Development and Validation of a Graded Motor Imagery Intervention for Phantom Limb Pain in Patients with Amputations (GraMI Protocol): A Delphi Study

Phantom limb pain can be defined as discomfort or pain in a missing part of the limb. The aims of this study were to develop and validate, through a Delphi methodology, a graded motor imagery protocol in order to reduce phantom limb pain. Method: Physiotherapists and/or occupational therapists with...

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Detalhes bibliográficos
Autores: Rierola Fochs, Sandra, Varela Vásquez, Luz Adriana, Merchán-Baeza, José Antonio, Minobes Molina, Eduard, Universitat de Vic - Universitat Central de Catalunya. Facultat de Ciències de la Salut i el Benestar
Formato: artículo
Fecha de publicación:2021
País:España
Recursos:UVic-UCC
Repositorio:RiUVic. Repositori institucional de la UVic-UCC
OAI Identifier:oai:dspace.uvic.cat:10854/180263
Acesso em linha:http://hdl.handle.net/10854/180263
https://doi.org/10.3390/ijerph182212240
Access Level:acceso abierto
Palavra-chave:Dolor
Amputació
Percepció del dolor
Hemipelvectomia
Dolor del membre fantasma
Imatge motora graduada
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Descrição
Resumo:Phantom limb pain can be defined as discomfort or pain in a missing part of the limb. The aims of this study were to develop and validate, through a Delphi methodology, a graded motor imagery protocol in order to reduce phantom limb pain. Method: Physiotherapists and/or occupational therapists with experience in research and a minimum clinical experience of five years in the field of neurorehabilitation and/or pain were recruited by part of a group of experts to assess the intervention. The study was conducted through an online questionnaire, where experts assessed each aspect of the intervention through a Likert scale. As many rounds as necessary were carried out until consensus was reached among experts. Results: A total of two rounds were required to fully validate the intervention. During the second round, the relative interquartile range of all aspects to be assessed was less than 15%, thus showing a consensus among experts and with good concordance (Kappa index of 0.76). Conclusion: Experts validated a graded motor imagery intervention of phantom limb pain in patients with amputations (GraMi protocol). This intervention can help to homogenize the use of graded motor imagery in future studies and in clinical practice.