Influence of Motor Imagery during Cast Immobilization of the Knee Joint on Range of Motion after Cast Removal: a Case Study

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  • 膝関節のギプス固定中における運動イメージの介入がギプス除去後の関節可動域に及ぼす影響　　一症例による検討
  • 症例研究 膝関節のギプス固定中における運動イメージの介入がギプス除去後の関節可動域に及ぼす影響--症例による検討
  • ショウレイ ケンキュウ シツカンセツ ノ ギプス コテイ チュウ ニ オケル ウンドウ イメージ ノ カイニュウ ガ ギプス ジョキョ ゴ ノ カンセツ カドウイキ ニ オヨボス エイキョウ ショウレイ ニ ヨル ケントウ
  • ─一症例による検討─

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[Purpose] The aim of this study was to investigate the influence of motor imagery during cast immobilization of the knee joint on range of motion (ROM) after cast removal. [Subject] The subject was 77-year-old female presenting with an insufficiency fracture of the patella. We performed cast immobilization with the knee in extension for 39 days, as a conservative treatment, from the thigh above the knee to above the ankle. [Method] After performing passive exercises with the healthy knee at 30, 60 and 90° of flexion, we asked the patient to recall the motor images at each of the flexion angles on both the healthy and injured sides. To evaluate motor imagery, we used the recall times of motor images on both the healthy and injured sides, and evaluated pain with a visual analog scale VAS. The motor imagery intervention was performed on 24 days, and we performed the measurements on intervention days 1, 6, 12, 18 and 24. [Results] Motor image recall times and VAS pain decreased with the number of intervention days. Moreover, the knee flexion angle after removal of the cast was 95°. [Conclusion] The results suggest that in cast immobilization of the knee, motor imagery intervention helps to prevent limitation of ROM after cast removal.<br>

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 25 (1), 151-153, 2010

    The Society of Physical Therapy Science

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