Abstract
IntroductionPhantom limb sensation and phantom limb pain is a very common issue after amputations. In recent years there has been accumulating data implicating 'mirror visual feedback' or 'mirror therapy' as helpful in the treatment of phantom limb sensation and phantom limb pain.Case presentationWe present the case of a 24-year-old Caucasian man, a left upper limb amputee, treated with mirror visual feedback combined with auditory feedback with improved pain relief.ConclusionThis case may suggest that auditory feedback might enhance the effectiveness of mirror visual feedback and serve as a valuable addition to the complex multi-sensory processing of body perception in patients who are amputees.
Highlights
Phantom limb sensation and phantom limb pain is a very common issue after amputations
The estimated prevalence of phantom limb pain (PLP) varies from 49% to 83% [2]
Not significant in the first week to week and a half, he began to report some decrease in the intensity of the left upper extremity phantom limb pain by the end of the second week of the mirror therapy
Summary
There are over 130,000 limb amputations in the USA each year [1]. Nearly every amputee experiences some form of phantom limb effect, such as phantom sensation (voluntary or involuntary movements of the amputated limb, certain positions or sense of tactile stimulation of the amputated limb), telescoping, and/or phantom spasms. Case presentation A 24-year-old Caucasian man, a full-time student, 1.8 m tall, 77 kg in weight, with no significant medical history, a non-smoker, taking no medications and with no substance misuse, was riding a motorcycle while wearing a helmet; he collided with a moving automobile and was ejected over 30 m into the air He sustained multiple injuries including a large chest wall avulsion and a severe partial amputation of the left arm. Not significant in the first week to week and a half, he began to report some decrease in the intensity of the left upper extremity phantom limb pain by the end of the second week of the mirror therapy. He rated his maximal pain as 6 out of 10 on the VAS. His other rehabilitation goals were met sooner than initially projected, and he was determined to be appropriate for discharge home with continuation of outpatient mirror and auditory feedback therapy, as well as further out-patient therapy care
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