Motor imagery training improves balance and mobility in older adults who do not have a neurological condition .
These results suggest that motor imagery training could be an adjunct to st and ard physiotherapy care in older adults , although it is unclear whether or not the effects are clinical ly worthwhile .
QUESTION Does motor imagery training improve measures of balance , mobility and falls in older adults without a neurological condition ?
Guided Imagery for Total Knee Replacement: A Randomized, Placebo-Controlled Pilot Study.
OBJECTIVES To determine the effect of guided imagery ( GI ) on functional outcomes of total knee replacement ( TKR ) , explore psychological and neuroimmune mediators , and assess feasibility of study implementation . DESIGN Investigator-blinded , r and omized , placebo-controlled pilot study . SETTING S Hospital , surgeon 's office , participant 's home . PARTICIPANTS 82 persons undergoing TKR . INTERVENTIONS Audiorecordings of TKR-specific GI scripts or placebo-control audiorecordings of audiobook segments . OUTCOME MEASURES Gait velocity and Western Ontario and McMaster Universities Arthritis Index ( WOMAC ) Function scale . RESULTS Outcomes for 58 participants ( 29 receiving GI and 29 controls ) were analyzed at 6 months after surgery . The most frequent reason for noncompletion was protocol -driven exclusion at 6 months for having the contralateral knee replaced before the study endpoint ( n = 15 ) . With imaging ability as a moderator , gait velocity , but not WOMAC Function score , was significantly improved at 6 months in the GI group . Participants in the GI group , but not the control group , had lower WOMAC Pain scores at 3 weeks after surgery than at baseline . Hair cortisol concentration was significantly lower at 6 months after surgery than at baseline in the GI group but not the control group . GI group participants had lower treatment adherence but greater treatment credibility than the control group . CONCLUSION R and omized controlled trials of GI in the TKR population are feasible , but inclusion /exclusion criteria influence attrition . Further studies are needed to elaborate this study 's findings , which suggest that guided imagery improves objective , but not patient-reported , outcomes of TKR . Hair cortisol concentration results suggest that engagement in a time-limited guided imagery intervention may contribute to stress reduction even after the intervention is terminated . Further investigation into optimal content and dosing of GI is needed
Motor imagery training improves balance and mobility in older adults who do not have a neurological condition .
These results suggest that motor imagery training could be an adjunct to st and ard physiotherapy care in older adults , although it is unclear whether or not the effects are clinical ly worthwhile .
QUESTION Does motor imagery training improve measures of balance , mobility and falls in older adults without a neurological condition ?