Effects of Motor Imagery and Action Observation Training on Pain Perception in Patients With Chronic Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Pain pressure threshold
研究概览
简要总结
This study evaluates the influence of motor imagery or action observation training on pain perception in patients with chronic neck pain. Perception of pain will be measured by the pain pressure threshold.
A group of patients will receive an action observation training of neck movements, another will receive a protocol of motor imagery of the same movements and the last group will be a placebo group, through the viewing of a documentary video.
详细描述
Motor imagery is defined as a dynamic mental process of an action, without its real motor execution. Action observation training consists of watching an action performed by someone else. Both motor imagery and action observation have been shown to produce a neurophysiological activation of the brain areas related to the planning and execution of voluntary movement in a manner that resembles how the action is performed in reality.
Both motor imagery and action observation are interventions that can generate adaptive neuroplastic changes on a cortical level, leading to a decrease in chronic pain. These rehabilitation techniques are used in pain treatment and impaired movement injuries that could be due to a nervous system alteration.
The effectiveness of motor imagery is controversial; several studies have presented unfavorable outcomes from this technique. Some variables, such as the duration of the sessions, the time employed the type of motor task or the number of sessions can influence the outcomes of these studies. Thus, it is necessary to clarify the controversial aspects of motor imagery, which lead us to perform this study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Men and women aged between 18 and 65 years
- •Medical diagnosis of non specific chronic neck pain with more than 6 months of evolution of neck pain
排除标准
- •Patients with rheumatic diseases, cervical hernia, cervical whiplash syndrome, neck surgeries o a history of arthrodesis
- •Systemic diseases
- •Vision, hearing or vestibular problems
- •Severe trauma or a traffic accident that had an impact on the cervical area.
研究组 & 干预措施
Action Observation
This group receives an action observation training through the visualization of a video of cervical movements.
干预措施: Action Observation (Behavioral)
Motor Imagery
This group receives an motor imagery through the imagery process of cervical movements.
干预措施: Motor imagery (Behavioral)
Placebo Group
This group receives a placebo action observation training through the visualization of a video of a documentary video
干预措施: Placebo Action observation (Behavioral)
结局指标
主要结局
Pain pressure threshold
时间窗: Change from baseline and immediately post-intervention.
Pressure Pain Threshold (PPT) is one of these tests and it is defined as the minimum force applied which induces pain. The measurement shall be carried out by using an algometer (pressure device that induces mechanical stimuli) is to standardize the amount of pressure applied in the neck region. The reliability of pressure pain thresholds according to raters or measurement frequencies is relatively high
次要结局
- Pain catastrophizing(Immediately before the intervention)
- The degree of physical activity(Immediately before the intervention)
- Mental Chronometry(Immediately before the intervention)
- Laterality task(Immediately before the intervention)
- Visual and Kinesthetic Motor Imagery Ability(Immediately before the intervention)
- Kinesiophobia(Immediately before the intervention)
研究者
Roy La Touche Arbizu
Principal Investigator
Universidad Autonoma de Madrid