Residual limb neuropathic pain association with neuroma, prosthetic, function, and participation outcomes in individuals living with a transtibial amputation: an exploratory study
Objective: To determine the strength of the association between residual limb neuropathic pain intensity and the number of neuromas, prosthetic, functional, and participation outcomes, and assess whether ultrasound (US) biomarkers of neuromas differ between pain intensities. Design: Cross-sectional...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medical Journals Sweden
2025-01-01
|
| Series: | Journal of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | https://medicaljournalssweden.se/jrm/article/view/40551 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832591732830633984 |
|---|---|
| author | Camille Fournier-Farley Mathieu Boudier-Revéret Dany H. Gagnon |
| author_facet | Camille Fournier-Farley Mathieu Boudier-Revéret Dany H. Gagnon |
| author_sort | Camille Fournier-Farley |
| collection | DOAJ |
| description | Objective: To determine the strength of the association between residual limb neuropathic pain intensity and the number of neuromas, prosthetic, functional, and participation outcomes, and assess whether ultrasound (US) biomarkers of neuromas differ between pain intensities.
Design: Cross-sectional study.
Subjects: Twenty-two participants with a transtibial amputation for more than 12 months, with and without residual limb neuropathic pain.
Methods: Participants completed questionnaires (Numerical Pain Rating Scale, Pain Disability Index (PDI), Prosthetic Profile of the Amputee-Locomotor Capabilities Index), and had their residual limbs examined by US. Whenever a neuroma was diagnosed during US, images of the neuroma(s) were recorded and US biomarkers were computed.
Results: Of the 27 neuromas diagnosed, pain intensity was associated with no use of walking aid, less daily prosthesis wearing time, a higher PDI score, and a neuroma at the common fibular nerve. The cross-sectional area, the thickness ratio, or the thickness of the overlying tissues was not associated with pain intensity.
Conclusion: Though the results enrich currently available evidence on clinical variables potentially associated with the intensity of neuropathic pain in individuals living with a transtibial amputation, and on the limited value of US biomarkers studied to determine the association between neuroma(s) and pain intensity, future studies providing higher quality evidence remain needed.
|
| format | Article |
| id | doaj-art-d65be2936f7445deaff161c5a2575775 |
| institution | Kabale University |
| issn | 1651-2081 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj-art-d65be2936f7445deaff161c5a25757752025-01-22T06:58:33ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812025-01-015710.2340/jrm.v57.40551Residual limb neuropathic pain association with neuroma, prosthetic, function, and participation outcomes in individuals living with a transtibial amputation: an exploratory studyCamille Fournier-Farley0Mathieu Boudier-Revéret1Dany H. Gagnon2Centre for Interdisciplinary Rehabilitation Research of Greater Montreal (CRIR) - Centre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada; Faculty of Medicine, Physical Medicine and Rehabilitation Program, Université de Montréal, Montréal, Québec, CanadaFaculty of Medicine, Physical Medicine and Rehabilitation Program, Université de Montréal, Montréal, Québec, Canada; Physical Medicine and Rehabilitation Service, Department of Medicine, Centre hospitalier de l'Université de Montréal, Montréal, Québec, CanadaCentre for Interdisciplinary Rehabilitation Research of Greater Montreal (CRIR) - Centre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada; School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montréal, Québec, CanadaObjective: To determine the strength of the association between residual limb neuropathic pain intensity and the number of neuromas, prosthetic, functional, and participation outcomes, and assess whether ultrasound (US) biomarkers of neuromas differ between pain intensities. Design: Cross-sectional study. Subjects: Twenty-two participants with a transtibial amputation for more than 12 months, with and without residual limb neuropathic pain. Methods: Participants completed questionnaires (Numerical Pain Rating Scale, Pain Disability Index (PDI), Prosthetic Profile of the Amputee-Locomotor Capabilities Index), and had their residual limbs examined by US. Whenever a neuroma was diagnosed during US, images of the neuroma(s) were recorded and US biomarkers were computed. Results: Of the 27 neuromas diagnosed, pain intensity was associated with no use of walking aid, less daily prosthesis wearing time, a higher PDI score, and a neuroma at the common fibular nerve. The cross-sectional area, the thickness ratio, or the thickness of the overlying tissues was not associated with pain intensity. Conclusion: Though the results enrich currently available evidence on clinical variables potentially associated with the intensity of neuropathic pain in individuals living with a transtibial amputation, and on the limited value of US biomarkers studied to determine the association between neuroma(s) and pain intensity, future studies providing higher quality evidence remain needed. https://medicaljournalssweden.se/jrm/article/view/40551amputationneuromapainphysical functional performancerehabilitationultrasonography |
| spellingShingle | Camille Fournier-Farley Mathieu Boudier-Revéret Dany H. Gagnon Residual limb neuropathic pain association with neuroma, prosthetic, function, and participation outcomes in individuals living with a transtibial amputation: an exploratory study Journal of Rehabilitation Medicine amputation neuroma pain physical functional performance rehabilitation ultrasonography |
| title | Residual limb neuropathic pain association with neuroma, prosthetic, function, and participation outcomes in individuals living with a transtibial amputation: an exploratory study |
| title_full | Residual limb neuropathic pain association with neuroma, prosthetic, function, and participation outcomes in individuals living with a transtibial amputation: an exploratory study |
| title_fullStr | Residual limb neuropathic pain association with neuroma, prosthetic, function, and participation outcomes in individuals living with a transtibial amputation: an exploratory study |
| title_full_unstemmed | Residual limb neuropathic pain association with neuroma, prosthetic, function, and participation outcomes in individuals living with a transtibial amputation: an exploratory study |
| title_short | Residual limb neuropathic pain association with neuroma, prosthetic, function, and participation outcomes in individuals living with a transtibial amputation: an exploratory study |
| title_sort | residual limb neuropathic pain association with neuroma prosthetic function and participation outcomes in individuals living with a transtibial amputation an exploratory study |
| topic | amputation neuroma pain physical functional performance rehabilitation ultrasonography |
| url | https://medicaljournalssweden.se/jrm/article/view/40551 |
| work_keys_str_mv | AT camillefournierfarley residuallimbneuropathicpainassociationwithneuromaprostheticfunctionandparticipationoutcomesinindividualslivingwithatranstibialamputationanexploratorystudy AT mathieuboudierreveret residuallimbneuropathicpainassociationwithneuromaprostheticfunctionandparticipationoutcomesinindividualslivingwithatranstibialamputationanexploratorystudy AT danyhgagnon residuallimbneuropathicpainassociationwithneuromaprostheticfunctionandparticipationoutcomesinindividualslivingwithatranstibialamputationanexploratorystudy |