Military members with war-related lower limb amputation experience a range of acute and chronic pain symptoms. The purpose of this study was to evaluate pain during 12 weeks of a military amputee rehabilitation program (MARP) pre- and post-prosthesis. The data for this study were drawn from a randomized clinical trial comparing MARP supplemented with neuromuscular electrostimulation (MARP + NMES, n = 23) to MARP alone (n = 21) for service members with unilateral transtibial amputation. The McGill Pain Questionnaire (MPQ) and phantom limb pain/sensations were assessed at baseline, 3, 6, 9, and 12 weeks. Changes within- and between-groups were analyzed with generalized mixed models. Participants reported mild-to-moderate pain at all visits, and improved significantly on the MPQ and frequency of phantom limb pain/sensations (p < .001 for effect of time). Group by time interactions were not significant, indicating both groups showed similar improvement. Univariate tests showed the NMES + MARP group had lower pain intensity than MARP-only group at weeks 3 and 6. Participants in MARP demonstrated good overall pain control and reported reduced pain and fewer days with phantom limb pain/sensations over 12 weeks. Adding NMES to MARP may be beneficial in early rehabilitation, and NMES could potentially enhance physical therapy participation by decreasing pain.

中文翻译：

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神经肌肉电刺激用于康复和假肢训练期间与战斗相关的胫骨截肢者的疼痛管理

因战争而下肢截肢的军人会出现一系列急性和慢性疼痛症状。本研究的目的是评估军事截肢康复计划 (MARP) 假肢前后 12 周期间的疼痛。本研究的数据来自一项随机临床试验，该试验比较了 MARP 辅以神经肌肉电刺激 (MARP + NMES，n = 23) 与单独 MARP (n = 21) 对单侧胫骨截肢服务人员的影响。在基线、第 3、6、9 和 12 周评估 McGill 疼痛问卷 (MPQ) 和幻肢疼痛/感觉。使用广义混合模型分析组内和组间的变化。参与者在所有就诊中都报告了轻度至中度疼痛，并且在 MPQ 和幻肢痛/感觉的频率上有显着改善（p < . 001 表示时间的影响）。按时间分组的交互作用不显着，表明两组都表现出相似的改善。单变量测试显示 NMES + MARP 组在第 3 周和第 6 周的疼痛强度低于仅使用 MARP 的组。 MARP 的参与者表现出良好的整体疼痛控制，并报告疼痛减轻，幻肢疼痛/感觉的天数在 12 周内减少。在 MARP 中添加 NMES 可能有利于早期康复，并且 NMES 可能通过减轻疼痛来提高物理治疗的参与度。MARP 的参与者表现出良好的整体疼痛控制，并报告疼痛减轻，幻肢疼痛/感觉的天数减少了 12 周。在 MARP 中添加 NMES 可能有利于早期康复，并且 NMES 可能通过减轻疼痛来提高物理治疗的参与度。MARP 的参与者表现出良好的整体疼痛控制，并报告疼痛减轻，幻肢疼痛/感觉的天数减少了 12 周。在 MARP 中添加 NMES 可能有利于早期康复，并且 NMES 可能通过减轻疼痛来提高物理治疗的参与度。