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- Title
Effectiveness of motor imagery in complex regional pain syndrome: A systematic review with meta‐analysis.
- Authors
Ríos‐León, Marta; Cuñado‐González, Álvaro; Domínguez‐Fernández, Silvia; Martín‐Casas, Patricia
- Abstract
Objective: The purpose of this study was to determine the effects of motor imagery (MI) on pain intensity and disability in individuals with complex regional pain syndrome (CRPS). Methods: A systematic search was conducted in various electronic databases to identify all relevant studies: PubMed, CINAHL, WOS, PEDro, CENTRAL, and Scopus. Randomized controlled trials assessing the effects of MI in individuals with CRPS were included. The risk of bias was assessed with the Cochrane Risk of Bias tool, the methodological quality was evaluated using PEDro scale, and the level of evidence was reported according to the GRADE. Between‐groups standardized mean differences (SMD) were calculated. Results: Six studies were included. The meta‐analysis found moderate‐quality evidence that MI improves pain intensity and related disability as immediate (pain: SMD −1.07, 95% CI: −1.53 to −0.60; disability: SMD 1.05, 95% CI: 0.59 to 1.51), short‐term (pain: SMD −1.28, 95% CI: −2.14 to −0.42; disability: SMD 1.37; 95% CI: 0.16 to 2.58), and long‐term effects (pain: SMD −1.18; 95% CI: −1.89 to −0.46; disability: SMD 1.18; 95% CI: 0.46 to 1.89), as compared with a comparison group. The risk of bias of the trials was relatively low, but the imprecision of the results downgraded the level of evidence. Conclusions: Moderate‐quality evidence suggests a positive effect of MI for improving pain intensity and disability immediately after and at short‐term in individuals with CRPS.
- Subjects
CHRONIC pain treatment; PAIN measurement; PHYSICAL therapy; COMPLEX regional pain syndromes; CINAHL database; TREATMENT effectiveness; META-analysis; DESCRIPTIVE statistics; VISUALIZATION; SYSTEMATIC reviews; MEDLINE; PAIN management; MEDICAL databases; BODY movement; ONLINE information services; CONFIDENCE intervals; EVALUATION
- Publication
Pain Practice, 2024, Vol 24, Issue 5, p760
- ISSN
1530-7085
- Publication type
Article
- DOI
10.1111/papr.13348