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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Comparison of non-invasive neuromodulation and plasticity guided treatment methods in patients experiencing phantom limb pain: a systematic review

Kindbom Uddh, Lisa, Andreasson, Ida January 2022 (has links)
Syfte: Denna studie syftar till att undersöka vilken behandlingsmetod, plasticitetsgrundad eller icke-invasiv neuromodulering som presenterar bäst resultat av smärtlindring hos personer som upplever fantomsmärtor efter en amputation. Metod: Litteraturundersökningen utfördes i 3 databaser; MEDLINE, CINAHL och PsycINFO. Inkluderingskriterier användes för urval av studier. Bedömning av studiernas risk för bias gjordes med hjälp av mallar från Joanna Briggs Institut. Relevant data kopplad till frågeställningen extraherades och analyserades. Resultat: Totalt åtta artiklar inkluderades, där två presenterade resultat från icke-invasiv neuromodulering och sex studier inkluderade plasticitetsgrundade metoder. Smärtskalor mellan 0-10 användes för att mäta förändringen av smärtan. Den kritiska bedömningen drog slutsatsen att det saknades studier av hög kvalitet som inkluderar kontrollgrupper. Bevisen som analyserats i den aktuella studien indikerar att plasticitetsgrundade metoder tycks ge bättre smärtreduktion jämfört med icke-invasiv neuromodulering. Slutsats: Baserat på resultaten kan inte denna studie presentera bevis starka nog för att avgöra vilken grupp av metoder som har bäst smärtlindrande effekt. Brist av högkvalitativa studier inom området, i kombination med heterogenitet mellan inkluderade studier resulterar i att ingen slutsats kan dras. / Aim: This study aims to determine which treatment method, plasticity guided or non-invasive neuromodulation, presents the best result in reducing pain for amputees experiencing phantom limb pain. Method: Literature search was performed in 3 databases; MEDLINE, CINAHL and PsycINFO. Eligibility criteria were used for study selection. Critical appraisal tool by Joanna Briggs institute was used to assess the included articles’ risk of bias. Data relevant to the research question were extracted and analyzed. Result: A total of eight articles were included, where two presented results from non-invasive neuromodulation and six studies included plasticity guided methods. Pain scales ranging from 0-10 were applied as outcome measures to monitor improvements in phantom limb pain. The critical appraisal concluded lack of high-quality study designs including control groups. The evidence analysed in the present study indicate that plasticity guided methods appear to provide the best pain reduction when compared to non-invasive neuromodulation. Conclusion: Based on the results, this study does not present evidence strong enough to state which methods present the best pain reduction. Due to low amount of research within the field, combined with heterogeneity between included studies, no conclusion can be made.

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