Managing chronic non-specific neck pain with multimodal physical therapy treatment, including modified graded motor imagery with action observation. A case report
Date
2025
Authors
Lamb, C.C.
Boyd, B.S.
Wallwork, S.B.
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Journal article
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JOSPT Cases, 2025; 5(2):96-102
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Abstract
Background: Graded motor imagery [GMI] is a treatment for patients with chronic pain. GMI was initially developed for pain conditions of the extremities (e.g., hand, elbow), but has limited application for chronic neck pain.
Case presentation: A 40-year-old female with a 11-year history of right-sided neck pain and migraines was referred to physical therapy. She reported ongoing symptoms despite engaging with various interventions over an 11-year period.
Outcome and follow-up: A 4-stage modified GMI program, as part of a multimodal treatment program, resulted in a reduced Neck Disability Index score from 17/50 to 6/50, increased average Patient Specific Functional Scale score on 5 items from 4.4 to 7.6, and significant reduction in pain and migraine frequency and intensity.
Discussion: A multimodal treatment program that included a modified-GMI program yielded clinical benefits in a patient with chronic non-specific neck pain.
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Copyright 2025 Journal of Orthopaedic & Sports Physical Therapy, Inc.