Pain Management Table 11 Visual Imagery

Author Year
Country
Score
Research Design
Total Sample Size

Methods

Outcome

Moseley 2007
UK
D&B=11
Pre-Post
N=5

Population: Mean age=32.2yrs; Level of injury: T=1, L=4; Type of pain=neuropathic.
Treatment: Individuals with SCI (n=5) engaged in: (1) virtual walking exercise; (2) guided imagery with a psychologist who took them through a scene in which they were pain free and doing something they liked; (3) watching an animated film. During the second part of the study, participants performed 10 min of virtual walking on 15 consecutive weekdays.
Outcome Measures: MPQ; VAS

 

  1. Pain decreased by approximately 65% with virtual walking; less so for guided visual imagery and film viewing.
  2. The amount of time to return to pre-task pain VAS after virtual walking was 34.9 min; after guided imagery 13.9 min; and after watching a film 16.3 min.
  3. The decrease in perceived foreignness of the legs was 43mm during virtual walking, 4mm during guided imagery, and 3mm while watching the film.
  4. Change in foreignness was related to change in pain during virtual walking (p=0.04).
  5. During the 3-week trial of virtual walking, overall pre-task pain gradually decreased; and pain relief gradually increased; these effects persisted at 3 months follow-up.

Note: MPQ=McGill Pain Questionnaire; VAS=Visual Analogue Scale