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Lecture Aims
Introduce the science and clinical applications of the graded motor imagery programme An example of taking novel science, paradigms and technique into physiotherapy
Laterality reconstruction
Motor imagery
Mirror therapy
GMI targets?
CRPS 1 Phantom limb pain Research currently underway for CTS, OA, whiplash and face pain If CRPS1 and phantoms can be helped?? Anecdotally, many chronic and some acute pain disorders may benefit from aspects of the programme
Moseley GL 2006 Neurology 67: 1-6, Daly A 2008 Eur J Pain doi:10.1016/j.ejpain.2008.05.003
GMI reliant on the neuromatrix paradigm. It doesnt make sense without it.
A pain neurosignature
The brain activity which occurs when a particular person with chronic low back pain experiences pain during an attempt at an abdominal contraction
Premotor influences
Laterality assessment/reconstruction
Recognise online
www.noigroup.com
Recognise online
Left and right body parts are presented randomly in predetermined: numbers time Context (vanilla to context variable to abstract) Image or movie
Recognise online
This part of GMI can also be graded: Watching to imagining Static to moving to context enriched
Some move it as well Asynchyria Move hand in the box as treatment for many hand pains
Some dont have a laterality deficit Many progress faster Modalities can be mixed around 20% CRPS1 no shift
Please help in these embryonic therapies which show so much promise for neuropathic pain.
Conclusions