Valoración del síndrome del dolor fantasma en amputadosabordaje bio-psico-social
- S. C. Tonon da Luz
- J. B. Souza
- M. C. Andrade
- C. Ventoza Lacunza
- G. J. S. Honório
- A.O.V. Ávila
- Francisco José Berral de la Rosa
ISSN: 1888-6116
Year of publication: 2012
Volume: 23
Issue: 3
Pages: 176-182
Type: Article
More publications in: Trauma
Abstract
Objective: To investigate the phantom pain through a bio-psycho-social approach. Materials and methods: Fifty-two subjects (both gender) were evaluated with amputations at any level and any etiology, no problems of stump, with and without phantom pain. The rate of pain was assessed with the McGill questionnaire, heart rate variability was assessed with a RR intervals recorder (Firstbeat Bodyguard, Finland). The superficial temperature of the stump was assessed with an infrared camera. Depression was assessed with the Beck inventory, anxiety with the STAI, catastrophism with PCS and quality of life with the SF-36 questionnaire. Results: In the group without pain, the time of amputation and the use of prosthesis showed no correlation with depression and anxiety. In the group with pain depression, anxiety and catastrophism were observed. The longer outcome of amputation, the higher intensity of these symptoms. Perception of phantom pain was significant in the emotional and evaluative dimensions with poorer quality of life in the vitality and physical aspects. There was no direct relationship between heart rate variability and phantom pain. Also, there was no statistically significant difference when the average skin temperature of the stumps was compared in the two groups. Conclusion: The approach to pain should be multidisciplinary, starting from the immediate postoperative and taking into account the four dimensions of pain. It is necessary to understand the relationships between individual components for every patient.