Monday, 3 April 2017

Phantom Limb Pain Treatment | Mirror Box | Training Videos

The entire workshop of Phantom Limb Pain - Effective Assessment and Treatment is now available as streaming video. No cost other than your email and your soul.

Video 1.
00.01 Introduction and background
04.00 Amputations in hospital, patient experience of visual representation and feedback
05.50 Patient experience of kinaesthetic representation and feedback
06.50 The mirror box, rationale for choice of style and construct
08.25 Vilyanur Ramachandran, Phantoms in The Brain.
09.25 Phantom limb pain case study/example (edited to remove confidential details)
12.30 Ramachandran, change the picture
12.57 Assessment of patient (PTSD)
23.10 Assessment of patient (delayed organic depression)
26.24 Assessment of patient (dysmorphic distress)
32.10 Assessment of patient (secondary depression and anxiety)
36.45 Assessment of patient (pre-morbid conditions)

Video 2.
00.01 Trapped in relationships
00.50 Assessment of the phantom (remapping phenomena)
09.09 Assessment of the phantom (eliciting the phantom image)
13.00 Assessment of the phantom (position of phantom, contractures)
15.45 Demonstration of repositioning phantom
19.12 Assessment of the phantom (mobility of phantom)
21.30 Congruity and incongruity between image and kinaesthetic representation
24.19 Overlap between phantom and physical pain
25.48 Question and demonstration of testing amputee for remapping
37.57 Demonstration with brachial plexus injury patient 

Video 3.
00.01 How to use the mirror box
08.30 First non-amputee experimentation with mirror box
12.18 Second non-amputee experimentation with mirror box
13.20 Getting results, expectations, time pressures on appointment duration
15.25 What to do with the prosthetics when using the mirror box
25.15 Treatment session structure
30.00 Considerations of limb transplants
32.30 Patient expectation management
34.55 Instructions to patient
37.00 Question from audience about medication for pain relief
38.50 The stages of the treatment session (Expectation and anticipation)
40.49 The stages of the treatment session (Focus)
42.00 The stages of the treatment session (Reaction)
43.00 The stages of the treatment session (Emotional reunion with limb image)
44.05 The stages of the treatment session (Abreactional states)
45.55 The stages of the treatment session (Fascination and Exploration)
48.18 The stages of the treatment session (Fatigue)
49.00 Results and effect of mirror box session (Telescoping phenomena)
50.40 Demonstration with upper limb amputee
73.50 end

Video 4.
00.01 Demonstration with hand injury
09.39 Questions from audience
15.16 Demonstration with brachial plexus injury, pre-amputation
28.00 Questions about demonstration and discussion
39.31 End

Qualified clinicians may be interested in the complete video recordings of treatment sessions here: Phantom Limb Pain Treatment Sessions.

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