Article

The aim of this manuscript was to investigate the effectiveness of conservative
therapy for phantom limb pain (PLP). In this systematic review, CINAHL, AMED, the
Cochrane database of systematic reviews, PEDro, psychology and behavioral
sciences collection, and MEDLINE were systematically searched for appropriate
randomized controlled trials (RCTs). Selected papers were assessed for risk of
bias, and evidence was graded using the GRADE approach. Twelve RCTs met initial
inclusion/exclusion criteria, of which five were of sufficient quality for final
inclusion. There is conflicting evidence from two RCTs for the effectiveness of
electromagnetic shielding limb liners on pain in the short term. There is limited
evidence supporting the effectiveness of both hypnosis in the short term and
graded motor imagery (GMI) in the short-to-medium term. Additionally, there is
limited evidence that a single session of mirror therapy has no immediate effect
on PLP. Limb liner discomfort was the only adverse effect identified. This review
identifies a range of conservative therapies, many of which demonstrate
preliminary evidence of potential with respect to clinically worthwhile effects
above control interventions and few, if any, adverse effects. However, there is a
paucity of high-quality evidence upon which to make any firm clinical conclusions.

Langue : ANGLAIS