The therapeutic role of motor imagery during the chronic phase after total knee arthroplasty: a pilot randomized controlled trial

Moukarzel, Marcel; Guillot, Aymeric; Rienzo, Franck Di; Hoyek, Nady

doi:10.23736/s1973-9087.19.05136-0

Cited by 7 publications

(25 citation statements)

References 46 publications

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“…In contrast with previous reports on post-TKA acute phase 16,17 , where the MI training only improved lower limbs muscular strength, our MI improvement generalized to real walking, with better recovery of motor performance for actual gait, as measured by the TUG test. The difference with previous studies is perhaps less than surprising, because in these experiments patients were instructed only to imagine maximal voluntary isometric contractions of the quadriceps 16,17 or simple knee extension-flexion 18 . On the contrary, we specifically asked our patients to imagine complex gait behaviours, like walking in ecological settings: this, if anything, shows that a specific form of mental motor training should be used to achieve the desired results for complex outcomes like measures of gait.…”

Section: Discussionmentioning

confidence: 79%

“…They reported encouraging results in terms of isometric knee extension 16 and perceived pain 17 . Mourzarkel and colleagues 18 demonstrated the efficacy of MI training also in the chronic post-operative phase (six months after the surgery), for what concerns quadriceps muscle strength of the operated knee, active knee flexion measured with gait analysis and speed in climbing and descending stairs 18 .…”

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confidence: 99%

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Motor imagery training speeds up gait recovery and decreases the risk of falls in patients submitted to total knee arthroplasty

Zapparoli

Sacheli

Seghezzi

et al. 2020

Sci Rep

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With Motor imagery (MI), movements are mentally rehearsed without overt actions; this procedure has been adopted in motor rehabilitation, primarily in brain-damaged patients. Here we rather tested the clinical potentials of MI in purely orthopaedic patients who, by definition, should maximally benefit of mental exercises because of their intact brain. To this end we studied the recovery of gait after total knee arthroplasty and evaluated whether MI combined with physiotherapy could speed up the recovery of gait and even limit the occurrence of future falls. We studied 48 patients at the beginning and by the end of the post-surgery residential rehabilitation program: half of them completed a specific MI training supported by computerized visual stimulation (experimental group); the other half performed a nonmotoric cognitive training (control group). All patients also had standard physiotherapy. By the end of the rehabilitation, the experimental group showed a better recovery of gait and active knee flexionextension movements, and less pain. The number of falls or near falls after surgery was significantly lower in the experimental group. These results show that MI can improve gait abilities and limit future falls in orthopaedic patients, without collateral risks and with limited costs.

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Section: Discussionmentioning

confidence: 79%

mentioning

confidence: 99%

Motor imagery training speeds up gait recovery and decreases the risk of falls in patients submitted to total knee arthroplasty

Zapparoli

Sacheli

Seghezzi

et al. 2020

Sci Rep

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show abstract

“…After the minimum core set of OARSI performance‐based tests for people with hip and/or knee OA recommended the use of the SCT (11), variations of the SCT has been included as either a primary or secondary outcome in a number of clinical trials (17,23,28,53,54,59,62,66,67,85‐92) (Table 6).…”

Section: Stair Climb Testmentioning

confidence: 99%

“…The 6MWT is recommended in the full set of performance‐based tests of physical function in people with hip and knee OA (11). This test has been included as either a primary or secondary outcome in clinical trials (23,28,54,55,57,61,65,66,86,88,105,106) (Table 8).…”

Section: Six‐minute Walk Testmentioning

confidence: 99%

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Measures of Physical Performance

Coleman

Dobson

Hinman

et al. 2020

Arthritis Care & Research

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Massage Therapy’s Effectiveness on the Decoding EEG Rhythms of Left/Right Motor Imagery and Motion Execution in Patients With Skeletal Muscle Pain

Fan

et al. 2021

IEEE J. Transl. Eng. Health Med.

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Objective: Most of effectiveness assessments of the widely-used Massage therapy were based on subjective routine clinical assessment tools, such as Visual Analogue Scale (VAS) score. However, few studies demonstrated the impact of massage on the Electroencephalograph (EEG) rhythm decoding of Motor imagery (MI) and motion execution (ME) with trunk left/right bending in patients with skeletal muscle pain. Method: We used the sample entropy (SampEn), permutation entropy (PermuEn), common spatial pattern (CSP) features, support vector machine (SVM) and logic regression (LR) classifiers. We also used the convolutional neural network (CNN) and attention-based bi-directional long short-term memory (BiLSTM) for classification. Results: The averaged SampEn and PermuEn values of alpha rhythm decreased in almost fourteen channels for five statuses (quiet, MI with left/right bending, ME with left/right bending). It indicated that massage alleviates the pain for the patients of skeletal pain. Furthermore, compared with the SVM and LR classifiers, the BiLSTM method achieved a better area under curve (AUC) of 0.89 for the classification of MI with trunk left/right bending before massage. The AUC became smaller after massage than that before massage for the classification of MI with trunk left/right bending using CNN and BiLSTM methods. The Permutation direct indicator (PDI) score showed the significant difference for patients in different statuses (before vs after massage, and MI vs ME). Conclusions: Massage not only affects the quiet status, but also affects the MI and ME. Clinical Impact: Massage therapy may affect a bit on the accuracy of MI with trunk left/right bending and it change the topography of MI and ME with trunk left/right bending for the patients with skeletal muscle pain.

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The therapeutic role of motor imagery during the chronic phase after total knee arthroplasty: a pilot randomized controlled trial

Cited by 7 publications

References 46 publications

Motor imagery training speeds up gait recovery and decreases the risk of falls in patients submitted to total knee arthroplasty

Motor imagery training speeds up gait recovery and decreases the risk of falls in patients submitted to total knee arthroplasty

Measures of Physical Performance

Massage Therapy’s Effectiveness on the Decoding EEG Rhythms of Left/Right Motor Imagery and Motion Execution in Patients With Skeletal Muscle Pain

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