The effects of the addition of motor imagery to home exercises on pain, disability and psychosocial parameters in patients undergoing lumbar spinal surgery: A randomized controlled trial

EXPLORE ◽  
2020 ◽  
Author(s):  
Yesim Salik Sengul ◽  
Nergis Kaya ◽  
Gamze Yalcinkaya ◽  
Muge Kirmizi ◽  
Orhan Kalemci
Keyword(s):  
Randomized Controlled Trial ◽  
Motor Imagery ◽  
Spinal Surgery ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Pain Disability ◽  
Lumbar Spinal Surgery ◽  
Lumbar Spinal

scholarly journals Effect of TENS Versus Placebo on Walking Capacity in Patients With Lumbar Spinal Stenosis: A Protocol for a Randomized Controlled Trial

2016 ◽  
Vol 15 (3) ◽  
pp. 197-203 ◽  
Author(s):  
Carlo Ammendolia ◽  
Pierre Côté ◽  
Y. Raja Rampersaud ◽  
Danielle Southerst ◽  
Brian Budgell ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Walking Capacity ◽  
Lumbar Spinal

scholarly journals Effect of Neurofeedback Facilitation on Post-stroke Gait and Balance Recovery: A Randomized Controlled Trial

Neurology ◽  
2021 ◽  
pp. 10.1212/WNL.0000000000011989
Author(s):  
Masahito Mihara ◽  
Hiroaki Fujimoto ◽  
Noriaki Hattori ◽  
Hironori Otomune ◽  
Yuta Kajiyama ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Motor Imagery ◽  
Controlled Trial ◽  
Cortical Activation ◽  
Gait Disturbance ◽  
Balance Recovery ◽  
The Real ◽  
Post Stroke ◽  
Randomized Controlled ◽  
Real Group

Objective:To test the hypothesis that supplementary motor area (SMA) facilitation with functional near-infrared spectroscopy mediated neurofeedback (fNIRS-NFB) augments post-stroke gait and balance recovery. Using the 3-meter-Timed Up-and-Go (TUG) test, we conducted this two-center, double-blind, randomized controlled trial involving 54 Japanese patients.Methods:Patients with subcortical stroke-induced mild-to-moderate gait disturbance more than 12 weeks from onset, underwent 6 sessions of SMA neurofeedback facilitation during gait- and balance-related motor imagery using fNIRS-NFB. Participants were randomly allocated to intervention (REAL: 28 patients) or placebo (SHAM: 26 patients) group. In the REAL group, the fNIRS signal contained participants’ cortical activation information. Primary outcome was TUG improvement, 4 weeks post intervention.Results:The REAL group showed greater improvement in the TUG test (12.84 ± 15.07 s, 95% CI: 7.00-18.68) than the SHAM group (5.51± 7.64 s, 95% CI: 2.43 – 8.60; group difference 7.33 s, 95% CI: 0.83 – 13.83; p = 0.028), even after adjusting for covariates (group × time interaction; F1.23,61.69 = 4.50, p = 0.030, partial η2 = 0.083). Only the REAL group showed significantly increased imagery-related SMA activation and enhancement of resting-state connectivity between SMA and ventrolateral premotor area. Adverse effects associated with fNIRS-mediated neurofeedback intervention were absent.Conclusion:SMA facilitation during motor imagery using fNIRS neurofeedback may augment post-stroke gait and balance recovery by modulating the SMA and its related network.Classification of Evidence:This study provides Class III evidence that for patients with gait disturbance from subcortical stroke, SMA neurofeedback facilitation improves TUG time.

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