To Örebro University

oru.seÖrebro University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Interplay Between Innovation and Intersubjectivity: Therapists Perceptions of Phantom Motor Execution Therapy and Its Effect on Phantom Limb Pain
Centre for Health Policy & Management, School of Medicine, Trinity College Dublin, Dublin, Ireland.
University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, Groningen, the Netherlands; University of Groningen, Faculty of Medical Sciences, Groningen, the Netherlands.
Center for Bionics and Pain Research, Mölndal, Sweden; Bionics Institute, Melbourne, VC, Australia; Department of Electrical Engineering, Chalmers University of Technology, Gothenburg, Sweden.
Department of Electrical Engineering, Chalmers University of Technology, Gothenburg, Sweden; Department of Brain and Cognitive Sciences, McGovern Institute for Brain Research, Massachusetts Institute of Technology, Cambridge, MA, USA.
Show others and affiliations
2023 (English)In: Journal of Pain Research, E-ISSN 1178-7090, Vol. 16, p. 2747-2761Article in journal (Refereed) Published
Abstract [en]

PURPOSE: Interpersonal processes, including therapeutic alliance, may modulate the impact of interventions on pain experience. However, the role of interpersonal context on the effects of technology-enhanced interventions remains underexplored. This study elicited therapists' perspectives on how a novel rehabilitative process, involving Phantom Motor Execution (PME), may impact phantom limb pain. The mediating role of therapeutic alliance, and the way PME influenced its formation, was investigated.

METHODS: A qualitative descriptive design, using a framework method, was used to explore therapists' (n=11) experiences of delivering PME treatment. Semi-structured online-based interviews were conducted.

RESULTS: A 3-way interaction between therapist, patient, and the PME device was an overarching construct tying four themes together. It formed the context for change in phantom limb experience. The perceived therapeutic effects (theme 1) extended beyond those initially hypothesised and highlighted the mediating role of the key actors and context (theme 2). The therapeutic relationship was perceived as a transformative journey (theme 3), creating an opportunity for communication, collaboration, and bonding. It was seen as a cause and a consequence of therapeutic effects. Future directions, including the role of expertise-informed adaptations and enabling aspects of customised solutions, were indicated (theme 4).

CONCLUSION: This study pointed to intrapersonal, interpersonal, and contextual factors that should be considered in clinical implementation of novel rehabilitative tools. The results demonstrated that therapists have unique insights and a crucial role in facilitating PME treatment. The study highlighted the need to consider the biopsychosocial model of pain in designing, evaluating, and implementing technology-supported interventions.

Place, publisher, year, edition, pages
Dove Medical Press, 2023. Vol. 16, p. 2747-2761
Keywords [en]
phantom limb experience, pain, rehabilitation, therapeutic alliance, innovation
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:oru:diva-107543DOI: 10.2147/JPR.S412895ISI: 001048136200001PubMedID: 37577161Scopus ID: 2-s2.0-85167924592OAI: oai:DiVA.org:oru-107543DiVA, id: diva2:1787870
Available from: 2023-08-15 Created: 2023-08-15 Last updated: 2025-02-11Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records

Hermansson, Liselotte

Search in DiVA

By author/editor
Hermansson, Liselotte
By organisation
School of Health Sciences
In the same journal
Journal of Pain Research
Physiotherapy

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 23 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf