And Yet It Moves: What We Currently Know about Phantom Arm Movements

Neuroscientist. 2020 Aug;26(4):328-342. doi: 10.1177/1073858420904326. Epub 2020 Feb 28.

Abstract

What is left over if I subtract the fact that my arm goes up from the fact that I raise my arm? Neurological evidence invites the provocative hypothesis that what is left over is a phantom arm movement-a movement of an arm that has been amputated. After arm/hand amputation, many amputees report that they can generate voluntary movements of the phantom limb; that is, they can move the arm that was amputated. But what is it like to move an arm/hand that is not there? Here, we review what is currently known about phantom limb movements at three descriptive levels: the kinematic level, the muscle level, and the cortical level. We conclude that phantom arm movements are best conceptualized as the real movements of a dematerialized hand.

Keywords: amputees; cortical reorganization; electromyography; kinematics; phantom arm/hand movement; prosthetic.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Amputees* / rehabilitation
  • Biomechanical Phenomena / physiology*
  • Hand / physiopathology
  • Humans
  • Motor Cortex / physiopathology
  • Movement / physiology*
  • Phantom Limb / physiopathology*