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pmid: 28822914
pmc: PMC5637164
Following amputation, individuals ubiquitously report experiencing lingering sensations of their missing limb. While phantom sensations can be innocuous, they are often manifested as painful. Phantom limb pain (PLP) is notorious for being difficult to monitor and treat. A major challenge in PLP management is the difficulty in assessing PLP symptoms, given the physical absence of the affected body part. Here, we offer a means of quantifying chronic PLP by harnessing the known ability of amputees to voluntarily move their phantom limbs. Upper-limb amputees suffering from chronic PLP performed a simple finger-tapping task with their phantom hand. We confirm that amputees suffering from worse chronic PLP had worse motor control over their phantom hand. We further demonstrate that task performance was consistent over weeks and did not relate to transient PLP or non-painful phantom sensations. Finally, we explore the neural basis of these behavioural correlates of PLP. Using neuroimaging, we reveal that slower phantom hand movements were coupled with stronger activity in the primary sensorimotor phantom hand cortex, previously shown to associate with chronic PLP. By demonstrating a specific link between phantom hand motor control and chronic PLP, our findings open up new avenues for PLP management and improvement of existing PLP treatments.
Adult, Male, Plasticity, Adolescent, Motor Cortex, 220 Statistical Imaging Neuroscience, Neuroimaging, Body representation, Middle Aged, Magnetic Resonance Imaging, Article, Fingers, Young Adult, Amputees, Phantom Limb, Phantom limb pain, Humans, Female, Psychomotor Performance
Adult, Male, Plasticity, Adolescent, Motor Cortex, 220 Statistical Imaging Neuroscience, Neuroimaging, Body representation, Middle Aged, Magnetic Resonance Imaging, Article, Fingers, Young Adult, Amputees, Phantom Limb, Phantom limb pain, Humans, Female, Psychomotor Performance
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 39 | |
popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |