Action Observation Treatment Improves Recovery of Postsurgical Orthopedic Patients: Evidence for a Top-Down Effect?

Bellelli, Giuseppe; Buccino, Giovanni; Bernardini, Bruno; Padovani, Alessandro; Trabucchi, Marco

doi:10.1016/j.apmr.2010.07.013

Cited by 95 publications

(122 citation statements)

References 36 publications

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“…27,28 Total hip arthroplasty is considered to be a highly successful treatment, with N90% of patients having good to excellent results; corresponding improvements in the SF-36 have been well documented. 29 Our study determined that AOT increased patients' perceived health status in relation to physical activities, although our results are worse than those of Park et al, 11 who obtained positive results in pain, stiffness, and function, and those of Bellelli et al, 12 who reported relevant improvements in functional independence and balance.…”

Section: Discussioncontrasting

confidence: 56%

“…12,16 This effect may be reinforced by the imitation of observed actions, thus influencing peripheral motor skills and improving motor recovery. 30 Written information and examples, in the absence of practical strengthening, could not induce stimulation 31 similar that resulting from observation of video clips with no motor content.…”

Section: Discussionmentioning

confidence: 99%

“…Park et al 11 observed that AOT may reduce pain and stiffness and improve function in patients undergoing total knee arthroplasty. Bellelli et al 12 reported positive results in improving functional independence and balance in patients who had undergone lower limb joint arthroplasty; these patients observed video clips of others performing daily actions and imitated these actions afterward. In this study, patients who were asked to observe video clips with no motor content and then to execute the same actions performed by patients in the experimental group had inferior results compared with the experimental group.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Action Observation Therapy in Patients Recovering From Total Hip Arthroplasty Arthroplasty: A Prospective Clinical Trial

Villafañe

Pirali

Isgrò

et al. 2016

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to investigate the effectiveness of action observation therapy (AOT) compared with written information in patients submitted to a physical therapy program after primary total hip arthroplasty (THA). Methods: We conducted a prospective clinical trial. Twenty-four patients with THA, 62.5% female (aged 69.0 ± 8.5 years), received AOT in addition to conventional physical therapy (experimental group) or written information in addition to conventional physical therapy (exercise and information group) for 10 sessions. Outcomes used were visual analog scale, hip active and passive range of motion, Barthel Index, Short Form 36 (SF-36) Health Survey, Tinetti Scale, and Lequesne Index measurements. All measures were collected at baseline and at the end of the intervention. Repeated measures analysis of variance was used to examine the interventions effects within groups and between groups. Results: No relevant baseline differences were observed between groups. Both treatments produced statistically significant improvements on visual analog scale, active and passive range of motion, Barthel Index, SF-36, Tinetti Scale, and Lequesne Index immediately after the intervention (all, P b .001). SF-36 (physical functioning subscale) revealed a statistically significant intergroups difference (P = .02) after treatment. Conclusions: Both treatments were effective at improving pain, functional status, quality of life, and gait features in patients with primary THA. In addition to conventional physical therapy, AOT improved perceived physical function more than written information. Trial Registration Identifier: NCT02861638. (J Chiropr Med 2016;15:229-234)

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Section: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of Action Observation Therapy in Patients Recovering From Total Hip Arthroplasty Arthroplasty: A Prospective Clinical Trial

Villafañe

Pirali

Isgrò

et al. 2016

Journal of Chiropractic Medicine

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“…Bellelli et al reported the effect of action observation treatment on motor function in patients who underwent hip arthroplasty, knee arthroplasty, and hip fracture repair [39]. The functional score after training was significantly higher in the intervention group than the control group.…”

Section: Neurological Physical Therapymentioning

confidence: 99%

“…Clinical studies of action observation were also conducted on a wide range of diseases, such as central nervous system diseases and orthopedic events that include acute stroke [33], subacute stroke [34], chronic stroke [35], Parkinson's disease [36,37], cerebral palsy [38], and orthopedic surgery [39]. Table 2 lists clinical studies of action observations found in PubMed.…”

Section: Clinical Studies Of Action Observationmentioning

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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Electrophysiological correlates of action observation treatment in children with cerebral palsy: A pilot study

Quadrelli

Anzani²,

Ferri³

et al. 2019

Developmental Neurobiology

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Action Observation Treatment (AOT) has been shown to be effective in the functional recovery of several clinical populations. However, little is known about the neural underpinnings of the clinical efficacy of AOT in children with Cerebral Palsy (CP).Using electroencephalography (EEG), we recorded µ rhythm desynchronization as an index of sensorimotor cortex modulation during a passive action observation task before and after AOT. The relationship between sensorimotor modulation and clinical outcomes was also assessed. Eight children with CP entered the present randomized controlled crossover pilot study in which the experimental AOT preceded or followed a control Videogame Observation Treatment (VOT). Results provide further evidence of the clinical efficacy of AOT for improving hand motor function in CP, as assessed with the Assisting Hand Assessment (AHA) and Melbourne Assessment of Unilateral Upper Limb Function Scale (MUUL). The novel finding is that AOT increases µ rhythm desynchronization at scalp locations corresponding to the hand representation areas. This effect is associated to functional improvement assessed with the MUUL. These preliminary findings, although referred to as a small sample, suggest that AOT may affect upper limb motor recovery in children with CP and modulate the activation of sensorimotor areas, offering a potential neurophysiological correlate to support the clinical utility of AOT. K E Y W O R D Saction observation treatment, cerebral palsy, EEG, mirror neuron system, sensorimotor activation

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Action Observation Treatment Improves Recovery of Postsurgical Orthopedic Patients: Evidence for a Top-Down Effect?

Cited by 95 publications

References 36 publications

Effects of Action Observation Therapy in Patients Recovering From Total Hip Arthroplasty Arthroplasty: A Prospective Clinical Trial

Effects of Action Observation Therapy in Patients Recovering From Total Hip Arthroplasty Arthroplasty: A Prospective Clinical Trial

Motor Imagery and Action Observation as Effective Tools for Physical Therapy

Electrophysiological correlates of action observation treatment in children with cerebral palsy: A pilot study

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