The effect of graded motor imagery on pain and function in individuals with knee osteoarthritis a comparative randomized controlled trial

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dc.authorid0000-0002-2510-5410
dc.authorid0000-0002-7148-4562
dc.authorid0000-0002-7148-4562
dc.contributor.authorYıldız Kızkın, Zeynep
dc.contributor.authorOğuz, Semra
dc.contributor.authorAk, Semih
dc.date.accessioned2025-06-22T16:06:43Z
dc.date.available2025-06-22T16:06:43Z
dc.date.issued2025
dc.departmentAÇÜ, Sağlık Hizmetleri Meslek Yüksekokulu, İş ve Uğraşı Terapisi Bölümü
dc.description.abstractObjectives: The aim of the study was to examine whether graded motor imagery was as effective as transcutaneous electrical nerve stimulation in improving pain and functionality in patients with knee osteoarthritis. Design: Forty-six patients with knee osteoarthritis were randomized (1:1) into the graded motor imagery and the transcutaneous electrical nerve stimulation groups. Both groups participated in home-based and functional exercises. Avisual analog scale, the pressure pain threshold, range of motion, muscle strength, the Timed Up and Go Test, and the Western Ontario and McMaster Universities Osteoarthritis Index were evaluated at baseline, after 8 wks of treatment, and after a 6-wk followup period. Results: The within-group comparisons showed significant improvements in outcomes for both treatments. However, the difference between the groups was significant in favor of the graded motor imagery group in knee flexion range of motion, knee extensor muscle strength, and Western Ontario and McMaster Universities Osteoarthritis Index–pain and function parameters at the end of the treatment, and visual analog scale–activity, knee flexor muscle strength, and Western Ontario and McMaster Universities Osteoarthritis Index–stiffness values showed greater improvement in the graded motor imagery group compared with the transcutaneous electrical nerve stimulation group at the end of the 6-wk follow-up (for all, P < 0.05). Conclusions: Graded motor imagery seems to be a more effective adjuvant than transcutaneous electrical nerve stimulation. If applied in patients with knee osteoarthritis, pain and functional recovery improved, and results were maintained for up to 6 wks.
dc.identifier.doi10.1097/PHM.0000000000002663
dc.identifier.endpage543
dc.identifier.issn08949115
dc.identifier.issue6
dc.identifier.pmid39642317
dc.identifier.scopus2-s2.0-105007051903
dc.identifier.scopusqualityQ1
dc.identifier.startpage534
dc.identifier.urihttps://hdl.handle.net/11494/5587
dc.identifier.volume104
dc.identifier.wosWOS:001504179800013
dc.identifier.wosqualityQ1
dc.indekslendigikaynakScopus
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorYıldız Kızkın, Zeynep
dc.institutionauthorid0000-0002-2510-5410
dc.language.isoen
dc.publisherLippincott Williams and Wilkins
dc.relation.ispartofAmerican Journal of Physical Medicine and Rehabilitation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectExercise
dc.subjectKnee joint
dc.subjectPain
dc.subjectRange of motion
dc.titleThe effect of graded motor imagery on pain and function in individuals with knee osteoarthritis a comparative randomized controlled trial
dc.typeArticle

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