Universität zu Köln

Thieme, Holm, Morkisch, Nadine, Rietz, Christian, Dohle, Christian ORCID: 0000-0002-7212-8025 and Borgetto, Bernhard (2016). The Efficacy of Movement Representation Techniques for Treatment of Limb Pain-A Systematic Review and Meta-Analysis. J. Pain, 17 (2). S. 167 - 181. EDINBURGH: CHURCHILL LIVINGSTONE. ISSN 1526-5900

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Abstract

Relatively new evidence suggests that movement representation techniques (ie, therapies that use the observation and/or imagination of normal pain-free movements, such as mirror therapy, motor imagery, or movement and/or action observation) might be effective in reduction of some types of limb pain. To summarize the evidence regarding the efficacy of those techniques, a systematic review with meta-analysis was performed. We searched Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, AMED, PsychINFO, Physiotherapy Evidence Database, and OT-seeker up to August 2014 and hand-searched further relevant resources for randomized controlled trials that studied the efficacy of movement representation techniques in reduction of limb pain. The outcomes of interest were pain, disability, and quality of life. Study selection and data extraction were performed by 2 reviewers independently. We included 15 trials on the effects of mirror therapy, (graded) motor imagery, and action observation in patients with complex regional pain syndrome, phantom limb pain, poststroke pain, and nonpathological (acute) pain. Overall, movement representation techniques were found to be effective in reduction of pain (standardized mean difference [SMD] = -.82, 95% confidence interval [CI], -1.32 to -.31, P = .001) and disability (SMD = .72, 95% CI,.22-1.22, P = .004) and showed a positive but nonsignificant effect on quality of life (SMD = 2.61, 85% CI, -3.32 to 8.54, P = .39). Especially mirror therapy and graded motor imagery should be considered for the treatment of patients with complex regional pain syndrome. Furthermore, the results indicate that motor imagery could be considered as a potential effective treatment in patients with acute pain after trauma and surgery. To date, there is no evidence for a pain reducing effect of movement representation techniques in patients with phantom limb pain and poststroke pain other than complex regional pain syndrome. (C) 2016 by the American Pain Society

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Thieme, Holm UNSPECIFIED UNSPECIFIED UNSPECIFIED Morkisch, Nadine UNSPECIFIED UNSPECIFIED UNSPECIFIED Rietz, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Dohle, Christian UNSPECIFIED orcid.org/0000-0002-7212-8025 UNSPECIFIED Borgetto, Bernhard UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-285653
DOI:	10.1016/j.jpain.2015.10.015
Journal or Publication Title:	J. Pain
Volume:	17
Number:	2
Page Range:	S. 167 - 181
Date:	2016
Publisher:	CHURCHILL LIVINGSTONE
Place of Publication:	EDINBURGH
ISSN:	1526-5900
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; GRADED MOTOR IMAGERY; DIABETIC PERIPHERAL NEUROPATHY; MIRROR VISUAL FEEDBACK; CORTICAL REORGANIZATION; SYNDROME TYPE-1; THERAPY; REHABILITATION; DISABILITY; SYMPTOMS Multiple languages Clinical Neurology; Neurosciences Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/28565