Functional rehabilitation of a person with transfemoral amputation through guided motor imagery: a case study.

Background: Motor imagery (MI) is a mental technique, absent of physical movement, to foster movement patterns and relieve pain via a training model enacting the brain before the body. This case study assessed MI's efficacy in decreasing phantom limb pain and attaining functional gait and balance af...

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Publicado en:Physiotherapy Theory & Practice Vol. 37; no. 1; pp. 224 - 234
Autores principales: Matalon, Rebecca, Freund, Jane E., Vallabhajosula, Srikant
Formato: case study pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jan2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2021
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      pub: Taylor & Francis Ltd
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        10.1080/09593985.2019.1625090
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        atl: Functional rehabilitation of a person with transfemoral amputation through guided motor imagery: a case study.
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          Matalon, Rebecca
          Freund, Jane E.
          Vallabhajosula, Srikant
        affil: Department of Physical Therapy Education, School of Health Sciences, Elon University, Elon, NC, USA
      sug:
        subj:
          Above-Knee Amputation Rehabilitation
          Functional Assessment
          Guided Imagery
          Gait
          Balance, Postural
          Human
          Aged
          Female
          Biomechanics
          Treatment Outcomes
          Scales
          Walkers
          Experimental Studies
          Pretest-Posttest Design
          Questionnaires
          Descriptive Statistics
          Aged: 65+ years
          Female
      ab: Background: Motor imagery (MI) is a mental technique, absent of physical movement, to foster movement patterns and relieve pain via a training model enacting the brain before the body. This case study assessed MI's efficacy in decreasing phantom limb pain and attaining functional gait and balance after lower extremity amputation. Description: The participant was a 71-year-old female with a transfemoral amputation seven years prior. She required a standard walker for ambulation. The participant underwent three sessions per week for four weeks of MI intervention, with immediate, post-test, and 1-week retention testing involving subjective and functional assessments. Intervention sessions involved quiet sitting with eyes closed while listening to the MI script. The scripts focused on functional movement patterns and tasks that were relevant to the participant, such as walking, balancing, and reaching. Each session's script focused on a different task. These scripts guided her through proper action and biomechanics of the skills to imagine herself moving safely and functionally. Outcomes: Short Form Berg Balance Scale and Tinetti Performance Oriented Mobility Assessment scores demonstrated clinically important and sustained improvement. Further, the participant reported decreased phantom limb pain and could walk a short distance independently for the first time in seven years. Discussion: MI is a time- and cost-effective, low-risk treatment option that decreased phantom pain and improved balance and functional gait in an individual with an amputation. The use of MI as an intervention for the rehabilitation of persons with amputation must be further examined.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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