Intervention Using Body Shadow to Evoke Loading Imagery in a Patient with Complex Regional Pain Syndrome in the Foot: A Case Report
We present the case of a female patient who developed complex regional pain syndrome (CRPS) after a right-foot injury. The patient had pain from the right knee to the toes and showed severe disgust at the appearance of the affected limb. Consequently, the affected limb was not fully loaded, and the...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-10-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/10/10/718 |
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| author | Yoshiyuki Hirakawa Ryota Imai Hayato Shigetoh Shu Morioka |
| author_facet | Yoshiyuki Hirakawa Ryota Imai Hayato Shigetoh Shu Morioka |
| author_sort | Yoshiyuki Hirakawa |
| collection | DOAJ |
| description | We present the case of a female patient who developed complex regional pain syndrome (CRPS) after a right-foot injury. The patient had pain from the right knee to the toes and showed severe disgust at the appearance of the affected limb. Consequently, the affected limb was not fully loaded, and the patient had difficulty walking. General interventions, such as mirror therapy, were attempted, but the effect was limited. We hypothesized that this was due to the disgust toward the affected limb, and we implemented a body-shadow intervention that we developed. This reduced the disgust for the affected limb and improved pain, but neither changed the anticipated pain of loading the affected limb nor improved the patient’s walking ability. The reason for this was considered to be that the previous interventions using the body shadow utilized the third-person perspective, denoting that the image of the load sensation on the sole of the foot during walking was insufficient; therefore, we attempted a first-person body-shadow intervention. The results showed improvement in the patient’s walking ability. In CRPS of the foot, it is important to use interventions that evoke images of loading without causing anticipatory pain, pointing to the effectiveness of body-shadow interventions. |
| first_indexed | 2024-03-10T15:45:59Z |
| format | Article |
| id | doaj.art-ac7fa0aa98e341f5936be6df1df52547 |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-10T15:45:59Z |
| publishDate | 2020-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-ac7fa0aa98e341f5936be6df1df525472023-11-20T16:27:06ZengMDPI AGBrain Sciences2076-34252020-10-01101071810.3390/brainsci10100718Intervention Using Body Shadow to Evoke Loading Imagery in a Patient with Complex Regional Pain Syndrome in the Foot: A Case ReportYoshiyuki Hirakawa0Ryota Imai1Hayato Shigetoh2Shu Morioka3Department of Rehabilitation, Fukuoka Rehabilitation Hospital, Fukuoka City, Fukuoka 819-8551, JapanSchool of Rehabilitation Osaka Kawasaki Rehabilitation University, Kaizuka City, Osaka 597-0104, JapanMiura Internal Medicine Michiko Pediatrics Clinic, Kagawa 763-0082, JapanDepartment of Neurorehabilitation, Graduate School of Health Sciences, Kio University, Nara City, Nara 635-0832, JapanWe present the case of a female patient who developed complex regional pain syndrome (CRPS) after a right-foot injury. The patient had pain from the right knee to the toes and showed severe disgust at the appearance of the affected limb. Consequently, the affected limb was not fully loaded, and the patient had difficulty walking. General interventions, such as mirror therapy, were attempted, but the effect was limited. We hypothesized that this was due to the disgust toward the affected limb, and we implemented a body-shadow intervention that we developed. This reduced the disgust for the affected limb and improved pain, but neither changed the anticipated pain of loading the affected limb nor improved the patient’s walking ability. The reason for this was considered to be that the previous interventions using the body shadow utilized the third-person perspective, denoting that the image of the load sensation on the sole of the foot during walking was insufficient; therefore, we attempted a first-person body-shadow intervention. The results showed improvement in the patient’s walking ability. In CRPS of the foot, it is important to use interventions that evoke images of loading without causing anticipatory pain, pointing to the effectiveness of body-shadow interventions.https://www.mdpi.com/2076-3425/10/10/718complex regional pain syndromedisgustbody shadowillusionloading imagerygait |
| spellingShingle | Yoshiyuki Hirakawa Ryota Imai Hayato Shigetoh Shu Morioka Intervention Using Body Shadow to Evoke Loading Imagery in a Patient with Complex Regional Pain Syndrome in the Foot: A Case Report Brain Sciences complex regional pain syndrome disgust body shadow illusion loading imagery gait |
| title | Intervention Using Body Shadow to Evoke Loading Imagery in a Patient with Complex Regional Pain Syndrome in the Foot: A Case Report |
| title_full | Intervention Using Body Shadow to Evoke Loading Imagery in a Patient with Complex Regional Pain Syndrome in the Foot: A Case Report |
| title_fullStr | Intervention Using Body Shadow to Evoke Loading Imagery in a Patient with Complex Regional Pain Syndrome in the Foot: A Case Report |
| title_full_unstemmed | Intervention Using Body Shadow to Evoke Loading Imagery in a Patient with Complex Regional Pain Syndrome in the Foot: A Case Report |
| title_short | Intervention Using Body Shadow to Evoke Loading Imagery in a Patient with Complex Regional Pain Syndrome in the Foot: A Case Report |
| title_sort | intervention using body shadow to evoke loading imagery in a patient with complex regional pain syndrome in the foot a case report |
| topic | complex regional pain syndrome disgust body shadow illusion loading imagery gait |
| url | https://www.mdpi.com/2076-3425/10/10/718 |
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