OBJECTIVE: To assess whether action observation treatment (AOT) may also improve motor recovery in postsurgical orthopedic patients, in addition to conventional physiotherapy. DESIGN: Randomized controlled trial. SETTING: Department of rehabilitation. PARTICIPANTS: Patients (N=60) admitted to our department postorthopedic surgery were randomly assigned to either a case (n=30) or control (n=30) group. Exclusion criteria were age 18 years or younger and 90 years or older, Mini-Mental State Examination score of 21 of 30 or lower, no ambulating order, advanced vision impairment, malignancy, pneumonia, or heart failure. INTERVENTIONS: All participants underwent conventional physiotherapy. In addition, patients in the case group were asked to observe video clips showing daily actions and to imitate them afterward. Patients in the control group were asked to observe video clips with no motor content and to execute the same actions as patients in the case group afterward. Participants were scored on functional scales at baseline and after treatment by a physician blinded to group assignment. MAIN OUTCOMES MEASURES: Changes in FIM and Tinetti scale scores, and dependence on walking aids. RESULTS: At baseline, groups did not differ in clinical and functional scale scores. After treatment, patients in the case group scored better than patients in the control group (FIM total score, P=.02; FIM motor subscore, P=.001; Tinetti scale score, P=.04); patients in the case group were assigned more frequently to 1 crutch (P=.01). CONCLUSIONS: In addition to conventional physiotherapy, AOT is effective in the rehabilitation of postsurgical orthopedic patients. The present results strongly support top-down effects of this treatment in motor recovery, even in nonneurologic patients.
RCT Entities:
OBJECTIVE: To assess whether action observation treatment (AOT) may also improve motor recovery in postsurgical orthopedic patients, in addition to conventional physiotherapy. DESIGN: Randomized controlled trial. SETTING: Department of rehabilitation. PARTICIPANTS: Patients (N=60) admitted to our department postorthopedic surgery were randomly assigned to either a case (n=30) or control (n=30) group. Exclusion criteria were age 18 years or younger and 90 years or older, Mini-Mental State Examination score of 21 of 30 or lower, no ambulating order, advanced vision impairment, malignancy, pneumonia, or heart failure. INTERVENTIONS: All participants underwent conventional physiotherapy. In addition, patients in the case group were asked to observe video clips showing daily actions and to imitate them afterward. Patients in the control group were asked to observe video clips with no motor content and to execute the same actions as patients in the case group afterward. Participants were scored on functional scales at baseline and after treatment by a physician blinded to group assignment. MAIN OUTCOMES MEASURES: Changes in FIM and Tinetti scale scores, and dependence on walking aids. RESULTS: At baseline, groups did not differ in clinical and functional scale scores. After treatment, patients in the case group scored better than patients in the control group (FIM total score, P=.02; FIM motor subscore, P=.001; Tinetti scale score, P=.04); patients in the case group were assigned more frequently to 1 crutch (P=.01). CONCLUSIONS: In addition to conventional physiotherapy, AOT is effective in the rehabilitation of postsurgical orthopedic patients. The present results strongly support top-down effects of this treatment in motor recovery, even in nonneurologic patients.
Authors: Mitesh Patel; R Edward Roberts; Mohammed U Riyaz; Maroof Ahmed; David Buckwell; Karen Bunday; Hena Ahmad; Diego Kaski; Qadeer Arshad; Adolfo M Bronstein Journal: J Neurophysiol Date: 2015-07-08 Impact factor: 2.714
Authors: Lucia Maria Sacheli; Laura Zapparoli; Carlo De Santis; Matteo Preti; Catia Pelosi; Nicola Ursino; Alberto Zerbi; Giuseppe Banfi; Eraldo Paulesu Journal: Hum Brain Mapp Date: 2017-07-21 Impact factor: 5.038
Authors: Riccardo Dalla Volta; Fabrizio Fasano; Antonio Cerasa; Graziella Mangone; Aldo Quattrone; Giovanni Buccino Journal: Front Psychol Date: 2015-10-01