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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TKA patients - Experimental Group |
| ||
| TKA patients - Control Group 1 |
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| Healthy subjects - Control Group 2 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mental training based on Motor Imagery | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Speed of walking | 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. | 20 days |
| BOLD (blood oxygen level-dependent) activity | 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. | 20 days |
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Inclusion Criteria:
Exclusion Criteria:
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Experimental group (MI training): 24 candidates to TKA (aged between 45 and 65 years) will undergo a specific MI training during the period of post-surgical rehabilitation, in addition to the usual physical rehabilitation.
Control group 1 (non-specific cognitive training): 24 candidates to TKA will undergo a non-specific cognitive treatment during the period of post-surgical rehabilitation, in addition to the usual physical rehabilitation.
Control group 2: 48 subjects with similar demographic characteristics to those of the previous two groups will be evaluated with the same cognitive/fMRI paradigm to assess in TKA candidates the presence of anomalies of cortical organization of the motor system in the pre-surgical phase.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| IRCCS Galeazzi Orthopedic Hospital | Recruiting | Milan | 20161 | Italy |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Nov 28, 2019 | |
| Reset | Dec 19, 2019 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Nov 28, 2019 | Dec 19, 2019 |
| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D000091942 | Cognitive Training |
| ID | Term |
|---|---|
| D000066530 | Neurological Rehabilitation |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
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| Cognitive training | Behavioral | Patients of the control group 1 will undergo a general cognitive training, not based on motor imagery. |
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| Evaluation of gait abilities | Behavioral | All the subjects included in the trial will undergo a series of behavioral test for the evaluation of gai abilities |
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| D005791 |
| Patient Care |
| D013812 | Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |