• Pain management · Mar 2019

    Mirror therapy versus augmented/virtual reality applications: towards a tailored mechanism-based treatment for phantom limb pain.

    • Andreas Rothgangel and Robin Bekrater-Bodmann.
    • Research Centre for Nutrition, Lifestyle and Exercise, Department of Health, Zuyd University of Applied Sciences, Heerlen, The Netherlands.
    • Pain Manag. 2019 Mar 1; 9 (2): 151-159.

    AbstractPhantom limb pain (PLP) is a clinically relevant consequence of limb amputation and its treatment is still challenging. Mirror therapy, in other words, observing and engaging in the intact limb's mirrored movements, offers a promising, mechanism-based treatment for PLP. However, intervention and patient characteristics, such as the realism of mirrored exercises and perceptions related to the phantom limb, might influence treatment effectiveness. Novel approaches using augmented and virtual reality setups represent an alternative to traditional mirror therapy. In this paper, based on recent studies in the field, we compare both approaches and discuss their unique advantages and disadvantages. We argue for the necessity of a tailored treatment for PLP that is personalized to the patients' characteristics, preferences and psychological needs.

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