Mental practice in isolation improves cervical joint position sense in patients with chronic neck pain: a randomized single-blind placebo trial
Autor: | Jose Vicente León-Hernández, Roy La Touche, Luis Suso-Martí, Ferran Cuenca-Martínez |
---|---|
Přispěvatelé: | UCH. Departamento de Fisioterapia (Extinguido), Producción Científica UCH 2019, UCH. Departamento de Enfermería y Fisioterapia |
Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Anatomy and Physiology Neck - Wounds and injuries - Treatment medicine.medical_treatment lcsh:Medicine Context (language use) Global Health Placebo General Biochemistry Genetics and Molecular Biology Chronic neck pain Cuello - Heridas y lesiones - Tratamiento 03 medical and health sciences Motor imagery 0302 clinical medicine Mental practice medicine In patient 030212 general & internal medicine Anesthesiology and Pain Management Chronic pain - Treatment Joint position sense Rehabilitation business.industry General Neuroscience lcsh:R Action observation General Medicine Kinesiology Clinical trial Dolor crónico - Tratamiento Physical therapy General Agricultural and Biological Sciences business 030217 neurology & neurosurgery |
Zdroj: | PeerJ, Vol 7, p e7681 (2019) CEU Repositorio Institucional Fundación Universitaria San Pablo CEU (FUSPCEU) PeerJ |
ISSN: | 2167-8359 |
Popis: | Objective The main objective of this trial was to assess whether action observation (AO) training and motor imagery (MI) produced changes in the cervical joint position sense (CJPS) both at the end of the intervention and 10 min postintervention compared with a placebo intervention in patients with nonspecific chronic neck pain (NSCNP). Methods A single-blind placebo clinical trial was designed. A total of 30 patients with NSCNP were randomly assigned to the AO group, MI group or placebo observation (PO) group. CJPS in flexion, extension and rotation movements in both planes were the main variables. Results The results obtained in the vertical plane showed that the AO group obtained greater improvements than the PO group in the CJPS in terms of cervical extension movement both at the end of the intervention and 10 min postintervention (p = .001, d = 1.81 and p = .004, d = 1.74, respectively), and also in cervical flexion movement, although only at 10 min after the intervention (p = .035, d = 0.72). In addition, the AO group obtained greater improvements than the MI group in the CJPS only at the end of the intervention in cervical extension movement (p = .041, d = 1.17). Regarding the left rotation cervical movement, both the MI and AO groups were superior to the PO group in both planes at the end of the intervention (p d > 0.80). Conclusions Although both AO and MI could be a useful strategy for CJPS improvement, the AO group showed the strongest results. The therapeutic potential of the application of mental practice in a clinical context in the early stages of rehabilitation of NSCNP should be considered. |
Databáze: | OpenAIRE |
Externí odkaz: |