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Graded Motor Imagery

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    • Much agreed Susan. I am also using this protocol and recognize with many of my chronic pain/CRPS patients. Glad to hear its being implemented at HS Harmarville! Hope you guys are doing well!

  1. Is anyone using GMI (and mirrors) for other things besides pain? I’m using it with a lot of variable chronic pain things, but I’ve also used it with cva’s (mostly mirror) and one person with a peripheral nerve injury (whom has had some minor improvement compared to everything else I’ve tried–she’s really learned some wrong movement patterns). Which the latter person brings up thoughts I’ve had about peripheral nerve injury issues. In Butler/Mosely’s GMI book, it talks about part of the problem of pain is with the brain has problems with disinhibition so that too many areas fire with nocioceptive info. The brain learns to (and because of neuroplasticity gets really good at) firing the “wrong” parts. If so, would that not work in the case of a lost muscle activation from a nerve injury? And could the brain do a good enough job of neuroplastic adaptation that, even when the nerve has relatively healed, the brain simply doesn’t use it. A learned paralysis? I think it’s possible and that is where mirrors and graded motor imagery might help for those types of issues. I know it’s done with people with CVA’s, but that is obviously a more brain issue, but I haven’t heard about it with peripheral injuries (which would tend to be thought of as a non-CNS issue).
    And I’m not sure I explained the disinhibition part very well…..

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