Mirror Therapy as Effective Means of Treating Patients with Phantom Limb Pain of Lower Limbs

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Increasing amount of research in recent years has added to developing knowledge of phantom limb pain (PLP). In this research proposal I aim to test the mirror therapy as an effective treatment in PLP. Phantom limb pain occurs in at least 90% of limb amputees. PLP may be stimulated by disconnection between visual feedback and proprioceptive representations of the amputated limb. Therefore, I will research both the neurobiology behind this phenomenon and whether illusions and/or imagery of movement of the amputated limb (mirror therapy) is effective in alleviating PLP of lower limbs. Mirror therapy has been used with noted success in patients who have had upper body amputation, but has not been determined in lower limb amputations. I would like to identify if form of treatment is equally effective in lower limb amputations. Yet, to consider mirror therapy as an effective means of treatment, one must understand PLP in its entirety. The main concern being if a limb is no longer attached to the body, how can neurons in the limb transport signals to the nervous system in order for the body to detect sensations? The biological significance of this project is to determine what occurs on the sensory level to cause PLP. Once that is discovered we can address whether or not mirror therapy is a plausible form of treatment. Background: Sensation, as we know it, is thought to be a result of direct contact between the body and an internal or external stimulus. However, in the case of phantom limb phenomenon, sensation is explained rather differently. The phantom limb phenomenon, in short, occurs when a person with a missing limb still has sensations of limb being there; it is having the perception of missing limbs and feeling sensations from i... ... middle of paper ... ... can be determined, then steps can be taken to effectively treat PLP. Person studying another animal communication system would find this research important and interesting as most animals have the similar neurobiology systems. Therefore, one can test to see if this theory is also true for their organism. If so, specific mechanism based treatments for PLP can be developed. One can also execute further research to explain the relationship between the different proposed mechanisms listed above. Their results can be used to develop a universal hypothesis explaining PLP; this will become essential in the future for the evolution of more specific mechanism-based treatment recommendations. These questions were chosen because my research aims to as they address the exact mechanism that causes PLP (neurobiology) and what method of treatment is best for the given mechanism.

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