The Effects of Graded Motor Imagery and Its Components on Chronic Pain: A Systematic Review and Meta-Analysis

Bowering, Keith; O’Connell, Neil E; Tabor, Abby; Catley, Mark J.; Leake, Hayley B.; Moseley, G. Lorimer; Stanton, Tasha R.

doi:10.1016/j.jpain.2012.09.007

Cited by 257 publications

(180 citation statements)

References 41 publications

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“…Graded motor imagery includes three consecutive steps: implicit motor imagery, explicit motor imagery, and mirror therapy [46]. Polli et al investigated the feasibility and clinical effects of graded motor imagery in motor function recovery after a stroke [47].…”

Section: Application Of Motor Imagery and Action Observation To Physimentioning

confidence: 99%

Motor Imagery and Action Observation as Effective Tools for Physical Therapy

Nakano¹,

Kodama²

2017

Neurological Physical Therapy

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Motor imagery and action observation facilitate motor recovery of patients because both the motor imagery and the action observation share the activation of cortical neural networks implicated in movement execution. Specifically, imagery, observation, and execution activate the medial parietal area of the brain located between the parietooccipital sulcus and the posterior end of the cingulate sulcus. This chapter reviews the neural mechanisms and clinical studies of motor imagery and action observation and discusses the applications in physical therapy.

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Section: Application Of Motor Imagery and Action Observation To Physimentioning

confidence: 99%

Motor Imagery and Action Observation as Effective Tools for Physical Therapy

Nakano¹,

Kodama²

2017

Neurological Physical Therapy

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“…Por lo tanto, se hace necesario para la práctica clínica abrir áreas en la rehabilitación motora músculo-esquelética. Desde este punto, en el último tiempo la IMG se ha abierto paso a la rehabilitación músculo-esquelética, demostrando su efectividad (14,17,24,27).…”

Section: Discussionunclassified

“…A la sexta semana fue de 63,89 puntos DE (17,22) y al 6° mes fue de 62,84 puntos DE (16,88). Existen diferencias estadísticamente significativas entre el score de Constant preintervención versus postintervención (p = 0,01), y entre el score de Constant preintervención versus al final del 6° mes de intervención (p = 0,01) (Figura 6).…”

Section: Funciónunclassified

“…En la actualidad, una estrategia utilizada en la terapia física (TF) para reprogramar al sistema nervioso en patologías de dolor crónico y déficit neuromotores es la imaginería motora graduada (IMG) (14,15), que corresponde a una serie secuencial de ejercicios corticales dirigidos a restablecer los cambios neuroplásticos con la intención de disminuir la experiencia del dolor y restablecer la redistribución de la actividad muscular en disfunción (16,17). Según lo anterior, se ha evidenciado que las zonas del cuerpo están representadas en la corteza a través de una red neuronal (18) y que en pacientes con dolor presentan diferencias en las representaciones topográficas de la corteza somatosensorial, en comparación con sujetos sin dolor (19).…”

Section: Introductionunclassified

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Terapia de juicio de lateralidad e imagineria del movimiento y ejercicios de activación muscular selectiva glenohumerales en sujetos con ruptura masiva del manguito rotador: serie de casos

Oyarzún

Araya-Quintanilla

Gutiérrez-Espinoza

et al. 2017

Rev. Soc. Esp. Dolor.

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Introduction: Massive tear of the rotator cuff (DMMR) is a degenerative clinical condition, which corresponds to a 5 cm rupture, or one that compromises two or more tendons of the rotator cuff (MR), generating loss of functionality and disabling pain.Objective: To describe changes in pain and shoulder function following a 6-week program of lateral-imaging and motion imaging therapy and selective glenohumeral activation exercises in subjects with massive rotator cuff tears.Methods: This study is a descriptive research and design of a series of cases, with a sample of 50 participants with diagnosis of rotator cuff mastication. Patients underwent a glenohumeral selective exercise program plus laterality and motion imaging therapy for 6 weeks. The variables of function, pain, abduction ROM and shoulder flexion were measured at sixth week and sixth month of evolution.Results: There were significant differences in pain intensity, shoulder function, AROM flexion and shoulder abduction AROM, after the intervention (p > 0.05). Statistically significant differences were found for all outcome measures between the intervention and the sixth follow-up month (p < 0.05). Only the

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“…2,6 Adding or removing competitive elements or performance feedback could be useful for task progression, but the actual effectiveness of adding these elements has not yet been demonstrated in patients with SCI. 1,2,13 Theoretically it could be argued that a graded application of VF protocols would be important to avoid additional increases in pain and fatigue, 41 however, there is currently no evidence that this is indeed the case. Another element of VF that could impact on levels of VF immersion is the congruency with actual body posture.…”

Section: Vf Interventions Modulate Cortical Sensorimotor Integrationmentioning

confidence: 99%

Virtual feedback for motor and pain rehabilitation after spinal cord injury

Roosink

Mercier

2014

Spinal Cord

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Study design: Interventions using virtual feedback (VF) impact on motor functions and pain and may be relevant for neurorehabilitation after spinal cord injury (SCI) in which motor dysfunctions and (concomitant) pain are frequently observed. Potential mechanisms underlying VF include a modulation of cortical sensorimotor integration, increased therapy engagement and distraction from effort and pain. Still, the optimal parameters for VF and their technical implementation are currently unknown. Objectives: To provide an overview of interventions that have used VF to improve motor functions or to reduce pain after SCI. Methods: Literature review. Results: A total number of 17 studies were identified. VF interventions commonly focused on improving motor functions (n = 12) or reducing pain (n = 4). Only one study assessed both motor functions and pain. Studies generally report beneficial effects. However, the evidence is of low-level quality and many practical as well as theoretical issues remain unclear. Remaining knowledge gaps include: (1) optimal VF system characteristics, (2) the impact of different VF modalities and tasks, (3) dose-response relationships and (4) the identification of patients that are likely to benefit from VF. Future work should start by closing these knowledge gaps using systematic and controlled multi-session interventions and by assessing the underlying mechanisms involved. Conclusion: These results provide an important incentive to further assess the potential of VF interventions to simultaneously improve motor functions and reduce pain after SCI, which could contribute to better neurorehabilitation outcomes after SCI.

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The Effects of Graded Motor Imagery and Its Components on Chronic Pain: A Systematic Review and Meta-Analysis

Cited by 257 publications

References 41 publications

Motor Imagery and Action Observation as Effective Tools for Physical Therapy

Motor Imagery and Action Observation as Effective Tools for Physical Therapy

Terapia de juicio de lateralidad e imagineria del movimiento y ejercicios de activación muscular selectiva glenohumerales en sujetos con ruptura masiva del manguito rotador: serie de casos

Virtual feedback for motor and pain rehabilitation after spinal cord injury

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