Abstract
Background
Severe grade rotator cuff injuries require surgery, but post-surgical pain and kinesiophobia can hinder rehabilitation. Graded Motor Imagery (GMI) aids to reduce these challenges through its three phases. However, there is less supporting evidence on the effect of GMI in post-surgical shoulder rehabilitation cases.
Objective
To explore the added effect of GMI combined with conventional rehabilitation on pain, kinesiophobia, functions, and joint mobility following rotator cuff repair
Methods
16 participants (aged 45–60) were randomly assigned to experimental (GMI + conventional rehabilitation) and control (conventional rehabilitation) groups. Primary outcome was pain (NPRS), and secondary outcomes were kinesiophobia (TSK), shoulder function (Quick DASH), and mobility (goniometer). Assessments occurred pre-operatively, 3rd post-op day pre-rehab, and post-rehab after 3 weeks. Phase 1 GMI began post-immobilization (day 3) in the hospital; Phases 2 and 3 followed on alternate days after discharge via home or OPD sessions according to the convenience of the patient.
Results
At 3 weeks, experimental group showed improvements across all measures, pain (d = −2.55; P = .002), kinesiophobia (d = −3.18; P = .001), functional status (d = −1.71; P = .007) and shoulder mobility flexion (d = 4.65; P = .0001), abduction (d = 6.43; P = .0001), Internal (d = 1.48; P = .012) and External rotation (d = 2.71; P = .002).
Conclusion
Adding GMI to conventional post-surgical rehabilitation may help to reduce pain and kinesiophobia, thereby improving functional outcomes and mobility following rotator cuff repair.
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References
Supplementary Material
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