Effects of Motor Imagery and Action Observation Training on Pain Perception in Patients With Chronic Neck Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pain, Chronic
- Sponsor
- Universidad Autonoma de Madrid
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Pain pressure threshold
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Roy La Touche Arbizu
Principal Investigator
Universidad Autonoma de Madrid
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
Pain pressure threshold
Time Frame: 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
Secondary Outcomes
- 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)