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Modified Graded Motor Imagery Programme Containing "Fekos Mirror Therapy method": A Novel Therapeutic Method for the Treatment of Shoulder Dysfunctions - a Pilot Study| Abstract
ISSN: 2165-7025

Journal of Novel Physiotherapies
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  • Research Article   
  • J Nov Physiother 2018, Vol 8(1): 375
  • DOI: 10.4172/2165-7025.1000375

Modified Graded Motor Imagery Programme Containing "Fekos Mirror Therapy method": A Novel Therapeutic Method for the Treatment of Shoulder Dysfunctions - a Pilot Study

Chrysovalantis Fekos1*, Alexandra Kallistratou2, Konstantinos Fousekis3, Paris Iakovidis4, Stavros Kottaras5 and Ilias Kallistratos6
1BSc, Physiotherapist, Private Practice, , England, United Kingdom
2BSc, MSc, Senior Physiotherapist, Private Practice, , England, United Kingdom
3BSc, MSc, PhD, Physiotherapist, Assistant Professor,, Human Assessment and Rehabilitation Lab, Department of Physiotherapy, Technological Educational Institute of Western Greece, , Greece
4BSc, MSc, PhDcand, Physiotherapist, Lecturer, Physiotherapy Department, Alexander Technological Educational Institute of Thessaloniki, , Greece
5BSc, MSc, PhD, Physiotherapist, Assistant Professor, Physiotherapy Department, Alexander Technological Educational Institute of Thessaloniki, , Greece
6BSc, PhD, Physiotherapist, Professor, Lab of Basic Research in Physiotherap, Physiotherapy Department, Alexander Technological Educational Institute of Thessaloniki, , Greece
*Corresponding Author : Chrysovalantis Fekos, United Kingdom, Tel: (+44) 07425247947, Email: [email protected]

Received Date: Dec 18, 2017 / Accepted Date: Dec 26, 2017 / Published Date: Dec 31, 2017


Objective: Mirror therapy (MT) is an important technique in the rehabilitation of patients who experience pain and decreased function. However, there are limited research studies on its application and effectiveness in shoulder pathologies, especially when it is applied as a part of graded motor imagery (GMI). The present study aims to highlight a novel therapeutic approach for the treatment of shoulder painful pathologies, using an innovative Mirror Therapy (Fekos Mirror Therapy) method in combination with motor imagery.
Purpose: To investigate the efficacy of a novel MT included in an aggressive GMI protocol regarding pain reduction and range of motion (active shoulder flexion) restoration in patients with painful shoulder conditions.
Methods: A novel GMI programme (Implicit Motor Imagery, Explicit Motor Imagery, and Fekos Mirror Therapy) was applied in five female patients (age: 18 -77 years) with symptoms of pain and decreased active range of motion for more than three months, for four treatment sessions (one-hour sessions). Variables assessed in each session included the active shoulder flexion (SpineCor®), pain (VAS), accuracy and response time in laterality recognition of the body (Recognise Online™) and the motor imagery ability (the Kinesthetic and Visual Imagery Questionnaire/KVIQ - 10).
Results: KVIQ-10 showed improvement in the motor imagery ability for the two sub-scales. The active shoulder flexion was increased and the pain decreased in all five patients, but the last one with fluctuation. According to Recognise Online™ programme, only one patient scored higher response times and lower accuracy for the affected limb compared to the healthy one.
Conclusions: Central nervous system damage is present in chronic musculoskeletal patients, and GMI protocol containing Fekos Mirror Therapy technique may have a positive effect on the recovery of painful joint functional capacities. This method is in need of further implementation in randomized control studies for the confirmation of its efficacy.

Keywords: Mirror therapy; Shoulder; Graded motor imagery; Motor imagery; Pain; Active range of motion; Implicit motor imagery

Citation: Fekos C, Kallistratou A, Fousekis K, Iakovidis P, Kottaras S, et al. (2017) Modified Graded Motor Imagery programme containing “Fekos Mirror Therapy method”: Α novel therapeutic method for the treatment of shoulder dysfunctions - a pilot study. J Nov Physiother 7: 375. Doi: 10.4172/2165-7025.1000375

Copyright: © 2017 Fekos C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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