Graded Motor Imagery
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Top Contributors - Melissa Coetsee and Kim Jackson
Description
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n an effort to target those with longstanding CRPS, Moseley et al. designed a graded motor imagery (GMI) program to sequentially activate the premotor and primary motor cortices through limb laterality recognition, motor imagery, and lastly mirror therapy. This program appeared to be particularly useful, in that, the premotor cortex may be activated without setting off other cortical networks involved with movement he mechanisms that underlie any benefits of MVF and GMI are still somewhat unclear. Many researchers believe that this process is partially influenced by forced attention to the affected extremity, decrease in kinesiophobia, increase in large fiber inhibition, and the reconciliation of sensorimotor incongruence [1]
Moseley’s GMI program extends over a 6-week period (2 weeks spent in each phase of treatment) and begins with limb laterality recognition using pictures. Secondly, the participant views a picture of an extremity and is asked to imagine moving into that position. The third and final stage involves viewing the reflected image of the unaffected extremity moving through different planes of movement [75]. This process is available on mobile applications like RecogniseTM Apps and often used in CRPS treatment programs. Both researchers identify contraindications to these programs, including the inability to establish ownership of the mirrored extremity, increase in pain, and any increase in movement disorders.[1]
Indication
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Clinical Presentation[edit | edit source]
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Resources[edit | edit source]
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References[edit | edit source]
- ↑ 1.0 1.1 Harden RN, McCabe CS, Goebel A, Massey M, Suvar T, Grieve S, Bruehl S. Complex regional pain syndrome: practical diagnostic and treatment guidelines. Pain Medicine. 2022 May 1;23(Supplement_1):S1-53.
