[논문]The effect of graded motor imagery training on pain, functional performance, motor imagery skills, and kinesiophobia after total knee arthroplasty: randomized controlled trial

Busra Candiri; Burcu Talu; Emre Guner; Metehan Ozen

doi:10.3344/kjp.23020

The effect of graded motor imagery training on pain, functional performance, motor imagery skills, and kinesiophobia after total knee arthroplasty: randomized controlled trial 원문보기

The Korean journal of pain, v.36 no.3, 2023년, pp.369 - 381

Busra Candiri (Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, Inonu University) , Burcu Talu (Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, Inonu University) , Emre Guner (Department of Orthopaedics, Malatya Education and Research Hospital) , Metehan Ozen (Department of Orthopaedics, Malatya Education and Research Hospital)

Abstract ▼ AI-Helper

Background: The aim was to investigate the effect of graded motor imagery (GMI) added to rehabilitation on pain, functional performance, motor imagery ability, and kinesiophobia in individuals with total knee arthroplasty (TKA). Methods: Individuals scheduled for unilateral TKA were randomized to one of two groups: control (traditional rehabilitation, n = 9) and GMI (traditional rehabilitation + GMI, n = 9) groups. The primary outcome measures were the visual analogue scale and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Secondary outcome measures were knee range of motion, muscle strength, the timed up and go test, mental chronometer, Movement Imagery Questionnaire-3, lateralization performance, Central Sensitization Inventory, Pain Catastrophizing Scale, and Tampa Kinesiophobia Scale. Evaluations were made before and 6 weeks after surgery. Results: Activity and resting pain were significantly reduced in the GMI group compared to the control group (P 0.05). Conclusions: GMI improved pain, motor imagery ability, pain catastrophizing, and kinesiophobia in the acute period after TKA.

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표/그림 (8)

그림 Fig. 1. Graded motor imagery program.
그림 Fig. 2. (A) Knee flexion range of motion measurement. (B) Knee extension range of motion measurement. (C) Hand-held dynamometer. (D) Quadriceps femoris muscle force measurement.
그림 Fig. 3. (A) Measurement of timed up and go test. (B) Measurement of mental chronometer performance.
그림 Fig. 4. Design of the study (CONSORT flow diagram).
표 Table 1. Participants’ baseline demographic and clinical characteristics
표 Table 2. Comparison of pain intensity and functional assessments of participants in the GMI and control groups
표 Table 3. Comparison of pre- and post-treatment secondary outcome measures of participants in the groups
표 Table 3. Continued

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