Díaz-Mohedo Esther, González-Roldán Gloria, Muñoz-Gámez Inmaculada, Padilla-Romero Virginia, Castro-Martín Eduardo, Cabrera-Martos Irene, Sánchez-García Clara
Department of Physiotherapy, Faculty of Health Sciences, University of Malaga, Avda. Arquitecto Francisco Peñalosa, s/n, 29071 Málaga, Spain.
Faculty of Health Sciences, University of Málaga, 29071 Málaga, Spain.
J Clin Med. 2023 Jul 18;12(14):4738. doi: 10.3390/jcm12144738.
Implicit motor imagery (IMI), with an image laterality discrimination (LD) task, has been proposed as a useful therapeutic tool to restore body schema in patients with chronic pelvic pain (CPP). The aim of this study was to analyse the existence of differences between patients with CPP and healthy individuals in order to justify the use of IMI. An observational, cross-sectional study with non-probabilistic sampling was designed as a one-to-one matched case-control study. Through a web link designed for this purpose, a total of 40 abdominoperineal images were shown to 130 participants during the laterality task. Outcome measures were pain intensity (visual analogue scale, VAS), accuracy, response time (RT), and CPPQ-Mohedo score (Chronic Pelvic Pain Questionnaire-Mohedo). This was an observational, cross-sectional study with a total of 64 CPP patients and 66 healthy individuals. The comparative analysis between groups revealed significant differences in accuracy, CPPQ-Mohedo and VAS ( < 0.001), but not in RT; in patients with CPP, accuracy was correlated with a lower CPPQ-Mohedo score and RT and, the greater the pain intensity, the higher the CPPQ-Mohedo score and RT, and the lower the accuracy. In the LD task, the patients with CPP made more mistakes than the healthy individuals. IMI could be a useful and complementary tool in the therapeutic approach for patients with CPP.
隐式运动想象（IMI）结合图像侧性辨别（LD）任务，已被提议作为一种有用的治疗工具，用于恢复慢性盆腔疼痛（CPP）患者的身体图式。本研究的目的是分析CPP患者与健康个体之间是否存在差异，以证明IMI的使用合理性。一项采用非概率抽样的观察性横断面研究被设计为一对一匹配的病例对照研究。通过为此目的设计的网络链接，在侧性任务期间向130名参与者展示了总共40张腹会阴图像。观察指标包括疼痛强度（视觉模拟量表，VAS）、准确率、反应时间（RT）和CPPQ-Mohedo评分（慢性盆腔疼痛问卷-Mohedo）。这是一项观察性横断面研究，共有64名CPP患者和66名健康个体。组间比较分析显示，在准确率、CPPQ-Mohedo和VAS方面存在显著差异（<0.001），但在RT方面无显著差异；在CPP患者中，准确率与较低的CPPQ-Mohedo评分和RT相关，疼痛强度越大，CPPQ-Mohedo评分和RT越高，准确率越低。在LD任务中，CPP患者比健康个体犯的错误更多。IMI可能是CPP患者治疗方法中一种有用的辅助工具。
