de Souza Nélio Silva, Martins Ana Carolina Gomes, Bastos Victor Hugo do Vale, Orsini Marco, Leite Marco Antônio A, Teixeira Silmar, Velasques Bruna, Ribeiro Pedro, Bittencourt Juliana, Matta André Palma da Cunha, Filho Pedro Moreira
University Center Serra dos Órgãos, Teresópolis; Science of Rehabilitation, Centro Universitário Augusto Motta, Rio de Janeiro.
University Center Serra dos Órgãos, Teresópolis; Integrated Health of Women and Children, Fluminense Federal University, Niterói.
Neurol Int. 2015 Dec 31;7(3):5962. doi: 10.4081/ni.2015.5962. eCollection 2015 Dec 29.
The motor imagery (MI) has been proposed as a treatment in the complex regional pain syndrome type 1 (CRPS-1), since it seems to promote a brain reorganization effect on sensory-motor areas of pain perception. The aim of this paper is to investigate, through an integrative critical review, the influence of MI on the CRPS-1, correlating their evidence to clinical practice. Research in PEDro, Medline, Bireme and Google Scholar databases was conducted. Nine randomized controlled trials (level 2), 1 non-controlled clinical study (level 3), 1 case study (level 4), 1 systematic review (level 1), 2 review articles and 1 comment (level 5) were found. We can conclude that MI has shown effect in reducing pain and functionality that remains after 6 months of treatment. However, the difference between the MI strategies for CRPS-1 is unknown as well as the intensity of mental stress influences the painful response or effect of MI or other peripheral neuropathies.
运动想象（MI）已被提议作为1型复杂性区域疼痛综合征（CRPS-1）的一种治疗方法，因为它似乎能促进大脑对疼痛感知的感觉运动区域产生重组效应。本文的目的是通过综合批判性综述，研究运动想象对CRPS-1的影响，并将其证据与临床实践相关联。我们在PEDro、Medline、Bireme和谷歌学术数据库中进行了检索。共找到9项随机对照试验（2级）、1项非对照临床研究（3级）、1项病例研究（4级）、1项系统评价（1级）、2篇综述文章和1条评论（5级）。我们可以得出结论，运动想象在减轻治疗6个月后仍存在的疼痛和功能障碍方面已显示出效果。然而，CRPS-1的运动想象策略之间的差异尚不清楚，精神压力的强度对疼痛反应或运动想象的效果或其他周围神经病变的影响也不清楚。
