The Effectiveness and Recommendation of Motor Imagery Techniques for Rehabilitation after Anterior Cruciate Ligament Reconstruction: A Systematic Review
Motor imagery (MI) reported positive effects in some musculoskeletal rehabilitation processes. The main objective of this study was to analyze the effectiveness of MI interventions after anterior cruciate ligament (ACL) reconstruction. A systematic review was conducted from November 2018 to December...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-01-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/10/3/428 |
| _version_ | 1797408241927323648 |
|---|---|
| author | José Manuel Pastora-Bernal María José Estebanez-Pérez David Lucena-Anton Francisco José García-López Antonio Bort-Carballo Rocío Martín-Valero |
| author_facet | José Manuel Pastora-Bernal María José Estebanez-Pérez David Lucena-Anton Francisco José García-López Antonio Bort-Carballo Rocío Martín-Valero |
| author_sort | José Manuel Pastora-Bernal |
| collection | DOAJ |
| description | Motor imagery (MI) reported positive effects in some musculoskeletal rehabilitation processes. The main objective of this study was to analyze the effectiveness of MI interventions after anterior cruciate ligament (ACL) reconstruction. A systematic review was conducted from November 2018 to December 2019 in PubMed, Scopus, Web of Science, The Cochrane Library, and Physiotherapy Evidence Database (PEDro). The methodological quality, degree of recommendation, and levels of evidence were analyzed. A total of six studies were included. Selected studies showed unequal results (positive and negative) regarding pain, anxiety, fear of re-injury, function, and activities of daily living. Regarding the range of motion, anthropometric measurements, and quality of life, the results were not conclusive. Muscle activation, strength, knee laxity, time to remove external support, and neurobiological factors showed some favorable results. Nevertheless, the results were based on a limited number of studies, small sample sizes, and a moderate-weak degree of recommendation. In conclusion, our review showed a broader view of the current evidence, including a qualitative assessment to implement MI after ACL surgery. There was no clear evidence that MI added to physiotherapy was an effective intervention after ACL surgery, although some studies showed positive results in clinical outcomes. More adequately-powered long-term randomized controlled trials are necessary. |
| first_indexed | 2024-03-09T03:55:35Z |
| format | Article |
| id | doaj.art-694513cf650d46ceb8fad8b3f9eaa38f |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T03:55:35Z |
| publishDate | 2021-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-694513cf650d46ceb8fad8b3f9eaa38f2023-12-03T14:20:30ZengMDPI AGJournal of Clinical Medicine2077-03832021-01-0110342810.3390/jcm10030428The Effectiveness and Recommendation of Motor Imagery Techniques for Rehabilitation after Anterior Cruciate Ligament Reconstruction: A Systematic ReviewJosé Manuel Pastora-Bernal0María José Estebanez-Pérez1David Lucena-Anton2Francisco José García-López3Antonio Bort-Carballo4Rocío Martín-Valero5Department of Physiotherapy, Faculty of Health Science, University of Granada, 18071 Granada, SpainDepartment of Physiotherapy, Faculty of Health Science, University of Malaga, 29071 Málaga, SpainDepartment of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, SpainUniversity of Osuna, 41640 Seville, SpainUniversity of Osuna, 41640 Seville, SpainDepartment of Physiotherapy, Faculty of Health Science, University of Malaga, 29071 Málaga, SpainMotor imagery (MI) reported positive effects in some musculoskeletal rehabilitation processes. The main objective of this study was to analyze the effectiveness of MI interventions after anterior cruciate ligament (ACL) reconstruction. A systematic review was conducted from November 2018 to December 2019 in PubMed, Scopus, Web of Science, The Cochrane Library, and Physiotherapy Evidence Database (PEDro). The methodological quality, degree of recommendation, and levels of evidence were analyzed. A total of six studies were included. Selected studies showed unequal results (positive and negative) regarding pain, anxiety, fear of re-injury, function, and activities of daily living. Regarding the range of motion, anthropometric measurements, and quality of life, the results were not conclusive. Muscle activation, strength, knee laxity, time to remove external support, and neurobiological factors showed some favorable results. Nevertheless, the results were based on a limited number of studies, small sample sizes, and a moderate-weak degree of recommendation. In conclusion, our review showed a broader view of the current evidence, including a qualitative assessment to implement MI after ACL surgery. There was no clear evidence that MI added to physiotherapy was an effective intervention after ACL surgery, although some studies showed positive results in clinical outcomes. More adequately-powered long-term randomized controlled trials are necessary.https://www.mdpi.com/2077-0383/10/3/428anterior cruciate ligamentmotor imagery techniquesrehabilitationphysiotherapy |
| spellingShingle | José Manuel Pastora-Bernal María José Estebanez-Pérez David Lucena-Anton Francisco José García-López Antonio Bort-Carballo Rocío Martín-Valero The Effectiveness and Recommendation of Motor Imagery Techniques for Rehabilitation after Anterior Cruciate Ligament Reconstruction: A Systematic Review Journal of Clinical Medicine anterior cruciate ligament motor imagery techniques rehabilitation physiotherapy |
| title | The Effectiveness and Recommendation of Motor Imagery Techniques for Rehabilitation after Anterior Cruciate Ligament Reconstruction: A Systematic Review |
| title_full | The Effectiveness and Recommendation of Motor Imagery Techniques for Rehabilitation after Anterior Cruciate Ligament Reconstruction: A Systematic Review |
| title_fullStr | The Effectiveness and Recommendation of Motor Imagery Techniques for Rehabilitation after Anterior Cruciate Ligament Reconstruction: A Systematic Review |
| title_full_unstemmed | The Effectiveness and Recommendation of Motor Imagery Techniques for Rehabilitation after Anterior Cruciate Ligament Reconstruction: A Systematic Review |
| title_short | The Effectiveness and Recommendation of Motor Imagery Techniques for Rehabilitation after Anterior Cruciate Ligament Reconstruction: A Systematic Review |
| title_sort | effectiveness and recommendation of motor imagery techniques for rehabilitation after anterior cruciate ligament reconstruction a systematic review |
| topic | anterior cruciate ligament motor imagery techniques rehabilitation physiotherapy |
| url | https://www.mdpi.com/2077-0383/10/3/428 |
| work_keys_str_mv | AT josemanuelpastorabernal theeffectivenessandrecommendationofmotorimagerytechniquesforrehabilitationafteranteriorcruciateligamentreconstructionasystematicreview AT mariajoseestebanezperez theeffectivenessandrecommendationofmotorimagerytechniquesforrehabilitationafteranteriorcruciateligamentreconstructionasystematicreview AT davidlucenaanton theeffectivenessandrecommendationofmotorimagerytechniquesforrehabilitationafteranteriorcruciateligamentreconstructionasystematicreview AT franciscojosegarcialopez theeffectivenessandrecommendationofmotorimagerytechniquesforrehabilitationafteranteriorcruciateligamentreconstructionasystematicreview AT antoniobortcarballo theeffectivenessandrecommendationofmotorimagerytechniquesforrehabilitationafteranteriorcruciateligamentreconstructionasystematicreview AT rociomartinvalero theeffectivenessandrecommendationofmotorimagerytechniquesforrehabilitationafteranteriorcruciateligamentreconstructionasystematicreview AT josemanuelpastorabernal effectivenessandrecommendationofmotorimagerytechniquesforrehabilitationafteranteriorcruciateligamentreconstructionasystematicreview AT mariajoseestebanezperez effectivenessandrecommendationofmotorimagerytechniquesforrehabilitationafteranteriorcruciateligamentreconstructionasystematicreview AT davidlucenaanton effectivenessandrecommendationofmotorimagerytechniquesforrehabilitationafteranteriorcruciateligamentreconstructionasystematicreview AT franciscojosegarcialopez effectivenessandrecommendationofmotorimagerytechniquesforrehabilitationafteranteriorcruciateligamentreconstructionasystematicreview AT antoniobortcarballo effectivenessandrecommendationofmotorimagerytechniquesforrehabilitationafteranteriorcruciateligamentreconstructionasystematicreview AT rociomartinvalero effectivenessandrecommendationofmotorimagerytechniquesforrehabilitationafteranteriorcruciateligamentreconstructionasystematicreview |