process Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Amputees
What is being tested?
Treatment Traditional and Imaginary Motor Program and Treatment Traditional and Mirror Therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteSpain
Study dates
Jan 2016to Oct 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Pain in the stump area ≥ 3 months, no intermittent
  • Have three months elapsed amputation,
  • Submit subjective sensation of phantom limb not blinking

Who cannot join

  • Clinical signs of radiculopathy.
  • Lumbar stenosis, fibromyalgia, spondylolisthesis.
  • History of spinal surgery.
  • Corticosteroid therapy in the past two weeks.
  • Disease of the central nervous system or peripheral.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Hospital de Puerto Real

    Cadiz, 11510

Other trials in Spain

About this study

Official title: Effectivity of Differences Therapies on Central Nerve System for Pain, Phantom, Disability and Quality of Life in Amputees

This study evaluates the effectiveness of imagery motor on phantom pain and amputation process

Read the detailed description

The expected increase in the number of amputations in the coming decades requires special attention to the common effect after called phantom limb amputation. That term refers to the phenomena covering the sensations that occur in the affected limb and whose prevalence rate is an important part of amputees subjects. Developed theories about their origin focus their attention on the central nervous system and the peripheral nervous system. Thus, the imaginary movement is a complex cognitive, sensory and proprioceptive process leading to a mental representation of movement and it is a widely used technique in neurological rehabilitation and complex pain syndrome.

Conditions
Amputees
Being tested
Treatment Traditional and Imaginary Motor Program, Treatment Traditional and Mirror Therapy
Keywords
Motor control Laterality, Pain Perception, Lower Extremity, Complementary Therapies, Physical Therapy Modalities

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Treatment Traditional and Imaginary Motor ProgramOther

    Amputees patients also conservative protocol will undergo physiotherapy techniques work Imaginary Motor. The first video will include two sequences of a harmonic gear that will allow the patient to examine, with the physiotherapist, the characteristics of the different body segments involved in locomotion and place the member in space. The second video include an analysis in five phases: a) relaxation of Benson, b) phase external imagination where cycles of normal running on a video provided by the physiotherapist, c) phase internal imagination where the patient will identify the problem discussed compared with the normal course presented in the video, d) recreation of images in the first person made an e normalized locomotion) closing his eyes, prompted the patient to mentally recreate sequences normal gait and analyzed and subsequently verbalize differences of these with respect to their own way of getting around.

  • Treatment Traditional and Mirror TherapyOther

    Amputees patients also conservative protocol will undergo physiotherapy techniques mirror therapy work. The protocol will consist of mirror therapy sessions three days a week (25-30 minutes) for a month, where participants will move the intact limb looking in the mirror and imagining the movement of the limb with phantom sensation.

Study groups in NCT02761447
Study groupRoleWhat they receive
Treatment Traditional and Motor Imaginary ProgramExperimentalAmputees patients also conservative protocol will undergo physiotherapy techniques work Motor Imaginary Program, based on a system of two videos that allow the patient to recreate the "normal" way. The first video will include two sequences of a harmonic gear that will allow the patient to examine, with the physiotherapist, the characteristics of the different body segments involved in locomotion and place the member in space. The second video include an analysis in five phases. This protocol will be applied 3 days a week (25-30minutos) for one month.
Receives: Other: Treatment Traditional and Imaginary Motor Program
Treatment Traditional and Mirror TherapyActive comparatorAmputees patients also conservative protocol will undergo physical therapy techniques mirror therapy work. The protocol will consist of mirror therapy sessions three days a week (25-30 minutes) for a month, where participants will move the intact limb looking in the mirror and imagining the movement of the limb with phantom sensation.
Receives: Other: Treatment Traditional and Mirror Therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Numerical Rating Scale (NRS)

    Measured: Changes from Baseline Numerical Rating Scale at one month. Changes from Baseline Numerical Rating Scale at three months

Secondary outcomes (14)
  1. McGiII Pain Questionnaire (MPQ)

    Measured: Changes from Baseline McGiII Pain Questionnaire at one month. Changes from Baseline McGiII Pain Questionnaire at three months

  2. The Vividness of Visual Imagery Questionnaire

    Measured: Changes from Baseline Vividness of Visual Imagery Questionnaire at one month and three months

  3. Beck Depression Inventory

    Measured: Changes from Baseline Beck Depression Inventory at one month. Changes from Baseline Beck Depression Inventory at three months

  4. Neuropathic Pain Questionnaire (DN4)

    Measured: Changes from Baseline Neuropathic Pain Questionnaire at one month. Changes from Baseline Neuropathic Pain Questionnaire at three months

  5. Pressure Algometer (kg/cm2)

    Pressure algometer in lumbar pain, amputated limb and health limb

    Measured: Changes from Baseline Pressure Algometer at one month. Changes from Baseline Pressure Algometer at three months

  6. West-Haven-Yale Multidimensional Pain Inventory

    Measured: Changes from Baseline West-Haven-Yale Multidimensional Pain Inventory at one month. Changes from Baseline West-Haven-Yale Multidimensional Pain Inventory at three months

  7. The Barthel Index of ADLs

    Measured: Changes from Baseline Barthel Index of ADLs at one month. Changes from Baseline Barthel Index of ADLs at three months

  8. Instrumental Activities of Daily Living Scale (IADL)

    Measured: Changes from Baseline Instrumental Activities of Daily Living Scale at one month. Changes from Baseline Instrumental Activities of Daily Living Scale at three months

  9. The Functional Independence Measure Scale (FIM)

    Measured: Changes from Baseline Functional Independence Measure Scale at one month. Changes from Baseline Functional Independence Measure Scale at three months

  10. Quality of Life Questionnaire scoring (SF36)

    Measured: Changes from Baseline Quality of Life Questionnaire Scoring at one month. Changes from Baseline Quality of Life Questionnaire Scoring at three months

  11. Multidimensional Body Self Relations Questionnaire (MBSRQ)

    Measured: Changes from Baseline Multidimensional Body Self Relations Questionnaire at one month. Changes from Baseline Multidimensional Body Self Relations Questionnaire at three months

  12. Tampa Scale for Kinesiophobia (TSK)

    Measured: Changes from Baseline Tampa Scale for Kinesiophobia at one month. Changes from Baseline Tampa Scale for Kinesiophobia at three months

  13. Pain Catastrophizing Scale (PCS)

    Measured: Changes from Baseline Pain Catastrophizing Scale at one month. Changes from Baseline Pain Catastrophizing Scale at three months

  14. Pain Management Inventory

    Measured: Changes from Baseline Pain Management Inventory at one month. Changes from Baseline Pain Management Inventory at three months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 May 2016 (estimated)
  2. Study startJan 2016
  3. Primary completionJun 2019
  4. Study completionOct 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02761447
Sponsor's protocol ID
CEI15_25
Status last verified
Oct 2019
First submitted
21 Apr 2016
Last updated
14 Oct 2019
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the prevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehabil. 2008 Mar;89(3):422-9. doi: 10.1016/j.apmr.2007.11.005.

    PubMed 18295618
  • Ephraim PL, Wegener ST, MacKenzie EJ, Dillingham TR, Pezzin LE. Phantom pain, residual limb pain, and back pain in amputees: results of a national survey. Arch Phys Med Rehabil. 2005 Oct;86(10):1910-9. doi: 10.1016/j.apmr.2005.03.031.

    PubMed 16213230
  • Raichle KA, Hanley MA, Molton I, Kadel NJ, Campbell K, Phelps E, Ehde D, Smith DG. Prosthesis use in persons with lower- and upper-limb amputation. J Rehabil Res Dev. 2008;45(7):961-72. doi: 10.1682/jrrd.2007.09.0151.

    PubMed 19165686
  • Foell J, Bekrater-Bodmann R, Flor H, Cole J. Phantom limb pain after lower limb trauma: origins and treatments. Int J Low Extrem Wounds. 2011 Dec;10(4):224-35. doi: 10.1177/1534734611428730.

    PubMed 22184752
  • Seidel S, Kasprian G, Furtner J, Schopf V, Essmeister M, Sycha T, Auff E, Prayer D. Mirror therapy in lower limb amputees--a look beyond primary motor cortex reorganization. Rofo. 2011 Nov;183(11):1051-7. doi: 10.1055/s-0031-1281768. Epub 2011 Sep 28.

    PubMed 21959885
  • Flor H. Maladaptive plasticity, memory for pain and phantom limb pain: review and suggestions for new therapies. Expert Rev Neurother. 2008 May;8(5):809-18. doi: 10.1586/14737175.8.5.809.

    PubMed 18457537
  • Bosmans JC, Geertzen JH, Post WJ, van der Schans CP, Dijkstra PU. Factors associated with phantom limb pain: a 31/2-year prospective study. Clin Rehabil. 2010 May;24(5):444-53. doi: 10.1177/0269215509360645.

    PubMed 20442256
  • Priganc VW, Stralka SW. Graded motor imagery. J Hand Ther. 2011 Apr-Jun;24(2):164-8; quiz 169. doi: 10.1016/j.jht.2010.11.002. Epub 2011 Feb 9.

    PubMed 21306870
  • Janig W, Baron R. Complex regional pain syndrome: mystery explained? Lancet Neurol. 2003 Nov;2(11):687-97. doi: 10.1016/s1474-4422(03)00557-x.

    PubMed 14572737
  • McCabe CS, Haigh RC, Ring EF, Halligan PW, Wall PD, Blake DR. A controlled pilot study of the utility of mirror visual feedback in the treatment of complex regional pain syndrome (type 1). Rheumatology (Oxford). 2003 Jan;42(1):97-101. doi: 10.1093/rheumatology/keg041.

    PubMed 12509620
  • Pleger B, Tegenthoff M, Ragert P, Forster AF, Dinse HR, Schwenkreis P, Nicolas V, Maier C. Sensorimotor retuning [corrected] in complex regional pain syndrome parallels pain reduction. Ann Neurol. 2005 Mar;57(3):425-9. doi: 10.1002/ana.20394.

    PubMed 15732114
  • Maihofner C, Handwerker HO, Neundorfer B, Birklein F. Patterns of cortical reorganization in complex regional pain syndrome. Neurology. 2003 Dec 23;61(12):1707-15. doi: 10.1212/01.wnl.0000098939.02752.8e.

    PubMed 14694034
  • Mercier C, Sirigu A. Training with virtual visual feedback to alleviate phantom limb pain. Neurorehabil Neural Repair. 2009 Jul-Aug;23(6):587-94. doi: 10.1177/1545968308328717. Epub 2009 Jan 26.

    PubMed 19171946
  • Dickstein R, Deutsch JE. Motor imagery in physical therapist practice. Phys Ther. 2007 Jul;87(7):942-53. doi: 10.2522/ptj.20060331. Epub 2007 May 1.

    PubMed 17472948
  • Berthelot JM. Current management of reflex sympathetic dystrophy syndrome (complex regional pain syndrome type I). Joint Bone Spine. 2006 Oct;73(5):495-9. doi: 10.1016/j.jbspin.2005.11.022. Epub 2006 Jun 30.

    PubMed 16837228

Questions about this trial

What is this clinical trial studying?

A study testing Treatment Traditional and Imaginary Motor Program and Treatment Traditional and Mirror Therapy in people with Amputees, run by Universidad de Almeria at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Numerical Rating Scale (NRS) (time frame: Changes from Baseline Numerical Rating Scale at one month. Changes from Baseline Numerical Rating Scale at three months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02761447, which also lists 30 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2019.

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