tag:blogger.com,1999:blog-17692328.post7542834764735005926..comments2023-12-10T05:51:24.892-08:00Comments on HumanAntiGravitySuit: Book review: "The Graded Motor Imagery Handbook"Diane Jacobshttp://www.blogger.com/profile/01356363026969420734noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-17692328.post-60082899073411971482019-01-04T04:00:52.963-08:002019-01-04T04:00:52.963-08:00I am afraid this discussion is closed...
I would l...I am afraid this discussion is closed...<br />I would like to ask about bilaeral crps, when both knees for example are involved in the process, mirror therapy will not be easy to perform...<br />Is there any experience in this case.<br />thanks for the tools by the way, it brings lots of help.<br />Dina Barmaki, RheumatologistAnonymoushttps://www.blogger.com/profile/04588687476317718637noreply@blogger.comtag:blogger.com,1999:blog-17692328.post-5381033999017164292012-05-17T03:45:38.351-07:002012-05-17T03:45:38.351-07:00Thank you for your comment vyapada. I'm sure t...Thank you for your comment vyapada. I'm sure the authors would not disagree with either you or Neil. Perhaps one of them will come by to comment directly. <br /><br />I would like to mention that in preparation for writing this review, I casually googled "graded motor imagery" and learned that there were 19,500 papers available on the topic in Google Scholar, and was suitably impressed. A profession which calls its members 'movement specialists' clearly needs to become aware of and more conversant in GMI. In my opinion, NOIgroup is helping to move the whole profession forward by investigating GMI from a PT application point of view.Diane Jacobshttps://www.blogger.com/profile/01356363026969420734noreply@blogger.comtag:blogger.com,1999:blog-17692328.post-91208955748651307512012-05-17T01:53:25.934-07:002012-05-17T01:53:25.934-07:00My (simplified) understanding of their work (readi...My (simplified) understanding of their work (reading papers, not book) was that a single patient had difficulty with explicit motor imagery and therefore implicit motor imagery was developed. A patient I treated with who was suffering from CRPS had no difficulties with explicit motor imagery... I agree with Neil that we should treat our patients as individuals and assess appropriate interventions and not merely stick to programs. Perhaps some may benefit from immediate mirror box therapy?vyapadahttps://www.blogger.com/profile/09062228585710457364noreply@blogger.comtag:blogger.com,1999:blog-17692328.post-54298251193525045032012-05-16T14:21:35.533-07:002012-05-16T14:21:35.533-07:00Thank you for those thoughts Neil.
Meanwhile, on ...Thank you for those thoughts Neil. <br />Meanwhile, on the topic of the relationship of thoughts to movement, there is this new development: http://www.youtube.com/watch?v=QRt8QCx3BCoDiane Jacobshttps://www.blogger.com/profile/01356363026969420734noreply@blogger.comtag:blogger.com,1999:blog-17692328.post-34310420521278283572012-05-16T12:59:06.151-07:002012-05-16T12:59:06.151-07:00I think that this is a great book too. I have not ...I think that this is a great book too. I have not read it through carefully yet, so it is possible that some of this comment is related more to this blog than to the book.<br />I wonder how much we need to get in 'that far under the radar'. When we educate people, we do not know how many of them are okay starting with the idea that their beliefs about pain are wrong. Certainly many have sort of figured out that 'it doesn't make sense' and that this might mean that their beliefs are not accurate. Others have been trained to stubbornly hold on to their beliefs. <br />For GMI, we do not know that we need to go in with limb laterality work first, using recognise. There is excellent research showing this is very much needed in people with CRPS. Yet we know that brain and body changes are different in CRPS, so do we need Recognise for that many people? Sort of akin to this question, do we need a capnograph to help everyone with latered breathing related to their pain? <br />The authors provide a sound theoretical premise, which no doubt has truth, and PTs will treat as absolute truth. I think we need to remember that the clinical outcomes we find with this process, do not necessarily support the theory.<br />My belief is that many people can start with explicit GMI. We need to look to the motor learning research that shows us there are grades of neuromatrix engagement within different types of explicit GMI. Start everyone on the more advanced motor imagery typical of a high diver and we get loads of nervous system engagement - that could crank up the pain. Use either kinesthetic, 1st person visual or 3rd person visual imagery and you get different levels of engagement, and aften we can find ways to not engage the neurotag with these. The other intersting idea of course would be to compare whether using Recognise would provide superior results to a intervention based on the same concepts, and without this technology.<br />Equally important, it is possible that Recognise's positive impact works through a process not quite related to 'getting in under the neurotag radar'. Maybe Recognise reconnects the individual to a more normal body awareness and body image. Pain distorts these, and there is evidence that improving them in the face of pain is not only possible but is correlated to positive changes in the pain. Maybe if we are more able to experience our body and its physiological state, the neurotags are less activated when we attempt explicit motor imagery.<br /><br />Of course, not that I state all this, I want to reaffirm that this is an excellent book. It is innovative and hopefully makes one think more than mindlessly follow the intervention process - whichh of course is one that has excellent clinical validity even for a clinician who doesn't quite buy the theoretical premise provided.<br />I bought one for me, and one for the clinicians with whom I work!Neil Pearsonnoreply@blogger.com