Orthopedic Disorder
Conditions
Brief summary
Motor imagery is increasingly used as a plasticity-booster to complement conventional rehabilitation. Here the investigators test the hypothesis that the combination of mental training with conventional rehabilitation may speed up the recovery in patients with total knee arthroplasty. The investigators also characterize the brain correlates of such recovery with imagery tasks for virtual reality environments.
Interventions
Patients of the experimental group will be instructed to imagine walking, from a first person perspective, focusing on the kinaesthetic sensations typically associated with the movement. The motor imagery training will be performed using the support of a laptop, on which there will be presented complex static scenes, representing different kind of paths with different landmarks to reach during the mental walking.
Patients of the control group 1 will undergo a general cognitive training, not based on motor imagery.
All the subjects included in the trial will undergo a series of behavioral test for the evaluation of gai abilities
Sponsors
Study design
Eligibility
Inclusion criteria
* Right handed * No contraindication to the fMRI exam
Exclusion criteria
* Contraindication to the fMRI exam
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Speed of walking | 20 days | The speed of walking recorded in total knee arthroplasty patients of the experimental group will be compared with the same measure recorded in both control groups. |
| BOLD (blood oxygen level-dependent) activity | 20 days | The BOLD activity recorded during functional magnetic resonance imaging (fMRI) in TKA patients of the experimental group will be compared with the same measure recorded in both control groups. |
Countries
Italy