Article

OBJECTIVE: To determine the effects of a brief single component of the graded
motor imagery (GMI) sequence (mirror therapy) on active range of motion (AROM),
pain, fear avoidance, and pain catastrophization in patients with shoulder pain.
DESIGN: Single-blind case series. SETTING: Three outpatient physical therapy
clinics. PARTICIPANTS: Patients with shoulder pain and limited AROM (N=69).
INTERVENTION: Patients moved their unaffected shoulder through comfortable AROM
in front of a mirror so that it appeared that they were moving their affected
shoulder. MAIN OUTCOME MEASURES: We measured pain, pain catastrophization, fear
avoidance, and AROM in 69 consecutive patients with shoulder pain and limited
AROM before and immediately after mirror therapy. RESULTS: There were significant
differences in self-reported pain (P=.014), pain catastrophization (P<.001), and
the Tampa Scale of Kinesiophobia (P=.012) immediately after mirror therapy;
however, the means did not meet or exceed the minimal detectable change (MDC) for
each outcome measure. There was a significant increase (mean, 14.5 degrees ) in
affected shoulder flexion AROM immediately postmirror therapy (P<.001), which
exceeded the MDC of 8 degrees . CONCLUSIONS: A brief mirror therapy intervention
can result in statistically significant improvements in pain, pain
catastrophization, fear avoidance, and shoulder flexion AROM in patients
presenting with shoulder pain with limited AROM. The immediate changes may allow
a quicker transition to multimodal treatment, including manual therapy and
exercise in these patients. Further studies, including randomized controlled
trials, are needed to investigate these findings and determine longer-term
effects.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS