Article

OBJECTIVE: To describe the prevalence, intensity, and functional impact of the
following types of pain associated with upper-limb loss: phantom limb, residual
limb, back, neck, and nonamputated-limb pain.
DESIGN: Cross-sectional survey; 104 respondents with upper-limb loss at least 6 months postamputation completed
measures of pain intensity, interference, disability, and health-related
quality-of-life. RESULTS: Nearly all (90%) of the respondents reported pain, with
76% reporting more than one pain type. Phantom-limb pain and residual-limb pain
were the most prevalent (79% and 71%, respectively), followed by back (52%), neck
(43%), and nonamputated-limb pain (33%). Although nonamputated-limb pain was
least prevalent, it was reported to cause the highest levels of interference and
pain-related disability days. Self-reported quality-of-life was significantly
lower for individuals with each type of pain compared with those without any
pain. Age, time since amputation, and cause of amputation were not associated
with pain. CONCLUSIONS: In addition to pain in the phantom and residual limb,
back, neck, and nonamputated-limb pain are also common after upper-limb loss. All
of these pain types are associated with significant disability and activity
interference for some individuals, suggesting that assessment of multiple pain
types in persons with upper-limb amputation may be important.

Langue : ANGLAIS