Graded Motor Imagery Effects on Body Perception Disturbance in Complex Regional Pain Syndrome : a Randomised Controlled Trial (Bath-Min)
Complex Regional Pain Syndrome (CRPS) is a debilitating pain condition that usually develops following trauma. Patients with CRPS experience intense, continuing, disproportionate pain and multiple symptoms such as changes or asymmetry in colour, temperature or oedema, as well as stiffness, tremors or dystonia and body perception disturbances. Body perception disturbances are now recognised as part of the typical presentation of CRPS and have been shown to correlate, in particular, with pain intensity.
Managing CRPS is challenging and treatment options are limited. Among these, treatments aimed at cortical reorganisation, such as Graded Motor Imagery (GMI), have shown evidence of efficacy in terms of pain and function. However, with regard to body perception disorders, the evidence is limited and emerging.
Our aim is to evaluate the effects of Graded Motor Imagery on body perception disorders in patients with upper limb CRPS. Method: a randomised controlled trial comparing an intervention group - therapeutic exercises plus GMI for 6 weeks (implicit motor imagery, explicit motor imagery followed by mirror therapy) - with a control group - therapeutic exercises plus sham-GMI (non-motor mental imagery) for 6 weeks.
Outcome measures: body perception disorders (Bath Scale), pain intensity (Numerical Rating Scale), quality of life (PROMIS 29), catastrophising (PCS), fear of pain, CRPS Severity Score, patient-reported global impression of change, medication use and self-efficacy. Interventions are carried out in private practice by independent physiotherapists. Assessors are blinded for the primary outcome. A qualitative component will explore the experiences and perceptions of patients and therapists regarding body perception disturbances, GMI and participation in a research project.
This study aims are to improve treatment options for the management of SDRC and to improve the recognition and treatment of body perception disorders in SDRC.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 해당 없음
연락처 및 위치
연구 연락처
연구 연락처
- 이름: Sessi ACAPO, Doctor of Science
- 전화번호: +33 02 51 83 11 72
- 이메일: sessi.acapo@gmail.com
연구 장소
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Ambon, 프랑스, 56190
- Cabinet de kinésithérapie AMBON 56190 3b route de Lauzach
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연락하다:
- Amaury BRIDOUX, Physical therapist
- 전화번호: 02 97 68 70 54
- 이메일: amaury.bridoux@gmail.com
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수석 연구원:
- Amaury BRIDOUX, Physical therapist
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Caen, 프랑스, 14000
- Cabinet de kinésithérapie, CAEN 14000 41 av. père Charles de Foucauld
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연락하다:
- Guillaume GALLIOU, Physical therapist
- 전화번호: 02 31 83 48 02
- 이메일: guillaume.galliou@gmail.com
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수석 연구원:
- Guillaume GALLIOU, Physical therapist
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Cugand, 프랑스, 85610
- Cabinet de kinésithérapie, 85610 CUGAND 19bis rue du président auguste durand
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연락하다:
- Victor DUPONT, Physical therapist
- 전화번호: 02 51 42 11 92
- 이메일: victor.dupont@hotmail.fr
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수석 연구원:
- Victor DUPONT, Physical therapist
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Guidel, 프랑스, 56520
- Cabinet de kinésithérapie, 56520 6 place Louis le Montagner
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연락하다:
- Germain PICHOT, Physical therapist
- 전화번호: 02 97 02 92 53
- 이메일: pichot.germain@gmail.com
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수석 연구원:
- Germain PICHOT, Physical therapist
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L'Île-Rousse, 프랑스, 20220
- Cabinet de kinésithérapie, 20220 L'ILE ROUSSE 8 Bd Pasquini
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연락하다:
- Florian SANTOS, Physical therapist
- 전화번호: 04 95 60 00 41
- 이메일: santos_florian@hotmail.fr
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수석 연구원:
- FLORIAN SANTOS
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Lyon, 프랑스, 69008
- Cabinet de kinésithérapie, 69008 LYON 16 rue du transvaal
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연락하다:
- Aissaoui TESSADIT, Physical therapist
- 전화번호: 09 82 41 60 55
- 이메일: Tessadit.aissaoui@gmail.com
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수석 연구원:
- Aissaoui TESSADIT, Physical therapist
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Montpellier, 프랑스, 34000
- Cabinet de kinésithérapie, 34000 Montpellier, 22, avenue du Pont Juvénal
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연락하다:
- Fabrice ERNOUL, Physical therapist
- 전화번호: 04 67 27 75 43
- 이메일: 73fabrices@gmail.com
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수석 연구원:
- Fabrice ERNOUL, Physical therapist
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Nantes, 프랑스, 44000
- Cabinet de kinésithérapie du Mail Pablo Picasso, 5 Rue Nina Simone,
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연락하다:
- Sessi ACAPO, Doctor of Science
- 전화번호: +33 02 51 83 11 72
- 이메일: sessi.acapo@gmail.com
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수석 연구원:
- Sessi ACAPO, Doctor of Science
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Nantes, 프랑스, 44100
- Cabinet de kinésithérapie, 44100 NANTES 7 RUE DU SIMOUN
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연락하다:
- Clotilde SANDER, Physical therapist
- 전화번호: 02 51 84 87 71
- 이메일: Clotilde.sander@gmail.com
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수석 연구원:
- Clotilde SANDER, Physical therapist
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Nantes, 프랑스, 44100
- cabinet de kinésithérapie, 44100 NANTES 8ter rue de la convention
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연락하다:
- Maeva GELU, Physical therapist
- 전화번호: 06 98 32 97 00
- 이메일: maeva.gelu.mk@gmail.com
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수석 연구원:
- Maeva GELU, Physical therapist
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Nantes, 프랑스, 44100
- cabinet de kinésithérapie, NANTES 44100 2-4 route de Paris
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연락하다:
- Emeline LEBOEUF, Physical therapist
- 전화번호: 02 28 16 88 47
- 이메일: kine.e.leboeuf@gmail.com
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수석 연구원:
- Emeline LEBOEUF, Physical therapist
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Orléans, 프랑스, 45100
- Cabinet de kinésithérapie, 45100 Orléans 44 avenue de la Mouillère
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연락하다:
- Nolwenn POQUET, Physical therapist
- 전화번호: 0238635472
- 이메일: poquet.nolwenn@gmail.com
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수석 연구원:
- Nolwenn POCQUET, Physical therapist
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Paris, 프랑스, 75019
- Cabinet de kinésithérapie, PARIS 75019 2, rue de Sadi Lecointe
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연락하다:
- Kader NDIAYE, Physical therapist
- 전화번호: 06 68 51 97 52
- 이메일: kader.ndiaye.kine@gmail.com
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수석 연구원:
- Kader NDIAYE, Physical therapist
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Rezé, 프랑스, 44400
- Cabinet de kinésithérapie, 44400 REZE 15 avenue Louise Michel
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연락하다:
- Damien HRYNKOW, Physical therapist
- 전화번호: 02 40 40 80 52
- 이메일: damien.hrynkow@gmail.com
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수석 연구원:
- Damien HRYNKOW, Physical therapist
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Saint-Herblain, 프랑스, 44800
- cabinet de kinésithérapie, 44800 St Herblain Boulevard charles gautier
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연락하다:
- Léa GUILBEAU, Physical therapist
- 전화번호: 02 51 84 87 71
- 이메일: lea.guilbeau@laposte.net
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수석 연구원:
- Léa GUILBEAU, Physical therapist
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Saint-Yorre, 프랑스, 03270
- cabinet de kinésithérapie, 03270 SAINTYORRE 10, rue de la République
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연락하다:
- Philippe DEAT, Physical therapist
- 전화번호: 04 70 41 04 37
- 이메일: philippe.deat@gmx.fr
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수석 연구원:
- Philippe DEAT, Physical therapist
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Serres-Castet, 프랑스, 64121
- Cabinet de kinésithérapie, 64121 Serres Castet 7 bis chemin de Liben
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연락하다:
- Florent JACQUEMIN, Physical therapist
- 전화번호: 05 47 41 43 68
- 이메일: Jacquemin.florent@yahoo.fr
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수석 연구원:
- Florent JACQUEMIN, Physical therapist
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Éragny, 프랑스, 95610
- Cabinet de kinésithérapie, ERAGNY 95610 5 allée Rosa Luxemburg
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연락하다:
- Audrey VIERS, Physical therapist
- 전화번호: 01 39 09 14 73
- 이메일: audrey.viers@outlook.com
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수석 연구원:
- Audrey VIERS, Physical therapist
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Over 18 years
- Upper limb unilateral CRPS (Budapest criteria)
- No prior use of GMI
Exclusion Criteria:
- Psychiatric disorders
- Not confident with written/spoken French
- Not confident with smartphone use
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
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실험적: Group "Graded Motor Imagery + Therapeutic exercises"
Graded Motor Imagery (left/right discrimination, explicit motor imagery, mirror therapy) and exercises (15 minutes, 3 times per day, 6 weeks)
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Functional, mobility, strengthening, and mobilization exercises, both passive and active. The exercises are designed to improve mobility and function in the affected limb. In addition to this standard treatment, the intervention group will receive care using Gradual Motor Imagery. The protocol lasts 6 weeks (3 sessions of 15 minutes per day), divided into 3 phases: implicit motor imagery, explicit motor imagery followed by mirror therapy |
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가짜 비교기: Group "Sham-GMI (non-motor mental imagery) + Therapeutic exercises"
Sham-GMI (non-motor mental imagery) + Therapeutic exercises
|
Functional, mobility, strengthening, and mobilization exercises, both passive and active. The exercises are designed to improve mobility and function in the affected limb. In addition to this standard treatment, the control group will receive a non-motor mental imagery intervention (visual imagery or sham-GMI), designed not to stimulate the sensorimotor areas of the brain while resembling IMG (3 sessions of 15 minutes per day for 6 weeks). |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Body perception disorders (Bath Scale)
기간: End of intervention (Week 6)
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Assessment of body perception disturbances; 7 items
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End of intervention (Week 6)
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2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Body perception disorders (Bath Scale)
기간: 3 months after intervention (M3)
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Assessment of body perception disturbances; 7 items
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3 months after intervention (M3)
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Mean pain intensity (Numeric rating scale)
기간: End of intervention (Week 6), 3 months after intervention (M3)
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Mean pain during the last week, mean pain during the last week during movement, mean pain during the last week at rest
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End of intervention (Week 6), 3 months after intervention (M3)
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QuickDash
기간: End of intervention (Week 6), 3 months after intervention (M3)
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Self-reported assessment of upper limb function :
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End of intervention (Week 6), 3 months after intervention (M3)
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PROMIS 29
기간: End of intervention (Week 6), 3 months after intervention (M3)
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Self-reported assessment of quality of life (7 domains, 29 items)
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End of intervention (Week 6), 3 months after intervention (M3)
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Pain Catastrophizing Scale (PCS)
기간: End of intervention (Week 6), 3 months after intervention (M3)
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Self-reported assessment of pain catastrophizing
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End of intervention (Week 6), 3 months after intervention (M3)
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Tampa Scale of Kinesiophobia (short form)
기간: End of intervention (Week 6), 3 months after intervention (M3)
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Self-reported assessment of fear of movement (6 items)
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End of intervention (Week 6), 3 months after intervention (M3)
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Pain Self Efficacy Questionnaire (PSEQ)
기간: End of intervention (Week 6), 3 months after intervention (M3)
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Self-reported assessment of confidence in performing activities despite ongoing pain
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End of intervention (Week 6), 3 months after intervention (M3)
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Patient Global Impression of Change (PGIC)
기간: End of intervention (Week 6), 3 months after intervention (M3)
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Self-administered questions asking respondents to rate how their condition has changed since the intervention
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End of intervention (Week 6), 3 months after intervention (M3)
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Medication Quantification Scale (MQS)
기간: End of intervention (Week 6), 3 months after intervention (M3)
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MQS quantifies pain medication use and provides a score.
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End of intervention (Week 6), 3 months after intervention (M3)
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공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- RC25_0515
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
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