Rédacteur : Johan Nguyen
Phantom Limb Syndrome
Douleur du membre fantôme : évaluation de l'acupuncture
1. Systematic Reviews and Meta-Analysis
1.1. Hu 2014
Hu Xiaoyang, Trevelyan E, Yang G, Lee MS et al. The effectiveness of acupuncture/TENS for phantom limb syndrome. I: A systematic review of controlled clinical trials. European Journal of Integrative Medicine. 2014;6(3):355-364. [206875]. doi
| Introduction | Phantom limb pain (PLP)/phantom limb sensation (PLS) is common in amputees and difficult to treat but either acupuncture or transcutaneous electrical nerve stimulation (TENS) may provide relief. A systematic review of controlled studies was carried out to explore clinical effectiveness, cost-effectiveness and adverse effects of these treatments on PLP/PLS. |
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| Method | Literature searches were carried out using 18 databases (inception – February 2013). Reporting quality and risk of bias of controlled studies were assessed by independent reviewers. |
| Results | In two controlled studies, acupuncture significantly improved pain compared with usual care (visual analogue scale 0.17 ± 0.804 vs. 1.82 ± 1.919, p < 0.05; visual rating scale 1.45 ± 1.52 vs. 1.81 ± 2.22, p: not reported); two studies using TENS showed significant improvement in pain compared with sham TENS (pain rating index total F(1.31) = 7.48, p < 0.01; pain complain 0/12 vs. 7/12). One study showed better pain relief with TENS stimulation at stumps than stimulation on contralateral side. The reporting quality and methodological quality of controlled studies are critically discussed. |
| Conclusion | There is some evidence for the use of acupuncture and TENS for the treatment of PLP/PLS but insufficient high quality evidence is available. No studies evaluated cost effectiveness or adverse effects. |
