Clinical trial NCT06981884: Investigating the Impact of Motor Imagery Training on Functional Outcomes in Mothers of Children With Physical Disabilities
Official title: Fiziksel Engelli Çocuğa Sahip Annelerde Motor İmgeleme Eğitiminin Fonksiyonel Durum,Vücut Farkındalığı, Yaşam Kalitesi ve Kaygı Düzeyi Üzerindeki Etkisinin İncelenmesi
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Lumbar Instability
Keywords: Mothers
Disabled child
Motor imagery
Core stabilization
Lead sponsor: Batman University
Sponsor class: OTHER
First posted: 2025-05-21
Enrollment: 40
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized controlled single-blind study consisting of 2 groups: experimental and control. The control group received only core stabilization exercises, the experimental group received motor imagery training + core stabilization exercises.
Primary purpose: TREATMENT

Brief summary: The aim of this study is to examine the effectiveness of core stabilization exercises applied with motor imagery training on motor imagery skills, functional status, body awareness, dynamic balance, quality of life and anxiety level parameters in mothers with physically disabled children within a biopsychosocial framework and to determine whether motor imagery training given in addition to core stabilization training has an effect on these parameters.

Detailed description: Mothers with special needs children provide physical support to their children in every period of their lives, while meeting their daily care and needs, especially in transfer activities. Staying in the same position for a long time, lifting heavy objects disrupts body mechanics, causes negativities in endurance, flexibility, strength and muscle structure, and reduces the quality of life by increasing anxiety and worry levels. Various applications are needed to cope with these problems and support mothers in this sense. It is known that regular exercise has a positive effect on muscle strength, the body's physiological system, general health and reducing pain. In addition, it has been observed as a result of different studies that it has positive effects on reducing fatigue and increasing the ability to cope with depression and high anxiety levels. In recent years, in addition to classical physiotherapy applications in the mentioned parameters, applications in which cognitive participation is important have begun to be used in physiotherapy. The motor imagery approach is a method created to improve function and increase body awareness and quality of life.The aim of this study is to examine the effectiveness of motor imagery training on motor imagery skills, functional status, body awareness, dynamic balance, quality of life and anxiety level parameters in mothers of physically disabled children.

Eligibility criteria: Inclusion Criteria:

* The primary caregiver of the disabled child is the mother
* The prone lumbar instability test is (+)
* Not receiving any medical treatment for pain
* Not having any obstacles to exercise.

Exclusion Criteria:

* Pregnancy
* History of previous back surgery in the las year
* Having peripheral vascular diseases,radiculopathy, spondylolisthesis, tumor, systemic inflammatory diseases.
* Having cognitive disorders.
* Having central or peripheral neurological disease affecting mobility.
* Having received physical therapy due to back pain in the last 6 months.

Primary outcomes:
measure: Oswestry Disability Index
timeFrame: 8 weeks
measure: Visual Analog Scale
timeFrame: 8 weeks
measure: Algometer
timeFrame: 8 weeks
measure: McGill's core endurance tests
timeFrame: 8 weeks
measure: Modified Star Excursion Balance Test
timeFrame: 8 weeks
measure: Pressure Biofeedback
timeFrame: 8 weeks
measure: Modified Schober Test
timeFrame: 8 weeks
measure: Movement Imagery Questionnaire-3
timeFrame: 8 weeks
measure: Body Awareness Questionnaire
timeFrame: 8 weeks
Secondary outcomes:
measure: SF-36
timeFrame: 8 weeks
measure: Trait Anxiety Inventory.
timeFrame: 8 weeks
measure: International Physical Activity Questionnaire - Short Form
timeFrame: 8 weeks
Other outcomes:
Locations:
city: Batman
country: Turkey
facility: Batman Fatih Kılınç Özel Eğitim ve Rehabilitasyon Merkezi
state: Merkez
Study officials:
References:
citation: Imamura M, Alfieri FM, Filippo TR, Battistella LR. Pressure pain thresholds in patients with chronic nonspecific low back pain. J Back Musculoskelet Rehabil. 2016 Apr 27;29(2):327-336. doi: 10.3233/BMR-150636.
citation: La Touche R, Grande-Alonso M, Cuenca-Martinez F, Gonzalez-Ferrero L, Suso-Marti L, Paris-Alemany A. Diminished Kinesthetic and Visual Motor Imagery Ability in Adults With Chronic Low Back Pain. PM R. 2019 Mar;11(3):227-235. doi: 10.1016/j.pmrj.2018.05.025. Epub 2019 Jan 15.
citation: Vrana A, Hotz-Boendermaker S, Stampfli P, Hanggi J, Seifritz E, Humphreys BK, Meier ML. Differential Neural Processing during Motor Imagery of Daily Activities in Chronic Low Back Pain Patients. PLoS One. 2015 Nov 16;10(11):e0142391. doi: 10.1371/journal.pone.0142391. eCollection 2015.
citation: Salik Sengul Y, Kaya N, Yalcinkaya G, Kirmizi M, Kalemci O. 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 (NY). 2021 Jul-Aug;17(4):334-339. doi: 10.1016/j.explore.2020.02.001. Epub 2020 Feb 22.