@misc{10481/106604,
year = {2025},
month = {8},
url = {https://hdl.handle.net/10481/106604},
abstract = {Introduction: A highly prevalent condition, knee pain often results in significant functional limitations and a reduced quality
of life. Due to its multifactorial causes and diverse pathologies, numerous therapeutic approaches have been proposed, each with
varying degrees of success. Among these, movement representation strategies have emerged as promising interventions. These
techniques engage the central nervous system by using mental simulation of motor actions—such as motor imagery and action
observation—without the need for actual physical movement, often focusing on imagining or observing pain-free, unrestricted
motion.
Methods: Because the effectiveness of movement representation strategies in knee pain remains uncertain and no prior synthesis of randomised evidence exists, a systematic review of the literature was conducted for randomised controlled trials indexed
from three databases inception to March 2025. Two reviewers performed independent data extraction and methodologic quality
assessment of the studies.
Results: Eleven studies were included in this review. The results of pain and function outcomes showed significant improvements after interventions based on movement representation techniques. The meta-analyses showed that these techniques have
a significant effect on pain and function.
Discussion and Conclusion: The results of our review demonstrated notable results from the implementation of movement
representation techniques to standard physical therapy aimed at decreasing pain and increasing function in patients with knee
pain. The meta-analyses revealed a significant positive effect of these interventions.
Significance Statement: Movement representation strategies combined with physical therapy have a significant effect on function and pain in patients with knee pain. The most commonly used strategies were motor imagery training and action observation training. The meta-analyses revealed a significant positive effect of these interventions, showing improvements in both pain
and function in patient with knee pain.},
organization = {Spanish Ministry of Education (FPU:21/00451 and FPU:22/01543)},
publisher = {John Wiley & Sons Ltd},
keywords = {function},
keywords = {knee},
keywords = {movement representation techniques},
title = {Effectiveness of Movement Representation Strategies in Knee Pain: A Systematic Review and Meta-Analyses on Knee Pain and Function},
doi = {10.1002/ejp.70100},
author = {Flebus, Julie and Martin Núñez, Javier and Granados Santiago, María and Heredia Ciuró, Alejandro and Calvache Mateo, Andrés and Navas Otero, Alba and Valenza, Marie Carmen},
}