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Radiofrequency Techniques for the Alleviation of Post-amputation Phantom Limb Pain: a Systematic Review
Objective Phantom limb pain is characterized by painful sensations that emanate from portions of an amputated limb and has a prevalence estimated as high as 75–80%. Radiofrequency, which is used interventionally as either pain-ablation or neuromodulation for axial pain, has also been increasingly us...
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| Published in: | Current physical medicine and rehabilitation reports 2021-12, Vol.9 (4), p.207-214 |
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| container_end_page | 214 |
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| container_title | Current physical medicine and rehabilitation reports |
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| creator | Meiling, James B. Raum, George M. Barndt, Brandon S. Nguyen, Nicole V. Ha, Christopher T. Beeler, Cynthia J. Smither, F. Clay |
| description | Objective
Phantom limb pain is characterized by painful sensations that emanate from portions of an amputated limb and has a prevalence estimated as high as 75–80%. Radiofrequency, which is used interventionally as either pain-ablation or neuromodulation for axial pain, has also been increasingly used for non-axial pain. To conduct a systematic review to determine the therapeutic response of radiofrequency techniques for post-amputation phantom limb pain.
Design/Methods
A comprehensive search of several databases from January 1, 2000, to November 23, 2020, was conducted. Eligible study designs included randomized controlled trials, prospective and retrospective studies, cross-sectional studies, case series, and case reports. The risk of bias was assessed using a tool specifically for assessing case series and case reports. We assessed the level of evidence using the Oxford tool and the quality of evidence with GRADE. A total of 98 articles were screened, with nine studies meeting inclusion criteria.
Results
Five studies had a moderate risk of bias, and four had a high risk of bias. All nine studies, including three case series and six case reports, discussed phantom limb pain treatment for fourteen patients by various radiofrequency techniques, including radiofrequency ablation, cooled radiofrequency ablation, pulsed radiofrequency, and low-temperature plasma radiofrequency ablation. Of the fourteen patients receiving one of the radiofrequency techniques, eleven (78.6%) received ≥ 50% pain relief post-intervention. No adverse effects were seen in any of the included studies.
Conclusions
Despite the limited quantity and quality of evidence, radiofrequency techniques show potential therapeutic benefits for phantom limb pain. |
| doi_str_mv | 10.1007/s40141-021-00328-1 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2933070556</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2933070556</sourcerecordid><originalsourceid>FETCH-LOGICAL-c319t-17a5ac7d5f2e1c1473e38e142019955c623796becb123a5e4041a763c7dca47a3</originalsourceid><addsrcrecordid>eNp9kE1LAzEQhoMoWLR_wFPA82omyW52vZXiFxQstZ5Dms62W7qbmqRK_72pK-jJwJCZ4X1mmJeQK2A3wJi6DZKBhIzxFEzwMoMTMuBQqEyWQpz-yc_JMIQNS6_kBSvZgKxmZtm42uP7Hjt7oHO0665JRaC18zSukY62W_xoTGxcR11Npy7EzLS7fexb07XpomvppGkXdGqa7o4a-noIEdsksHSWYPy8JGe12QYc_vwX5O3hfj5-yiYvj8_j0SSzAqqYgTK5sWqZ1xzBglQCRYkgOYOqynNbcKGqYoF2AVyYHCWTYFQhEmKNVEZckOt-7s674xVRb9zed2ml5pUQTLE8L5KK9yrrXQgea73zTWv8QQPTR09176lOnupvTzUkSPRQSOJuhf539D_UFxx5eVQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2933070556</pqid></control><display><type>article</type><title>Radiofrequency Techniques for the Alleviation of Post-amputation Phantom Limb Pain: a Systematic Review</title><source>Springer Link</source><creator>Meiling, James B. ; Raum, George M. ; Barndt, Brandon S. ; Nguyen, Nicole V. ; Ha, Christopher T. ; Beeler, Cynthia J. ; Smither, F. Clay</creator><creatorcontrib>Meiling, James B. ; Raum, George M. ; Barndt, Brandon S. ; Nguyen, Nicole V. ; Ha, Christopher T. ; Beeler, Cynthia J. ; Smither, F. Clay</creatorcontrib><description>Objective
Phantom limb pain is characterized by painful sensations that emanate from portions of an amputated limb and has a prevalence estimated as high as 75–80%. Radiofrequency, which is used interventionally as either pain-ablation or neuromodulation for axial pain, has also been increasingly used for non-axial pain. To conduct a systematic review to determine the therapeutic response of radiofrequency techniques for post-amputation phantom limb pain.
Design/Methods
A comprehensive search of several databases from January 1, 2000, to November 23, 2020, was conducted. Eligible study designs included randomized controlled trials, prospective and retrospective studies, cross-sectional studies, case series, and case reports. The risk of bias was assessed using a tool specifically for assessing case series and case reports. We assessed the level of evidence using the Oxford tool and the quality of evidence with GRADE. A total of 98 articles were screened, with nine studies meeting inclusion criteria.
Results
Five studies had a moderate risk of bias, and four had a high risk of bias. All nine studies, including three case series and six case reports, discussed phantom limb pain treatment for fourteen patients by various radiofrequency techniques, including radiofrequency ablation, cooled radiofrequency ablation, pulsed radiofrequency, and low-temperature plasma radiofrequency ablation. Of the fourteen patients receiving one of the radiofrequency techniques, eleven (78.6%) received ≥ 50% pain relief post-intervention. No adverse effects were seen in any of the included studies.
Conclusions
Despite the limited quantity and quality of evidence, radiofrequency techniques show potential therapeutic benefits for phantom limb pain.</description><identifier>ISSN: 2167-4833</identifier><identifier>EISSN: 2167-4833</identifier><identifier>DOI: 10.1007/s40141-021-00328-1</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Ablation ; Amputation ; Amputation Rehabilitation (JM Cohen ; Case reports ; Data collection ; Knee ; Medicine ; Medicine & Public Health ; Pain ; Patients ; Phantom limb ; Rehabilitation Medicine ; Section Editor ; Systematic review ; Topical Collection on Amputation Rehabilitation</subject><ispartof>Current physical medicine and rehabilitation reports, 2021-12, Vol.9 (4), p.207-214</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c319t-17a5ac7d5f2e1c1473e38e142019955c623796becb123a5e4041a763c7dca47a3</citedby><cites>FETCH-LOGICAL-c319t-17a5ac7d5f2e1c1473e38e142019955c623796becb123a5e4041a763c7dca47a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids></links><search><creatorcontrib>Meiling, James B.</creatorcontrib><creatorcontrib>Raum, George M.</creatorcontrib><creatorcontrib>Barndt, Brandon S.</creatorcontrib><creatorcontrib>Nguyen, Nicole V.</creatorcontrib><creatorcontrib>Ha, Christopher T.</creatorcontrib><creatorcontrib>Beeler, Cynthia J.</creatorcontrib><creatorcontrib>Smither, F. Clay</creatorcontrib><title>Radiofrequency Techniques for the Alleviation of Post-amputation Phantom Limb Pain: a Systematic Review</title><title>Current physical medicine and rehabilitation reports</title><addtitle>Curr Phys Med Rehabil Rep</addtitle><description>Objective
Phantom limb pain is characterized by painful sensations that emanate from portions of an amputated limb and has a prevalence estimated as high as 75–80%. Radiofrequency, which is used interventionally as either pain-ablation or neuromodulation for axial pain, has also been increasingly used for non-axial pain. To conduct a systematic review to determine the therapeutic response of radiofrequency techniques for post-amputation phantom limb pain.
Design/Methods
A comprehensive search of several databases from January 1, 2000, to November 23, 2020, was conducted. Eligible study designs included randomized controlled trials, prospective and retrospective studies, cross-sectional studies, case series, and case reports. The risk of bias was assessed using a tool specifically for assessing case series and case reports. We assessed the level of evidence using the Oxford tool and the quality of evidence with GRADE. A total of 98 articles were screened, with nine studies meeting inclusion criteria.
Results
Five studies had a moderate risk of bias, and four had a high risk of bias. All nine studies, including three case series and six case reports, discussed phantom limb pain treatment for fourteen patients by various radiofrequency techniques, including radiofrequency ablation, cooled radiofrequency ablation, pulsed radiofrequency, and low-temperature plasma radiofrequency ablation. Of the fourteen patients receiving one of the radiofrequency techniques, eleven (78.6%) received ≥ 50% pain relief post-intervention. No adverse effects were seen in any of the included studies.
Conclusions
Despite the limited quantity and quality of evidence, radiofrequency techniques show potential therapeutic benefits for phantom limb pain.</description><subject>Ablation</subject><subject>Amputation</subject><subject>Amputation Rehabilitation (JM Cohen</subject><subject>Case reports</subject><subject>Data collection</subject><subject>Knee</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pain</subject><subject>Patients</subject><subject>Phantom limb</subject><subject>Rehabilitation Medicine</subject><subject>Section Editor</subject><subject>Systematic review</subject><subject>Topical Collection on Amputation Rehabilitation</subject><issn>2167-4833</issn><issn>2167-4833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LAzEQhoMoWLR_wFPA82omyW52vZXiFxQstZ5Dms62W7qbmqRK_72pK-jJwJCZ4X1mmJeQK2A3wJi6DZKBhIzxFEzwMoMTMuBQqEyWQpz-yc_JMIQNS6_kBSvZgKxmZtm42uP7Hjt7oHO0665JRaC18zSukY62W_xoTGxcR11Npy7EzLS7fexb07XpomvppGkXdGqa7o4a-noIEdsksHSWYPy8JGe12QYc_vwX5O3hfj5-yiYvj8_j0SSzAqqYgTK5sWqZ1xzBglQCRYkgOYOqynNbcKGqYoF2AVyYHCWTYFQhEmKNVEZckOt-7s674xVRb9zed2ml5pUQTLE8L5KK9yrrXQgea73zTWv8QQPTR09176lOnupvTzUkSPRQSOJuhf539D_UFxx5eVQ</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Meiling, James B.</creator><creator>Raum, George M.</creator><creator>Barndt, Brandon S.</creator><creator>Nguyen, Nicole V.</creator><creator>Ha, Christopher T.</creator><creator>Beeler, Cynthia J.</creator><creator>Smither, F. Clay</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>20211201</creationdate><title>Radiofrequency Techniques for the Alleviation of Post-amputation Phantom Limb Pain: a Systematic Review</title><author>Meiling, James B. ; Raum, George M. ; Barndt, Brandon S. ; Nguyen, Nicole V. ; Ha, Christopher T. ; Beeler, Cynthia J. ; Smither, F. Clay</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c319t-17a5ac7d5f2e1c1473e38e142019955c623796becb123a5e4041a763c7dca47a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Ablation</topic><topic>Amputation</topic><topic>Amputation Rehabilitation (JM Cohen</topic><topic>Case reports</topic><topic>Data collection</topic><topic>Knee</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pain</topic><topic>Patients</topic><topic>Phantom limb</topic><topic>Rehabilitation Medicine</topic><topic>Section Editor</topic><topic>Systematic review</topic><topic>Topical Collection on Amputation Rehabilitation</topic><toplevel>online_resources</toplevel><creatorcontrib>Meiling, James B.</creatorcontrib><creatorcontrib>Raum, George M.</creatorcontrib><creatorcontrib>Barndt, Brandon S.</creatorcontrib><creatorcontrib>Nguyen, Nicole V.</creatorcontrib><creatorcontrib>Ha, Christopher T.</creatorcontrib><creatorcontrib>Beeler, Cynthia J.</creatorcontrib><creatorcontrib>Smither, F. Clay</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>Current physical medicine and rehabilitation reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meiling, James B.</au><au>Raum, George M.</au><au>Barndt, Brandon S.</au><au>Nguyen, Nicole V.</au><au>Ha, Christopher T.</au><au>Beeler, Cynthia J.</au><au>Smither, F. Clay</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radiofrequency Techniques for the Alleviation of Post-amputation Phantom Limb Pain: a Systematic Review</atitle><jtitle>Current physical medicine and rehabilitation reports</jtitle><stitle>Curr Phys Med Rehabil Rep</stitle><date>2021-12-01</date><risdate>2021</risdate><volume>9</volume><issue>4</issue><spage>207</spage><epage>214</epage><pages>207-214</pages><issn>2167-4833</issn><eissn>2167-4833</eissn><abstract>Objective
Phantom limb pain is characterized by painful sensations that emanate from portions of an amputated limb and has a prevalence estimated as high as 75–80%. Radiofrequency, which is used interventionally as either pain-ablation or neuromodulation for axial pain, has also been increasingly used for non-axial pain. To conduct a systematic review to determine the therapeutic response of radiofrequency techniques for post-amputation phantom limb pain.
Design/Methods
A comprehensive search of several databases from January 1, 2000, to November 23, 2020, was conducted. Eligible study designs included randomized controlled trials, prospective and retrospective studies, cross-sectional studies, case series, and case reports. The risk of bias was assessed using a tool specifically for assessing case series and case reports. We assessed the level of evidence using the Oxford tool and the quality of evidence with GRADE. A total of 98 articles were screened, with nine studies meeting inclusion criteria.
Results
Five studies had a moderate risk of bias, and four had a high risk of bias. All nine studies, including three case series and six case reports, discussed phantom limb pain treatment for fourteen patients by various radiofrequency techniques, including radiofrequency ablation, cooled radiofrequency ablation, pulsed radiofrequency, and low-temperature plasma radiofrequency ablation. Of the fourteen patients receiving one of the radiofrequency techniques, eleven (78.6%) received ≥ 50% pain relief post-intervention. No adverse effects were seen in any of the included studies.
Conclusions
Despite the limited quantity and quality of evidence, radiofrequency techniques show potential therapeutic benefits for phantom limb pain.</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s40141-021-00328-1</doi><tpages>8</tpages></addata></record> |
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| subjects | Ablation Amputation Amputation Rehabilitation (JM Cohen Case reports Data collection Knee Medicine Medicine & Public Health Pain Patients Phantom limb Rehabilitation Medicine Section Editor Systematic review Topical Collection on Amputation Rehabilitation |
| title | Radiofrequency Techniques for the Alleviation of Post-amputation Phantom Limb Pain: a Systematic Review |
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