Operant Conditioning of Sensory Brain Responses to Reduce Phantom Limb Pain in People With Limb Amputation
NCT05880251 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2026-01-16
Summary
The study will investigate the application of a non-pharmacological operant conditioning approach to reduce phantom limb pain (PLP). PLP afflicts 60-90% people who have lost a limb. It can last for years and lead to drug dependence, job loss, and poor quality of life. Current non-pharmacological interventions are encouraging but limited, and their efficacy remains unclear. Limb amputation is known to lead to abnormal sensorimotor reorganization in the brain. Multiple studies have shown that PLP severity is correlated with the extent of this reorganization. The current study will train participants via realtime feedback of brain responses to promote more normal sensorimotor response, with the goal to reduce phantom limb pain.
Conditions
- Phantom Limb Pain After Amputation
- Lower Limb Amputation
- Upper Limb Amputation
- Phantom Pain
- Chronic Pain
Interventions
- BEHAVIORAL
-
Operant Conditioning with Peripheral Stimulation
This is a training intervention to strengthen the weakened sensorimotor responses and reduce pain, after a limb amputation. Non-painful peripheral stimulation will be applied to elicit a response.
- BEHAVIORAL
-
Control Group with Peripheral Stimulation Only
This is a control intervention in which the non-painful peripheral stimulation will be applied, same as the operant conditioning group, but no training feedback will be provided.
Sponsors & Collaborators
-
VA Office of Research and Development
lead FED
Principal Investigators
-
Jodi A Brangaccio, PT · Albany VA Medical Center Samuel S. Stratton, Albany, NY
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-07-01
- Primary Completion
- 2025-07-01
- Completion
- 2025-08-29
Countries
- United States
Study Locations
More Related Trials
-
Home-based Rehabilitation Intervention for Phantom Limb Pain in Veterans With Lower Limb Amputations
NCT06106984 ·Status: RECRUITING ·Phase: NA
-
Effectiveness of Mirror Therapy in Patients With Amputations of Lower Limbs of Vascular Origin
NCT03149432 ·Status: COMPLETED ·Phase: NA
-
Operant Conditioning of Reflex Pathways to Improve Walking in Individuals Post-stroke
NCT05801744 ·Status: RECRUITING ·Phase: NA
-
Evaluating the Experience of Upper Limb Prosthesis Use
NCT04855214 ·Status: RECRUITING
-
Prophylactic TBR on Phantom Limb Pain
NCT06956508 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Enhancement of Residual Limb Proprioception and Rehabilitation Training Methods With a Vibrotactile Device.
NCT02026570 ·Status: UNKNOWN ·Phase: NA
-
Does Walking Performance Improve When Veterans With Leg Amputations Are Given Visual Feedback?
NCT03974945 ·Status: COMPLETED
-
Motor Learning in Individuals With Lower Limb Loss and Chronic Diabetes
NCT03989063 ·Status: UNKNOWN ·Phase: NA
-
Telerehabilitation Using Mirror Therapy in Patients With Phantom Limb Pain Following Lower Limb Amputation.
NCT02076490 ·Status: UNKNOWN ·Phase: NA
-
Effectivity of Motor Imagery and MirrorTherapy in Amputees
NCT02761447 ·Status: COMPLETED ·Phase: NA
-
Motor Representations in Orthopedic Patients
NCT03358160 ·Status: UNKNOWN
-
Optimizing Gait Rehabilitation for Veterans With Non-traumatic Lower Limb Amputation
NCT03995238 ·Status: RECRUITING ·Phase: NA
-
Motor Imagery and Rehabilitation of Orthopaedic Patients
NCT03370146 ·Status: UNKNOWN
-
Dual-tasking for Individuals With Lower Limb Amputation: Exploring the Relationship to Falls and Instrumental Activities of Daily Living
NCT05119192 ·Status: COMPLETED
-
Impact of Exercise Medicine on Lower Limb Amputees According to the International Classification of Functioning
NCT02297295 ·Status: UNKNOWN ·Phase: NA
-
Treadmill Training With Lower Extremity Amputees
NCT01419288 ·Status: COMPLETED ·Phase: PHASE1
-
Walking Exercise Sustainability Through Telehealth for Veterans With Lower-limb Amputation
NCT05412550 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Enhancing Motor Function in Individuals with Lower Limb Amputation
NCT06638723 ·Status: RECRUITING ·Phase: NA
-
Comparing the Attentional Demands and Functional Outcomes in People With Transradial Amputation
NCT07075042 ·Status: RECRUITING ·Phase: NA
-
Weight Loss Intervention for Individuals With Lower Extremity Amputation
NCT02085785 ·Status: COMPLETED ·Phase: NA
-
Clinical Predictors of Rehabilitation-induced Arm Recovery After Stroke: Longitudinal Cohort Study
NCT05423119 ·Status: UNKNOWN
-
Effects of Strength Training on Upper-Limb Function in Post-Stroke Hemiparesis
NCT00037908 ·Status: COMPLETED ·Phase: PHASE2
-
Dysvascular Amputation Self-Management of Health
NCT04083456 ·Status: COMPLETED ·Phase: PHASE2
-
Clinical and Psychological Adjustment of Patients With LLA: a Multidisciplinary Rehabilitative Intervention Project
NCT06471855 ·Status: RECRUITING ·Phase: NA
-
Neuromuscular and Biomechanical Control of Lower Limb Loading in Individuals With Chronic Stroke
NCT03694028 ·Status: COMPLETED ·Phase: NA