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September 18, 2025Frontiers in Rehabilitation Sciences2 citationsOpen Access

A systematic literature review to explore lived experiences with phantom limb phenomenon following a lower extremity amputation: a qualitative synthesis

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AAAbdullah Ali H. AlabdullahSASaeed Saad AlyazidiIAIbrahim AM Al-Zaydani Asiri

Key Points

  • Experiencing phantom limb pain significantly impacts physical and psychological well-being in individuals with lower limb amputation.
  • Key themes include early information provision about phantom limb pain and the different emotions associated with it.
  • A systematic literature review approach combined findings from ten studies to offer comprehensive insights into patients' experiences.
  • Addressing the unique challenges of phantom limb pain requires early education and personalized rehabilitation strategies.

Abstract

Objective In this review we aimed to understand better frequent experiences accompanying phantom limb issues from patients’ perspective and accordingly to generate recommendations for clinical practice. Methods A systematic literature review approach was utilized and articles meeting the eligibility criteria were critically appraised using the Critical Appraisal Skills Program (CASP). Additionally, a meta-synthesis approach was adopted to combine and analyze the data. Results Ten relevant studies were critiqued, key themes were: 1) early Information Provision about phantom Limb Pain (PLP) and Participants’ Satisfaction; 2) the PLP's described characteristics; 3) different Emotions and Psychosocial Issues with PLP; 4) the Impact of the PLP on Performing Daily Activities ; and 5) the experienced strategies to address the PLP. Conclusion The experience of phantom limb varies among individuals with lower limb amputation (LLA); however, for many, PLP significantly affects both physical and psychological well-being, adding an additional burden to the overall experience of amputation. Addressing these challenges should begin with early education, followed by a rehabilitation process that considers individual differences in coping mechanisms. Moreover, patients’ preferences should be prioritized when selecting prosthetic devices and determining the most appropriate treatment strategies for managing PLP.

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Cite This Study

Alabdullah et al. (2025) studied this question.

synapsesocial.com/papers/68d463db31b076d99fa62e27https://doi.org/10.3389/fresc.2025.1667659
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