| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH |
|
|
|
|||||||
|
|||||||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
From the Department of Physiology, Anatomy & Genetics & fMRIB Centre, University of Oxford, UK; and the School of Physiotherapy, The University of Sydney, Australia.
* To whom correspondence should be addressed. E-mail: lorimer.moseley{at}ndm.ox.ac.uk.
Abstract-- Background: Phantom limb and complex regional pain syndrome type 1 (CRPS1) are characterized by changes in cortical processing and organization, perceptual disturbances, and poor response to conventional treatments. Graded motor imagery is effective for a small subset of patients with CRPS1. Objective: To investigate whether graded motor imagery would reduce pain and disability for a more general CRPS1 population and for people with phantom limb pain. Methods: Fifty-one patients with phantom limb pain or CRPS1 were randomly allocated to motor imagery, consisting of 2 weeks each of limb laterality recognition, imagined movements, and mirror movements, or to physical therapy and ongoing medical care. Results: There was a main statistical effect of treatment group, but not diagnostic group, on pain and function. The mean (95% CI) decrease in pain between pre- and post-treatment (100 mm visual analogue scale) was 23.4 mm (16.2 to 30.4 mm) for the motor imagery group and 10.5 mm (1.9 to 19.2 mm) for the control group. Improvement in function was similar and gains were maintained at 6-month follow-up. Conclusion: Motor imagery reduced pain and disability in these patients with complex regional pain syndrome type I or phantom limb pain, but the mechanism, or mechanisms, of the effect are not clear.
This article has been cited by other articles:
|
|
 |
|
  G. L. Moseley and P. Brugger Interdependence of movement and anatomy persists when amputees learn a physiologically impossible movement of their phantom limb PNAS, November 3, 2009; 106(44): 18798 - 18802. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Thacker, G L. Moseley, and H. Flor Management is more than pills BMJ, September 1, 2009; 339(sep01_1): b3502 - b3502. [Full Text]
|
|
|
|
 |
|
 C. Mercier and A. Sirigu Training With Virtual Visual Feedback to Alleviate Phantom Limb Pain Neurorehabil Neural Repair, July 1, 2009; 23(6): 587 - 594. [Abstract] [PDF]
|
|
|
|
 |
|
 V. S. Ramachandran and E. L. Altschuler The use of visual feedback, in particular mirror visual feedback, in restoring brain function Brain, July 1, 2009; 132(7): 1693 - 1710. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. MacIver, D. M. Lloyd, S. Kelly, N. Roberts, and T. Nurmikko Phantom limb pain, cortical reorganization and the therapeutic effect of mental imagery Brain, August 1, 2008; 131(8): 2181 - 2191. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Sumitani, S. Miyauchi, C. S. McCabe, M. Shibata, L. Maeda, Y. Saitoh, T. Tashiro, and T. Mashimo Mirror visual feedback alleviates deafferentation pain, depending on qualitative aspects of the pain: a preliminary report Rheumatology, July 1, 2008; 47(7): 1038 - 1043. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Dickstein and J. E Deutsch Motor Imagery in Physical Therapist Practice Physical Therapy, July 1, 2007; 87(7): 942 - 953. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Birklein and C. Maihofner Use your imagination: Training the brain and not the body to improve chronic pain and restore function Neurology, December 26, 2006; 67(12): 2115 - 2116. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH |
