Diminished Kinesthetic and Visual Motor Imagery Ability in Adults With Chronic Low Back Pain

Grande-Alonso, Mónica; Cuenca‐Martínez, Ferrán; González-Ferrero, Luis; Suso‐Martí, Luis; Paris‐Alemany, Alba

doi:10.1016/j.pmrj.2018.05.025

Cited by 27 publications

(32 citation statements)

References 40 publications

(41 reference statements)

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“…It is important to note that there was significant inconsistency in the results, and the clinical entities were diverse, making it difficult to draw solid conclusions. However, La Touche et al () had found that patients with chronic pain had greater difficulty in generating both kinesthetic and visual mental motor images compared with asymptomatic participants. This finding is relevant, given that although patients with chronic pain have shown a lesser ability to generate mental motor images, it appears that their ability was sufficient to cause significant improvements in pain variables.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of motor imagery and action observation training on musculoskeletal pain intensity: A systematic review and meta‐analysis

Suso‐Martí

Angulo‐Díaz‐Parreño

Cuenca‐Martínez

2020

European Journal of Pain

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Background and Objective:Movement representation techniques such as motor imagery (MI) and action observation (AO) could play an important role in the field of rehabilitation of patients with musculoskeletal pain; however, the effects of these tools on clinical pain remain unclear. Our objective is therefore to develop a systematic review and meta-analysis of the effects of MI and AO regarding the pain intensity on patients with musculoskeletal pain. Databases and Data Treatment: MEDLINE, EMBASE, CINAHL and Google Scholar were searched. Last search was run on July 2019. Meta-analysis was conducted to determine the effectiveness on pain intensity in patients with post-surgical pain or chronic pain, and GRADE was used to rate the quality, certainty and applicability of the evidence. Results: A total of 10 studies were included. AO or MI were compared versus usual rehabilitation care. The meta-analysis showed statistically significant differences in MI and AO interventions in patients with pain after surgery in six studies, with a large clinical effect (n = 124; SMD = −0.84; 95% CI: −1.47 to −0.21). In patients with chronic pain, results showed statistically significant differences in MI and AO interventions in three studies, with a large clinical effect (n = 83; SMD = −2.14; 95% CI: −3.81 to −0.47). Risk of bias, imprecision and inconsistency decreased the GRADE level of evidence.Conclusions: There was very low-quality evidence regarding the effects of movement representation techniques intervention (AO and MI) on pain intensity in patients with post-surgical pain. In addition, there was very low-quality evidence regarding the effects of MI and AO interventions on chronic pain. Significance: Movement representation techniques in combination with usual care are capable of producing a decrease in pain intensity compared with conventional treatment, in both post-surgical and chronic pain. However, the very low-quality evidence found regarding these techniques showed that more research is needed for their application in a clinical context. K E Y W O R D Saction observation, chronic pain, motor imagery, movement representation techniques, musculoskeletal pain

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Section: Discussionmentioning

confidence: 99%

Effectiveness of motor imagery and action observation training on musculoskeletal pain intensity: A systematic review and meta‐analysis

Suso‐Martí

Angulo‐Díaz‐Parreño

Cuenca‐Martínez

2020

European Journal of Pain

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“…In an earlier study, La Touche et al 2018 [49] found that the ability to generate motor images was impaired in patients with non-specific chronic low-back pain compared with healthy participants. Pijnenburg et al 2015 [50] found that patients with chronic low-back pain showed a greater difference in the time performing a movement and the time spent on representing that movement.…”

Section: Theoretical Frameworkmentioning

confidence: 95%

“…Pijnenburg et al 2015 [50] found that patients with chronic low-back pain showed a greater difference in the time performing a movement and the time spent on representing that movement. In addition, La Touche et al 2018 [49] also found positive-moderate associations between an increased ability to create motor images and increased levels of self-efficacy, and negative-moderate associations between increased disability levels and fear of movement in patients with non-specific chronic low-back pain. These findings suggest that the three domains (physical, cognitive-evaluative, and motivational-emotional) can directly influence the ability to create movement representations.…”

Section: Theoretical Frameworkmentioning

confidence: 96%

“…For example, athletes with high levels of physical activity had a greater ability to generate motor images than amateur athletes with lower levels of physical activity [46][47][48]. The study conducted by La Touche et al 2018 [49] showed that patients with chronic low back pain presented a negative correlation between the level of kinesiophobia and the ability to generate both kinesthetic and visual motor images. In addition, they also found that the ability to generate motor images was impaired in patients with chronic low-back pain compared with healthy participants.…”

Section: Direct Modulation MI *** Ao *mentioning

confidence: 99%

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The Role of Movement Representation Techniques in the Motor Learning Process: A Neurophysiological Hypothesis and a Narrative Review

et al. 2020

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We present a neurophysiological hypothesis for the role of motor imagery (MI) and action observation (AO) training in the motor learning process. The effects of movement representation in the brain and those of the cortical–subcortical networks related to planning, executing, adjusting, and automating real movements share a similar neurophysiological activity. Coupled with the influence of certain variables related to the movement representation process, this neurophysiological activity is a key component of the present hypothesis. These variables can be classified into four domains: physical, cognitive–evaluative, motivational–emotional, and direct-modulation. The neurophysiological activity underlying the creation and consolidation of mnemonic representations of motor gestures as a prerequisite to motor learning might differ between AO and MI. Together with variations in cognitive loads, these differences might explain the differing results in motor learning. The mirror neuron system appears to function more efficiently through AO training than MI, and AO is less demanding in terms of cognitive load than MI. AO might be less susceptible to the influence of variables related to movement representation.

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“…The subjects of this study included 60 athlete CNLBP patients treated by our center from June 2018 to June 2020. 2 There was no statistically significant difference in general information between the two groups (P>0.05), and they were comparable.…”

Section: Methods General Informationmentioning

confidence: 77%

Whole Body Physical Training in the Treatment of Chronic Low Back Pain

2021

Rev Bras Med Esporte

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Introduction Chronic low back pain (CNLBP) manifests as chronic lumbosacral and hip pain, affecting athletes’ daily training and competition. Whole-body sports training can significantly improve the strength of the core muscles of the lumbosacral region and has certain advantages in the treatment of chronic low back pain. Object We study the therapeutic effect of whole-body physical training on athletes’ chronic low back pain (CNLBP). Method We selected 60 athletes with chronic low back pain patients. At the same time, we divide it into a control group and an observation group. The control group received conventional treatment, and the observation group received full-body physical training on this basis. After two months, the relevant physiological indicators of the patients were compared. Result After treatment, all physiological indexes of the two groups have great differences. Conclusion Whole-body physical training can significantly reduce athletes’ back pain symptoms and help restore professional athletes to regular training. Level of evidence II; Therapeutic studies - investigation of treatment results.

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Diminished Kinesthetic and Visual Motor Imagery Ability in Adults With Chronic Low Back Pain

Abstract: II.

Cited by 27 publications

References 40 publications

Effectiveness of motor imagery and action observation training on musculoskeletal pain intensity: A systematic review and meta‐analysis

Effectiveness of motor imagery and action observation training on musculoskeletal pain intensity: A systematic review and meta‐analysis

The Role of Movement Representation Techniques in the Motor Learning Process: A Neurophysiological Hypothesis and a Narrative Review

Whole Body Physical Training in the Treatment of Chronic Low Back Pain

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