Limb Laterality Recognition Score: A Reliable Clinical Measure Related to Phantom Limb Pain.

Objective. To explore the usefulness of the limb laterality recognition score as a clinical measure of phantom limb pain, regarding test-retest reliability and association of limb laterality recognition scores with phantom limb pain measures. Design. Retrospective cohort. Setting. Community support...

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Publicado en:Pain Medicine Vol. 19; no. 4; pp. 753 - 757
Autores principales: Wong, Christopher Kevin, Wong, Caitlin Kimberly
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Apr2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2018
      vid: 19
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      pub: Oxford University Press / USA
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        10.1093/pm/pnx179
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        atl: Limb Laterality Recognition Score: A Reliable Clinical Measure Related to Phantom Limb Pain.
      aug:
        au:
          Wong, Christopher Kevin
          Wong, Caitlin Kimberly
        affil: Department of Rehabilitative and Regenerative Medicine, Columbia University Medical Center, New York, New York, USA
      sug:
        subj:
          Instrument Validation
          Phantom Limb Evaluation
          Test-Retest Reliability
          Pain Measurement
          Human
          Scales
          Retrospective Design
          Amputation Methods
          Lower Extremity Surgery
          Adult
          Vascular Diseases
          Self Report
          Questionnaires
          Games
          Software
          Intraclass Correlation Coefficient
          Spearman's Rank Correlation Coefficient
          Pearson's Correlation Coefficient
          Prospective Studies
          Trauma
          Neoplasms
          Adult: 19-44 years
      ab: Objective. To explore the usefulness of the limb laterality recognition score as a clinical measure of phantom limb pain, regarding test-retest reliability and association of limb laterality recognition scores with phantom limb pain measures. Design. Retrospective cohort. Setting. Community support group. Subjects. Eleven adults who averaged 4.8 years since lower limb amputation due to vascular pathologies (N59), trauma (N51), and cancer (N51). Methods. Subjects self-reported amputated limb pain using the sensation subsection of the Prosthetic Evaluation Questionnaire and back and sound limb pain. Using numbered iPads that corresponded to the self-reports, subjects played the Recognise Foot game to assess limb laterality recognition ability. Subjects identified the laterality of 20 foot images, within two seconds each. The software collected accuracy and speed scores in basic, vanilla, and context conditions for two rounds in random order. Basic showed feet against black backgrounds, vanilla showed feet with various monochromatic backgrounds, and context showed feet in clothed or environmental contexts. So that greater accuracy in less time meant a better score, accuracy scores were divided by completion speed. Intraclass correlation coefficient (ICC)3,1 assessed test-retest reliability. Correlations between accuracy/speed and phantom limb pain measures were assessed with Spearman's rho (categorical) and Pearson coefficients (continuous). Results. Accuracy/speed test-retest reliability was strong (ICC50.72) and inversely associated with phantom limb pain frequency (context rho50.72). Conclusions. Limb laterality recognition accuracy/speed in the context condition had good test-retest reliability and correlated strongly with phantom limb pain frequency. Accuracy/speed limb laterality recognition ability relates to phantom limb pain and may be a valid clinical or research measure.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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