The effects of graded motor imagery and its components on phantom limb pain and disability in upper and lower limb amputees: a systematic review protocol

dc.contributor.authorLimakatso, Katleho
dc.contributor.authorCorten, Lieselotte
dc.contributor.authorParker, Romy
dc.date.accessioned2016-09-05T11:51:10Z
dc.date.available2016-09-05T11:51:10Z
dc.date.issued2016-09-01
dc.date.updated2016-09-01T18:10:12Z
dc.description.abstractBackground: Phantom limb pain (PLP) is characterized by the anatomical shifting of neighbouring somatosensory and motor areas into a deafferented cortical area of the brain contralateral to the amputated limb. It has been shown that maladaptive neuroplasticity is positively correlated to the perception of PLP in amputees. Recent studies support the use of graded motor imagery (GMI) and its component to alleviate the severity of PLP and disability. However, there is insufficient collective empirical evidence exploring the effectiveness of these treatment modalities in amputees with PLP. This systematic review will therefore explore the effects of GMI and its individual components on PLP and disability in upper and lower limb amputees. Methods: We will utilize a customized search strategy to search PubMed, Cochrane Central register of Controlled Trials, MEDLINE, Embase, PsycINFO, PEDro, Scopus, CINAHL, LILACS, DARE, Africa-Wide Information and Web of Science. We will also look at clinicaltrials.gov (http://www.clinicaltrials.gov/), Pactr.gov (http://www.pactr.org/) and EU Clinical trials register (https://www.clinicaltrialsregister.eu/) for ongoing research. Two independent reviewers will screen articles for methodological validity. Thereafter, data from included studies will be extracted by two independent reviewers through a customized pre-set data extraction sheet. Studies with a comparable intervention and outcome measure will be pooled for meta-analysis. Studies with high heterogeneity will be analysed through random effects model. A narrative data analysis will be considered where there is insufficient data to perform a meta-analysis. Discussion: Several studies investigating the effectiveness of GMI and its different components on PLP have drawn contrasting conclusions regarding the efficacy and applicability of GMI in clinical practice. This systematic review will therefore gather and critically appraise all relevant data, to generate a substantial conclusion and recommendations for clinical practice and research on this subject.
dc.identifier.apacitationLimakatso, K., Corten, L., & Parker, R. (2016). The effects of graded motor imagery and its components on phantom limb pain and disability in upper and lower limb amputees: a systematic review protocol. <i>Systematic Reviews</i>, http://hdl.handle.net/11427/21665en_ZA
dc.identifier.chicagocitationLimakatso, Katleho, Lieselotte Corten, and Romy Parker "The effects of graded motor imagery and its components on phantom limb pain and disability in upper and lower limb amputees: a systematic review protocol." <i>Systematic Reviews</i> (2016) http://hdl.handle.net/11427/21665en_ZA
dc.identifier.citationLimakatso, K., Corten, L., & Parker, R. (2016). The effects of graded motor imagery and its components on phantom limb pain and disability in upper and lower limb amputees: a systematic review protocol. Systematic Reviews, 5(1),145.
dc.identifier.ris TY - Journal Article AU - Limakatso, Katleho AU - Corten, Lieselotte AU - Parker, Romy AB - Background: Phantom limb pain (PLP) is characterized by the anatomical shifting of neighbouring somatosensory and motor areas into a deafferented cortical area of the brain contralateral to the amputated limb. It has been shown that maladaptive neuroplasticity is positively correlated to the perception of PLP in amputees. Recent studies support the use of graded motor imagery (GMI) and its component to alleviate the severity of PLP and disability. However, there is insufficient collective empirical evidence exploring the effectiveness of these treatment modalities in amputees with PLP. This systematic review will therefore explore the effects of GMI and its individual components on PLP and disability in upper and lower limb amputees. Methods: We will utilize a customized search strategy to search PubMed, Cochrane Central register of Controlled Trials, MEDLINE, Embase, PsycINFO, PEDro, Scopus, CINAHL, LILACS, DARE, Africa-Wide Information and Web of Science. We will also look at clinicaltrials.gov (http://www.clinicaltrials.gov/), Pactr.gov (http://www.pactr.org/) and EU Clinical trials register (https://www.clinicaltrialsregister.eu/) for ongoing research. Two independent reviewers will screen articles for methodological validity. Thereafter, data from included studies will be extracted by two independent reviewers through a customized pre-set data extraction sheet. Studies with a comparable intervention and outcome measure will be pooled for meta-analysis. Studies with high heterogeneity will be analysed through random effects model. A narrative data analysis will be considered where there is insufficient data to perform a meta-analysis. Discussion: Several studies investigating the effectiveness of GMI and its different components on PLP have drawn contrasting conclusions regarding the efficacy and applicability of GMI in clinical practice. This systematic review will therefore gather and critically appraise all relevant data, to generate a substantial conclusion and recommendations for clinical practice and research on this subject. DA - 2016-09-01 DB - OpenUCT DO - 10.1186/s13643-016-0322-5 DP - University of Cape Town J1 - Systematic Reviews KW - Phantom limb pain KW - Disability KW - Graded motor imagery KW - Laterality recognition KW - Explicit motor imagery KW - Mirror visual feedback LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - The effects of graded motor imagery and its components on phantom limb pain and disability in upper and lower limb amputees: a systematic review protocol TI - The effects of graded motor imagery and its components on phantom limb pain and disability in upper and lower limb amputees: a systematic review protocol UR - http://hdl.handle.net/11427/21665 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s13643-016-0322-5
dc.identifier.urihttp://hdl.handle.net/11427/21665
dc.identifier.vancouvercitationLimakatso K, Corten L, Parker R. The effects of graded motor imagery and its components on phantom limb pain and disability in upper and lower limb amputees: a systematic review protocol. Systematic Reviews. 2016; http://hdl.handle.net/11427/21665.en_ZA
dc.language.rfc3066en
dc.publisherBioMed Central
dc.publisher.departmentDepartment of Health and Rehabilitation Sciencesen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights.holderThe Author(s).
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceSystematic Reviews
dc.source.urihttps://systematicreviewsjournal.biomedcentral.com/
dc.subjectPhantom limb pain
dc.subjectDisability
dc.subjectGraded motor imagery
dc.subjectLaterality recognition
dc.subjectExplicit motor imagery
dc.subjectMirror visual feedback
dc.titleThe effects of graded motor imagery and its components on phantom limb pain and disability in upper and lower limb amputees: a systematic review protocol
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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