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dc.contributor.authorLewis, JS
dc.contributor.authorKersten, P
dc.contributor.authorMcCabe, CS
dc.contributor.authorMcPherson, K
dc.contributor.authorBlake, DR
dc.date.accessioned2011-12-08T22:57:46Z
dc.date.available2011-12-08T22:57:46Z
dc.date.copyright2007
dc.date.issued2011-12-09
dc.identifier.citationPain, vol.133(1-3), pp.111 - 119
dc.identifier.issn0304-3959 (print)
dc.identifier.urihttp://hdl.handle.net/10292/3053
dc.description.abstractIn spite of pain in the CRPS limb, clinical observations show patients pay little attention to, and fail to care for, their affected limb as if it were not part of their body. Literature describes this phenomenon in terms of neurological neglect-like symptoms. This qualitative study sought to explore the nature of the phenomenon with a view to providing insights into central mechanisms and the relationship with pain. Twenty-seven participants who met the IASP CRPS classification were interviewed using qualitative methods to explore feelings and perceptions about their affected body parts. These semi-structured interviews were analysed utilising principles of grounded theory. Participants revealed bizarre perceptions about a part of their body and expressed a desperate desire to amputate this part despite the prospect of further pain and functional loss. A mismatch was experienced between the sensation of the limb and how it looked. Anatomical parts of the CRPS limb were erased in mental representations of the affected area. Pain generated a raised consciousness of the limb yet there was a lack of awareness as to its position. These feelings were about the CRPS limb only as the remaining unaffected body was felt to be normal. Findings suggest that there is a complex interaction between pain, disturbances in body perception and central remapping. Clinically, findings support the use of treatments that target cortical areas, which may reduce body perception disturbance and pain. We propose that body perception disturbance is a more appropriate term than ‘neglect-like’ symptoms to describe this phenomenon.
dc.publisherElsevier
dc.relation.isreplacedby10292/3175
dc.relation.isreplacedbyhttp://hdl.handle.net/10292/3175
dc.relation.urihttp://dx.doi.org/10.1016/j.pain.2007.03.013
dc.rightsCopyright © 2007 Elsevier Ltd. All rights reserved. This is the author’s version of a work that was accepted for publication in (see Citation). Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. The definitive version was published in (see Citation). The original publication is available at (see Publisher's Version)
dc.subjectComplex regional pain syndrome
dc.subjectReflex sympathetic dystrophy
dc.subjectQualitative
dc.subjectPatient experience
dc.subjectBody perception disturbance
dc.subjectMental body representation
dc.subjectPain
dc.subjectNeglect
dc.subjectCentral mechanisms
dc.titleBody Perception Disturbance: A Contribution to Pain in Complex Regional Pain Syndrome (CRPS)
dc.typeJournal Article
dc.rights.accessrightsOpenAccess
dc.identifier.doi10.1061/j.pain.2007.03.013


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