RT Journal Article
T1 Effects of Adding Motor Imagery to Early Physical Therapy in Patients with Knee Osteoarthritis who Had Received Total Knee Arthroplasty: A Randomized Clinical Trial
A1 Briones Cantero, María
A1 Fernández de las Peñas, César
A1 Lluch Girbés, Enrique
A1 Osuna Pérez, María C.
A1 Navarro Santana, Marcos José
A1 Plaza Manzano, Gustavo
A1 Martín Casas, Patricia
AB ObjectiveTo investigate the effects of the inclusion of motor imagery (MI) principles into early physical therapy on pain, disability, pressure pain thresholds (PPTs), and range of motion in the early postsurgical phase after total knee arthroplasty (TKA).MethodsA randomized clinical trial including patients with knee osteoarthritis who have received TKA was conducted. Participants were randomized to receive five treatment sessions of either physical therapy with or without MI principles in an early postsurgical phase after a TKA (five days after surgery). Pain intensity (visual analog scale [VAS], 0–100), pain-related disability (short-form Western Ontario McMaster Universities Osteoarthritis Index [WOMAC], 0–32), pressure pain thresholds (PPTs), and knee range of motion were assessed before and after five daily treatment sessions by an assessor blinded to the subject’s condition.ResultsTwenty-four participants completed data collection and treatment. The adjusted analysis revealed significant group*time interactions for WOMAC (F = 17.29, P = 0.001, η2 = 0.48) and VAS (F = 14.56, P < 0.001, η2 = 0.45); patients receiving physiotherapy and MI principles experienced greater improvements in pain (Δ –28.0, 95% confidence interval [CI] = –43.0 to –13.0) and pain-related disability (Δ –6.0, 95% CI = –8.3 to –3.7) than those receiving physiotherapy alone. No significant group*time interactions for knee range of motion and PPTs were observed (all, P  > 0.30).ConclusionsThe application of MI to early physiotherapy was effective for improving pain and disability, but not range of motion or pressure pain sensitivity, in the early postsurgical phase after TKA in people with knee osteoarthritis.
PB Oxford University Press
SN 1526-2375
SN 1526-4637
YR 2020
FD 2020-04-28
LK https://hdl.handle.net/20.500.14352/104807
UL https://hdl.handle.net/20.500.14352/104807
LA eng
NO Briones-Cantero, M., Fernandez-De-las-Peñas, C., Lluch-Girbés, E., Osuna-Pérez, M. C., Navarro-Santana, M. J., Plaza-Manzano, G., & Martín-Casas, P. (2020). Effects of adding motor imagery to early physical therapy in patients with knee osteoarthritis who had received total knee arthroplasty: a randomized clinical trial. Pain Medicine, 21(12), 3548-3555.
DS Docta Complutense
RD 19 dic 2025