Structured movement representations of a phantom limb associated with phantom limb pain

•We investigated the relationship between the phantom limb pain (PLP) and its movement representation.•We used a bimanual coordination task to evaluate the movement representation.•Negative correlation was observed between PLP and the bimanual coupling effect.•Structured movement representations of...

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Veröffentlicht in:Neuroscience letters 2015-09, Vol.605, p.7-11
Hauptverfasser: Osumi, Michihiro, Sumitani, Masahiko, Wake, Naoki, Sano, Yuko, Ichinose, Akimichi, Kumagaya, Shin-ichiro, Kuniyoshi, Yasuo, Morioka, Shu
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container_title Neuroscience letters
container_volume 605
creator Osumi, Michihiro
Sumitani, Masahiko
Wake, Naoki
Sano, Yuko
Ichinose, Akimichi
Kumagaya, Shin-ichiro
Kuniyoshi, Yasuo
Morioka, Shu
description •We investigated the relationship between the phantom limb pain (PLP) and its movement representation.•We used a bimanual coordination task to evaluate the movement representation.•Negative correlation was observed between PLP and the bimanual coupling effect.•Structured movement representations of a phantom limb is related with PLP. The relation between phantom limb pain (PLP) and the movement representation of a phantom limb remains controversial in several areas of neurorehabilitation, although there are a few studies in which the representation of phantom limb movement was precisely evaluated. We evaluated the structured movement representation of a phantom limb objectively using a bimanual circle–line coordination task. We then investigated the relation between PLP and the structured movement representation. Nine patients with a brachial plexus avulsion injury were enrolled who perceived a phantom limb and had neuropathic pain. While blindfolded, the participants repeatedly drew vertical lines using the intact hand and intended to draw circles using the phantom limb simultaneously. “Drawing of circles” by the phantom limb resulted in an oval transfiguration of the vertical lines (“bimanual coupling” effect). We used an arbitrary ovalization index (OI) to quantify the oval transfiguration. When the OI neared 100%, the trajectory changed toward becoming more circular. A significant negative correlation was observed between the intensity of PLP and the OI (r=−0.66, p
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The relation between phantom limb pain (PLP) and the movement representation of a phantom limb remains controversial in several areas of neurorehabilitation, although there are a few studies in which the representation of phantom limb movement was precisely evaluated. We evaluated the structured movement representation of a phantom limb objectively using a bimanual circle–line coordination task. We then investigated the relation between PLP and the structured movement representation. Nine patients with a brachial plexus avulsion injury were enrolled who perceived a phantom limb and had neuropathic pain. While blindfolded, the participants repeatedly drew vertical lines using the intact hand and intended to draw circles using the phantom limb simultaneously. “Drawing of circles” by the phantom limb resulted in an oval transfiguration of the vertical lines (“bimanual coupling” effect). We used an arbitrary ovalization index (OI) to quantify the oval transfiguration. When the OI neared 100%, the trajectory changed toward becoming more circular. A significant negative correlation was observed between the intensity of PLP and the OI (r=−0.66, p&lt;0.05). 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When the OI neared 100%, the trajectory changed toward becoming more circular. A significant negative correlation was observed between the intensity of PLP and the OI (r=−0.66, p&lt;0.05). Our findings directly suggest that structured movement representations of the phantom limb are necessary for alleviating PLP.</description><subject>Adult</subject><subject>Amputees</subject><subject>Bimanual coordination</subject><subject>Brachial Plexus - injuries</subject><subject>Female</subject><subject>Humans</subject><subject>Imagination</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Movement</subject><subject>Movement representation</subject><subject>Neuralgia - physiopathology</subject><subject>Neuralgia - psychology</subject><subject>Pain Perception</subject><subject>Phantom Limb - physiopathology</subject><subject>Phantom Limb - psychology</subject><subject>Phantom limb pain</subject><subject>Psychomotor Performance</subject><issn>0304-3940</issn><issn>1872-7972</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMo7rr6D0R69NI6adomvQgifsGCBxWPIU2nbJa2qUm64r-3y66CF08zMM87wzyEnFNIKNDiap30OLYYkhRonoBIAMoDMqeCpzEveXpI5sAgi1mZwYyceL8GgJzm2TGZpUXKUwYwJ-8vwY06jA7rqLMb7LAPkcPBoZ86FYztfWSbSEXDSvXBdlFruipS3lttVJhSnyas_g4HZfpTctSo1uPZvi7I2_3d6-1jvHx-eLq9WcY642mImWCcqkbxRgiaCwGg60xUQhXIK57qEmlTcig0VLRWyBhmTBV1pXNFqwoYW5DL3d7B2Y8RfZCd8RrbVvVoRy8pp6KkjPEtmu1Q7az3Dhs5ONMp9yUpyK1SuZY7pXKrVIKQk9IpdrG_MFYd1r-hH4cTcL0DcPpzY9BJrw32GmvjUAdZW_P_hW8JS4sO</recordid><startdate>20150925</startdate><enddate>20150925</enddate><creator>Osumi, Michihiro</creator><creator>Sumitani, Masahiko</creator><creator>Wake, Naoki</creator><creator>Sano, Yuko</creator><creator>Ichinose, Akimichi</creator><creator>Kumagaya, Shin-ichiro</creator><creator>Kuniyoshi, Yasuo</creator><creator>Morioka, Shu</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4776-6463</orcidid></search><sort><creationdate>20150925</creationdate><title>Structured movement representations of a phantom limb associated with phantom limb pain</title><author>Osumi, Michihiro ; Sumitani, Masahiko ; Wake, Naoki ; Sano, Yuko ; Ichinose, Akimichi ; Kumagaya, Shin-ichiro ; Kuniyoshi, Yasuo ; Morioka, Shu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c472t-38371afa7f88158800cd48b8a6e7b72c9e1f9706c0b1dae33e43a6dbc5a1bb033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Amputees</topic><topic>Bimanual coordination</topic><topic>Brachial Plexus - injuries</topic><topic>Female</topic><topic>Humans</topic><topic>Imagination</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Movement</topic><topic>Movement representation</topic><topic>Neuralgia - physiopathology</topic><topic>Neuralgia - psychology</topic><topic>Pain Perception</topic><topic>Phantom Limb - physiopathology</topic><topic>Phantom Limb - psychology</topic><topic>Phantom limb pain</topic><topic>Psychomotor Performance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Osumi, Michihiro</creatorcontrib><creatorcontrib>Sumitani, Masahiko</creatorcontrib><creatorcontrib>Wake, Naoki</creatorcontrib><creatorcontrib>Sano, Yuko</creatorcontrib><creatorcontrib>Ichinose, Akimichi</creatorcontrib><creatorcontrib>Kumagaya, Shin-ichiro</creatorcontrib><creatorcontrib>Kuniyoshi, Yasuo</creatorcontrib><creatorcontrib>Morioka, Shu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neuroscience letters</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Osumi, Michihiro</au><au>Sumitani, Masahiko</au><au>Wake, Naoki</au><au>Sano, Yuko</au><au>Ichinose, Akimichi</au><au>Kumagaya, Shin-ichiro</au><au>Kuniyoshi, Yasuo</au><au>Morioka, Shu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Structured movement representations of a phantom limb associated with phantom limb pain</atitle><jtitle>Neuroscience letters</jtitle><addtitle>Neurosci Lett</addtitle><date>2015-09-25</date><risdate>2015</risdate><volume>605</volume><spage>7</spage><epage>11</epage><pages>7-11</pages><issn>0304-3940</issn><eissn>1872-7972</eissn><abstract>•We investigated the relationship between the phantom limb pain (PLP) and its movement representation.•We used a bimanual coordination task to evaluate the movement representation.•Negative correlation was observed between PLP and the bimanual coupling effect.•Structured movement representations of a phantom limb is related with PLP. 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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Amputees
Bimanual coordination
Brachial Plexus - injuries
Female
Humans
Imagination
Male
Middle Aged
Movement
Movement representation
Neuralgia - physiopathology
Neuralgia - psychology
Pain Perception
Phantom Limb - physiopathology
Phantom Limb - psychology
Phantom limb pain
Psychomotor Performance
title Structured movement representations of a phantom limb associated with phantom limb pain
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