Mental practice in isolation improves cervical joint position sense in patients with chronic neck pain: a randomized single-blind placebo trial

Objective The main objective of this trial was to assess whether action observation (AO) training and motor imagery (MI) produced changes in the cervical joint position sense (CJPS) both at the end of the intervention and 10 min postintervention compared with a placebo intervention in patients with...

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Main Authors: Ferran Cuenca-Martínez, Roy La Touche, Jose Vicente León-Hernández, Luis Suso-Martí
Format: Article
Language:English
Published: PeerJ Inc. 2019-09-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/7681.pdf
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author Ferran Cuenca-Martínez
Roy La Touche
Jose Vicente León-Hernández
Luis Suso-Martí
author_facet Ferran Cuenca-Martínez
Roy La Touche
Jose Vicente León-Hernández
Luis Suso-Martí
author_sort Ferran Cuenca-Martínez
collection DOAJ
description Objective The main objective of this trial was to assess whether action observation (AO) training and motor imagery (MI) produced changes in the cervical joint position sense (CJPS) both at the end of the intervention and 10 min postintervention compared with a placebo intervention in patients with nonspecific chronic neck pain (NSCNP). Methods A single-blind placebo clinical trial was designed. A total of 30 patients with NSCNP were randomly assigned to the AO group, MI group or placebo observation (PO) group. CJPS in flexion, extension and rotation movements in both planes were the main variables. Results The results obtained in the vertical plane showed that the AO group obtained greater improvements than the PO group in the CJPS in terms of cervical extension movement both at the end of the intervention and 10 min postintervention (p = .001, d = 1.81 and p = .004, d = 1.74, respectively), and also in cervical flexion movement, although only at 10 min after the intervention (p = .035, d = 0.72). In addition, the AO group obtained greater improvements than the MI group in the CJPS only at the end of the intervention in cervical extension movement (p = .041, d = 1.17). Regarding the left rotation cervical movement, both the MI and AO groups were superior to the PO group in both planes at the end of the intervention (p < .05, d > 0.80). Conclusions Although both AO and MI could be a useful strategy for CJPS improvement, the AO group showed the strongest results. The therapeutic potential of the application of mental practice in a clinical context in the early stages of rehabilitation of NSCNP should be considered.
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spelling doaj.art-0610e650e17c4393be1782543752ad0c2023-12-03T10:37:12ZengPeerJ Inc.PeerJ2167-83592019-09-017e768110.7717/peerj.7681Mental practice in isolation improves cervical joint position sense in patients with chronic neck pain: a randomized single-blind placebo trialFerran Cuenca-Martínez0Roy La Touche1Jose Vicente León-Hernández2Luis Suso-Martí3Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, SpainDepartamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, SpainDepartamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, SpainMotion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, SpainObjective The main objective of this trial was to assess whether action observation (AO) training and motor imagery (MI) produced changes in the cervical joint position sense (CJPS) both at the end of the intervention and 10 min postintervention compared with a placebo intervention in patients with nonspecific chronic neck pain (NSCNP). Methods A single-blind placebo clinical trial was designed. A total of 30 patients with NSCNP were randomly assigned to the AO group, MI group or placebo observation (PO) group. CJPS in flexion, extension and rotation movements in both planes were the main variables. Results The results obtained in the vertical plane showed that the AO group obtained greater improvements than the PO group in the CJPS in terms of cervical extension movement both at the end of the intervention and 10 min postintervention (p = .001, d = 1.81 and p = .004, d = 1.74, respectively), and also in cervical flexion movement, although only at 10 min after the intervention (p = .035, d = 0.72). In addition, the AO group obtained greater improvements than the MI group in the CJPS only at the end of the intervention in cervical extension movement (p = .041, d = 1.17). Regarding the left rotation cervical movement, both the MI and AO groups were superior to the PO group in both planes at the end of the intervention (p < .05, d > 0.80). Conclusions Although both AO and MI could be a useful strategy for CJPS improvement, the AO group showed the strongest results. The therapeutic potential of the application of mental practice in a clinical context in the early stages of rehabilitation of NSCNP should be considered.https://peerj.com/articles/7681.pdfAction observationMotor imageryJoint position senseChronic neck pain
spellingShingle Ferran Cuenca-Martínez
Roy La Touche
Jose Vicente León-Hernández
Luis Suso-Martí
Mental practice in isolation improves cervical joint position sense in patients with chronic neck pain: a randomized single-blind placebo trial
PeerJ
Action observation
Motor imagery
Joint position sense
Chronic neck pain
title Mental practice in isolation improves cervical joint position sense in patients with chronic neck pain: a randomized single-blind placebo trial
title_full Mental practice in isolation improves cervical joint position sense in patients with chronic neck pain: a randomized single-blind placebo trial
title_fullStr Mental practice in isolation improves cervical joint position sense in patients with chronic neck pain: a randomized single-blind placebo trial
title_full_unstemmed Mental practice in isolation improves cervical joint position sense in patients with chronic neck pain: a randomized single-blind placebo trial
title_short Mental practice in isolation improves cervical joint position sense in patients with chronic neck pain: a randomized single-blind placebo trial
title_sort mental practice in isolation improves cervical joint position sense in patients with chronic neck pain a randomized single blind placebo trial
topic Action observation
Motor imagery
Joint position sense
Chronic neck pain
url https://peerj.com/articles/7681.pdf
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