FRI0617-HPR GRADED MOTOR IMAGERY IN POSTTRAUMATIC STIFFNESS OF THE ELBOW: A PILOT STUDY

Background:Elbow fracture is treated either conservatively or surgically followed by a period of immobilization with casting or splinting. A splint used to immobilize upper limbs for many weeks results in changes in both the peripheral musculature and the central nervous system. It is well known that common complaints after upper limb fractures include weakness, pain, and stiffness; therefore, pain management is important in the early stages of the rehabilitation of upper limb fractures.Objectives:This pilot study aimed to investigate the efficacy of graded motor imaginary (GMI) on pain, range of motion (ROM), and function in patients with posttraumatic stiff elbow.Methods:Fourteen patients with posttraumatic stiff elbow (6 women, mean age: 45.42 ± 11.26 years, mean body mass index: 24.29 ± 3.38 kg\m2and mean duration of immobilization: 4.75 ± 1.03 weeks) were randomly allocated to either GMI or control groups. The GMI group received GMI treatment in addition to a structured exercise program, and the control group received a structured exercise program (two days per week for six weeks) (Figure 1). The assessments included pain at rest and during activity using the visual analog scale (VAS), elbow active ROM with a digital goniometer (Baseline Evaluation Instrument, Fabrication Enterprises, Inc., White Plains, NY), and upper extremity functional status using the Disability of the Arm, Shoulder and Hand Questionnaire (DASH). The assessments were performed at baseline and after the 6-week intervention.Figure 1.Graded motor imagery performed with mirror boxResults:After the 6-week intervention, there was a significant increase in elbow flexion-extension ROM and supination-pronation ROM, and improvement in DASH score in both groups (p<0.05). However, improvement in VAS-rest and VAS-activity was significantly higher in the GMI group than the control group (p=0.03 and p=0.01, respectively).Conclusion:A conservative treatment program consisting of GMI treatment in addition to a structured exercise program applied twice a week for 6 weeks, has been found more effective in decreasing pain in the posttraumatic stiff elbow. It could be concluded that GMI is an effective treatment method for elbow fracture in patients with predominant elbow pain.References:[1] Harris JE, Hebert A. Utilization of motor imagery in upper limb rehabilitation: a systematic scoping review. Clin Rehab. 2015:29(11):1092-1107.[2] Opie GM, Evans A, Ridding MC, Semmler JG. Short-term immobilization influences use-dependent cortical plasticity and fine motor performance. Neuroscience. 2016:330:247-256.[3] Birinci T, Razak Ozdincler A, Altun S, Kural C. A structured exercise programme combined with proprioceptive neuromuscular facilitation stretching or static stretching in posttraumatic stiffness of the elbow: a randomized controlled trial. Clin Rehab. 2019:33(2):241-252.Acknowledgments:The present work was supported by the Scientific Research Projects Coordination Unit of Istanbul University-Cerrahpasa (Project No: TDK-2019-33997).Disclosure of Interests:None declared

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Graded motor imagery training as a home exercise program for upper limb motor function in patients with chronic stroke

Medicine ◽

10.1097/md.0000000000024351 ◽

2021 ◽

Vol 100 (3) ◽

pp. e24351

Author(s):

Eun Kyu Ji ◽

Hae Hyun Wang ◽

Sung June Jung ◽

Kyoung Bo Lee ◽

Joon Sung Kim ◽

...

Keyword(s):

Motor Function ◽

Motor Imagery ◽

Upper Limb ◽

Exercise Program ◽

Chronic Stroke ◽

Home Exercise ◽

Home Exercise Program ◽

Imagery Training ◽

Graded Motor Imagery

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The Use of Multimedia as a Distraction to Reduce Anxiety Reaction among Paediatric Patients During Cast Removal at Hospital Tengku Ampuan Afzan

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v16i1.1130 ◽

2017 ◽

Vol 16 (1) ◽

Author(s):

Tengku Kashfil

Keyword(s):

Heart Rate ◽

Experimental Study ◽

Upper Limb ◽

Pulse Oximeter ◽

Control Group ◽

Anxiety Reaction ◽

Paediatric Patients ◽

The Mean ◽

Limb Fractures ◽

Upper Limb Fractures

Introduction: Cast removal procedures can be a daunting experience for children giving rise to anxiety. The objective of this study is to measure the level of anxiety in children during cast removal at Hospital Tengku Ampuan Afzan. Materials and method: An experimental study was conducted with a sample of 40 paediatric patients with upper limb fractures and cast removal were randomly assigned into two groups: with multimedia distraction or without (control). Patient's heart rate was measured using a pulse oximeter before, during and after cast removal. Results: A total number of 20 children were randomized to multimedia distraction and another 20 to control with no distractions. The mean rise in heart rate between preprocedure and during procedure 5.3 beats/min in multimedia distraction group and 16.35 beats/min in control group (P = 0.001). The mean difference in heart rate between the pre-procedure and during the procedure was 5.64 beats/min in the multimedia distraction group and 13.13 beats/ min in the control group (P = 0.05). Conclusion: There was significant decrease in heart rate during cast removal with multimedia distraction. Therefore multimedia distraction is a useful tool in reducing anxiety among children during cast removal.

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Effects of a motor imagery-based exercise protocol on chronic pain and emotional distress in patients with fibromyalgia syndrome: A pilot study

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-200328 ◽

2021 ◽

pp. 1-10

Author(s):

Teresa Paolucci ◽

Francesco Agostini ◽

Massimiliano Mangone ◽

Andrea Torquati ◽

Simona Scienza ◽

...

Keyword(s):

Motor Imagery ◽

Fibromyalgia Syndrome ◽

Coping Behavior ◽

Exercise Program ◽

Rehabilitation Program ◽

The Body ◽

Control Group ◽

Exercise Protocol ◽

And Coping

BACKGROUND: Fibromyalgia (FM) is a chronic condition characterized by widespread muscular or musculoskeletal pain of at least 3 months’ duration, occurring above and below the waist, on both sides of the body. OBJECTIVE: The aim of this study was to evaluate the effectiveness of a rehabilitation program based on motor imagery versus a conventional exercise program in FM in terms of pain, functional and psychological outcomes. METHODS: Twenty-nine female subjects were randomly assigned to a group receiving motor imagery-based rehabilitation (MIG) or to a control group (CG) performing conventional rehabilitation. Outcome assessments were performed before (T0) and after 10 sessions of treatment (T1) and at a 12-week follow-up (T2). Pain, function and psychological measurements were conducted by means of different questionnaires. RESULTS: Both treatments improved all outcomes at post-treatment (T1) and follow-up (T2). The MIG showed a significant improvement in anxiety disorder associated with FM with respect to the CG, as well as improvements in coping strategies. CONCLUSIONS: Rehabilitation treatment based on motor imagery showed a stronger effect on anxiety and coping behavior than traditional physiotherapy in patients with FM. Integrated psychological support would be desirable in this setting. Further research is needed to explore the aspects investigated in more depth.

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A youngest reported case of type II Monteggia lesion associated with a posterior ulnohumeral dislocation

Journal of Orthopaedics Trauma and Rehabilitation ◽

10.1016/j.jotr.2018.01.003 ◽

2019 ◽

Vol 26 (1) ◽

pp. 23-25

Author(s):

Avadhoot Kantak

Keyword(s):

Upper Limb ◽

Injury Pattern ◽

Type Ii ◽

Rare Injury ◽

Monteggia Lesion ◽

Injury Mechanisms ◽

High Incidence ◽

Limb Fractures ◽

Upper Limb Fractures

Monteggia fractures are uncommon injuries, despite a high incidence of upper limb fractures in teenage children. We describe a case of a type 2 Monteggia variant in an adolescent. This injury pattern consisted of ulnohumeral dislocation in combination with type 2 Monteggia lesion. We discuss the possible injury mechanisms of this rare injury and review available literature.

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Management of Upper Limb Fractures

Reconstructing the War Injured Patient ◽

10.1007/978-3-319-56887-4_8 ◽

2017 ◽

pp. 67-77

Author(s):

Said S. Saghieh ◽

Naji S. Madi

Keyword(s):

Upper Limb ◽

Limb Fractures ◽

Upper Limb Fractures

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Using Sensor Graphs for Monitoring the Effect on the Performance of the OTAGO Exercise Program in Older Adults

Sensors ◽

10.3390/s22020493 ◽

2022 ◽

Vol 22 (2) ◽

pp. 493

Author(s):

Björn Friedrich ◽

Carolin Lübbe ◽

Enno-Edzard Steen ◽

Jürgen Martin Bauer ◽

Andreas Hein

Keyword(s):

Older Adults ◽

Pilot Study ◽

Exercise Program ◽

Exercise Programme ◽

Control Group ◽

Motion Sensors ◽

Surrogate Variable ◽

Physical Sensor ◽

The Difference ◽

Positive Effect

The OTAGO exercise programme is effective in decreasing the risk for falls of older adults. This research investigated if there is an indication that the OTAGO exercise programme has a positive effect on the capacity and as well as on the performance in mobility. We used the data of the 10-months observational OTAGO pilot study with 15 (m = 1, f = 14) (pre-)frail participants aged 84.60 y (SD: 5.57 y). Motion sensors were installed in the flats of the participants and used to monitor their activity as a surrogate variable for performance. We derived a weighted directed multigraph from the physical sensor network, subtracted the weights of one day from a baseline, and used the difference in percent to quantify the change in performance. Least squares was used to compute the overall progress of the intervention (n = 9) and the control group (n = 6). In accordance with previous studies, we found indication for a positive effect of the OTAGO program on the capacity in both groups. Moreover, we found indication that the OTAGO program reduces the decline in performance of older adults in daily living. However, it is too early to conclude causalities from our findings because the data was collected during a pilot study.

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