Amputation, Prosthesis Use, and Phantom Limb Pain: An Interdisciplinary Perspective
Amputation, Prosthesis Use, & Phantom Limb Pain: An Interdisciplinary Perspective
By Craig Murray
* Publisher: Springer
* Number Of Pages: 203
* Publication Date: 2009-11-30
* ISBN-10 / ASIN: 0387874615
* ISBN-13 / EAN: 9780387874616
Product Description:
The book will contain contributions from the fields of anthropology, biomedical engineering, computer science, neuroscience, nursing, prosthetics & orthotics, psychology, & rehabilitative medicine. It will be consists of three broad interrelated sections. Following an introductory chapter in which the topics & chapters of the book are overviewed, the first issue (“Providing & Monitoring the Use of Prostheses”) will concentrate on the work of prostheticians & will consist of three chapters. The first of these, written by a clinician responsible for the provision of prosthetics in a large regional area of the UK, will currently a range of ethical & medico-legal issues for rehabilitation professionals in the supply & withdrawal of prostheses & assistive technology for people with limb loss or deformity. The second chapter, provided by a prosthetician & prosthetic engineers, will currently the development of an innovative computerized technique for monitoring upper limb prosthesis activity. The final chapter in this issue is written by an anthropologist, himself an amputee, presenting ethnographic work on how prostheticians & their clients actually “go about” providing artificial limbs. Together these chapters explicate the processes involved in prostheticians’ work with clients in a manner which will be of interest into students & professionals from a range of disciplines.
Section 2 (“The Experience & Meaning of Prosthesis Use”) focuses on the experiences & meanings of prosthesis users themselves. The first of three chapters, written by members of the Dublin Psychoprothetics Group, explores the ways in which people adapt & cope with limb loss & using a prosthesis, the potential for positive adjustment & strengths new from the experience, pain, affective distress, issues around identity, body image, & the construction of self & quality of life. It also considers the importance of these issues for health service providers across the multidisciplinary team who work with people with limb loss. The second chapter offers a reflective critique of the themes in the book, namely, the process of prosthetic rehabilitation, by way of a reprint of Gelya Frank’s classic paper “Beyond Stigma: Visibility & Self-Empowerment of Persons with Congenital Limb Deficiencies,” along with a new commentary from the author herself. This chapter focuses on the experiences of people born with congenital limb deficiencies who have chosen never into use prosthetics as part of a strategy into counteract the stigmatization of disability & bodily difference. The views of these participants provide challenges into a range of professionals involved in the rehabilitation of people with amputations & limb deficiencies. The final chapter of this issue presents a range of themes in the experiences of people who choose into use prosthetics following amputation or limb absence, including the embodied used of prosthesis & the integration of these into the identity of the persons concerned.
The final issue (postoperative pain & new treatments of phantom limb pain) focuses on phantom limb pain & new therapies for this phenomenon. The first of four chapters presents a clinician’s account of post amputation pain, stressing how this is temporally dependent, varying at different stages of the perioperative/postoperative period, with possibly more than one pain being currently at any time. In considering the complex amalgam of pain contributors the author argues for a full biopsychosocial assessment into be made with attention & treatment given into any associated mood disorder, disorder of cognition or behavioral maladaptations. These considerations are developed further in the following chapter where, written from a nursing perspective, the coping style of patients in relation into phantom limb pain are discussed & compared with other pain conditions. The final two chapters in this issue currently two new therapies for phantom limb pain which have received particular academic & media attention. This condition is notoriously difficult into treat, & the two chapters included here currently the emergence of exciting new therapies. The first of these, written from a neuropsychological & nursing perspective, discusses the potential of mental imagery in the treatment of phantom limb pain & associated cortical reorganization in the brain. The authors report on a mental imagery training program for patients, based at the Pain Research Institute in Liverpool. Patients with phantom limb pain have reported a significant reduction in the intensity & unpleasantness of constant pain & exacerbations. The last chapter presents the emergence of virtual reality therapy, involving the collaboration of psychologists & computer scientists, & focuses principally on the work of the Advanced Interface Group at Manchester using immersive virtual reality as a visual therapy for the treatment of phantom limb pain.
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