The Effectiveness of Graded Motor Imagery Training in Elbow Limitation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Elbow Fracture
- Sponsor
- Istanbul University - Cerrahpasa (IUC)
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Functional Status
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This randomized-controlled trial aims to investigate the efficacy of Graded Motor Imagery (GMI) on function, pain, and range of motion (ROM) in patients with a posttraumatic stiff elbow.
Detailed Description
To investigate the efficacy of GMI on function, pain, and ROM in elbow limitation, voluntary patients with elbow limitation, aged between 20-55 years will be randomly divided into two groups: GMI group and standard rehabilitation (SR) group. Interventions will be applied for 12 sessions. The patients will be assessed before, after six-week treatment and six-week follow-up. The pain on activity, at rest and at night will be assessed with Visual Analog Scale (VAS). Pain pressure threshold of the elbow and soft tissue around the elbow will be evaluated by digital pressure algometry. ROM will be assessed with a digital goniometer. Isometric muscle strength will be measured with a handheld dynamometer of elbow flexors and extensors. Grip strength will also be assessed. Recognise™ will be used for assessing the right-left discrimination. The functional status and kinesiophobia will be evaluated by Disabilities Arm, Shoulder and Hand (DASH) and Tampa Scale for Kinesiophobia, respectively. The Global Rating of Change will be used to evaluate patient satisfaction. The Vividness of Movement Imagery Questionnaire 2 (VMIQ-2) will be used for evaluating the individuals' ability to mental imaginary.
Investigators
Tansu Birinci
PT, MSc Research Assistant
Istanbul University - Cerrahpasa (IUC)
Eligibility Criteria
Inclusion Criteria
- •Subjects will be included with
- •Aged between 20 and 55 years
- •Elbow fracture in the six months before the study
- •Elbow limitation in flexion or extension
- •Being a volunteer to participate
- •Fractures should be managed with surgically
- •The "Standardized Mini Mental Test" result must be at least 24 points
Exclusion Criteria
- •Malunion or Nonunion Fracture
- •The occurrence of complex regional pain syndrome, peripheric nerve injury, heterotopic ossification, myositis ossification or post-traumatic ankylosing
- •Non-healing wound or infection
- •Previously received physiotherapy for elbow limitation
- •Having any cardiovascular diseases, neurological disorders, rheumatic diseases or psychiatric diseases
- •Could not adjust to the treatment
- •Shoulder, elbow or wrist movement limitation in contralateral upper extremity or absence of limbs in the contralateral upper extremity
- •Having severe visual loss
Outcomes
Primary Outcomes
Functional Status
Time Frame: After the six-week intervention
The functional status of the patients will be evaluated by The Disabilities of the Arm, Shoulder and Hand (DASH). It comprises 30 core questions and optional additional 8 questions that are scored on a 5-point Likert-type scale (no difficulty-unable). The cumulative DASH score is ranged from 0 to 100, where the higher scores indicate an increased degree of disability.
Secondary Outcomes
- Pain Intensity(6-week follow-up)
- Active Range of Motion (AROM) Assessment(6-week follow-up)
- Functional Status(6-week follow-up)
- Fear of movement (kinesiophobia)(6-week follow-up)
- Patient Satisfaction(After the six-week intervention)
- Right-Left Discrimination(6-week follow-up)
- Vividness of Movement imagery Questionnaire-2 (VMIQ-2)(Baseline)
- Pain pressure threshold(6-week follow-up)
- Grip strength(6-week follow-up)
- Muscle strength(6-week follow-up)