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Motor imagery training speeds up gait recovery and decreases the risk of falls in patients submitted to total knee arthroplasty.

Abstract：

:With Motor imagery (MI), movements are mentally rehearsed without overt actions; this procedure has been adopted in motor rehabilitation, primarily in brain-damaged patients. Here we rather tested the clinical potentials of MI in purely orthopaedic patients who, by definition, should maximally benefit of mental exercises because of their intact brain. To this end we studied the recovery of gait after total knee arthroplasty and evaluated whether MI combined with physiotherapy could speed up the recovery of gait and even limit the occurrence of future falls. We studied 48 patients at the beginning and by the end of the post-surgery residential rehabilitation program: half of them completed a specific MI training supported by computerized visual stimulation (experimental group); the other half performed a non-motoric cognitive training (control group). All patients also had standard physiotherapy. By the end of the rehabilitation, the experimental group showed a better recovery of gait and active knee flexion-extension movements, and less pain. The number of falls or near falls after surgery was significantly lower in the experimental group. These results show that MI can improve gait abilities and limit future falls in orthopaedic patients, without collateral risks and with limited costs.

journal_name

Sci Rep

journal_title

Scientific reports

authors

Zapparoli L,Sacheli LM,Seghezzi S,Preti M,Stucovitz E,Negrini F,Pelosi C,Ursino N,Banfi G,Paulesu E

doi

10.1038/s41598-020-65820-5

subject

Has Abstract

pub_date

2020-06-02 00:00:00

pages

8917

issue

1

issn

2045-2322

pii

10.1038/s41598-020-65820-5

journal_volume

10

pub_type

杂志文章

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