Prosthetics

January 7th, 2009 by admin
  • For a book I am trying to reconstruct what feelings / pain a person who lost a leg will have (above the knee, about the thigh area)– “phantom limb symptom”, emotional distress etc. Information that will bring this to life is welcome.


  • Hi dogsbollocks! Obviously it is almost impossible for an amputee to express exactly what they are feeling as far as a "phantom limb" is concerned. The emotional feelings are probably easier to describe and relate to, but I found some information and descriptions of both that I hope will prove useful. I've pulled specific quotes from a number of documents, but I encourage you to read them in full, as they are pretty loaded with descriptions. Also, I've tried to keep cited cases to leg amputees only, although I'm pretty sure that an arm amputee would be experiencing similar physiological and emotional feelings. "Sensations from an amputated limb can manifest themselves in many different ways, such as sensations of touch. For example, some amputees are able to feel their arm resting on a table, their fingers able to feel the texture of the table. Other times they can feel the absent limb in movement, possibly reaching for a glass. Some report that the limb is drastically deformed or forshortened, or that it remains rigid. " [ http://www.macalester.edu/~psych/whathap/UBNRP/Phantom/phantompain.html ] Another patient describes "itching and tingling" as well as the feeling that her foot had "fallen asleep". Please see: [ http://www.macalester.edu/~psych/whathap/UBNRP/Phantom/casestudy1.html ] This next case was remarkable because the patient had a deformed leg before it was amputated, thus she never had toes in the 'normal' place at any time in her life. Nevertheless, she felt as though she had another set of phantom toes where they 'shoud' have been. [ http://www.macalester.edu/~psych/whathap/UBNRP/Phantom/casestudy5.html ] As for the emotional feelings of these patients: "People with either of these losses [either a body part or a loved person] were preoccupied with feelings of loss: bereaved people were missing the lost person and the amputees were missing the loss of physical attractiveness (loss of body image) or the occupational and other physical functions that could no longer be carried out (loss of function), or both of these." [ http://www.cirp.org/library/psych/maguire/ ] A very good personal account can be found at: [ http://www.oandp.com/edge/issues/articles/2003-03_15.asp ] From that document: "Five days of hospitalization passed, and my wife drove me home to our changed life. I feared I was going to be a cripple. I felt loss, grief, and an overwhelming desire for a sense of normalcy. I found myself on an emotional roller coaster, which, however, gave me the fuel to return to work. Within three weeks I was back in my art gallery, greeting customers. I rarely ventured beyond the sales counter. I saw how uncomfortable the average tourist was while being served by a one-legged man on crutches. " Interestingly, this next report indicates that depression and anxiety levels in amputation patients were not significantly greater than normal. " Phantom pain (mostly mild) was reported by 29 patients. Fifty three of the remaining 64 patients reported non-painful sensations in the phantom limb. Mean scores on the anxiety and depression scale were 3.9 for anxiety and 2.9 for depression. Whereas 10 patients scored in the clinical range for anxiety, mainly about falling, only one patient scored in this range for depression. No patient gave a history of previous or concurrent psychiatric treatment. The patients were divided according to whether they experienced pain, and their anxiety and depression scores and time from amputation were compared with non-parametric statistics. The table shows that the time from amputation, and anxiety and depression scores did not differ between the two groups. Time from amputation was not strongly significantly associated with distress, so anxiety and depression do not seem to vary consistently over time. " "The prevalence of depression was low, suggesting that it is an uncommon reaction to amputation." [ http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=28494 ] The emotional response and condition during recovery seems to be very heavily influenced by the psychological condition of the patient during the whole ordeal. A positive outlook on their ability to lead a normal life seems to be an important aspect of their emotional state. I hope these resources will prove useful to you. If you require any clarification, please request it before rating this answer. Thank you for bringing this inquiry to Google Answers! Sincerely, Andrewxmp Search terms used: phantom limb feelings phantom limb feelings emotional amputation emotional







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