Effects of graded motor imagery on fear of movement, pain, and rehabilitation in patients with kinesiophobia after video-assisted thoracoscopic surgery for lung cancer: A randomized controlled trial

Malignancy Spectrum Pub Date : 2025-03-19 DOI:10.1002/msp2.70001

Xinyuan Zhang, Xiaohong Zhang, Xingu Chen, Shuping Liang, Yan Yu, Hui Li, Qunqing Chen, Li Li

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Abstract

Objective

This study aimed to evaluate the effects of graded motor imagery (GMI) on fear of movement, pain, and rehabilitation in patients with kinesiophobia after video-assisted thoracoscopic surgery (VATS) for lung cancer.

Methods

Fifty-eight participants with kinesiophobia after VATS were randomly assigned into two groups: one receiving usual care (the control group) and the other receiving usual care plus GMI (the GMI group). The GMI was delivered in three stages: left/right limb identification, motor imagery, and mirror therapy delivered by two researchers every afternoon starting on the first postoperative day, once a day for about 40 min, at least twice. Level of fear of movement, pain-related patient-reported outcomes (PROs), rehabilitation exercise participation, and peak expiratory flow (PEF) were compared between the two groups.

Results

Twenty-seven eligible participants were included in the GMI group and 29 in the control group. Compared to the reports on the first postoperative day, the participants who received GMI reported at discharge significant reductions in kinesiophobia, intensity of worst pain and least pain, and interference of pain with activities and emotions, and increases in rehabilitation exercise participation and PEF than those in the control group (p < 0.05). An unexpected finding was a reduced surgery-to-discharge interval in the patients who received GMI (almost a day earlier than those in the control group).

Conclusion

GMI can reduce fear of movement, improve pain-related PROs, and increase rehabilitation exercise participation and PEF for lung cancer patients with kinesiophobia after VATS.

The study was registered at the Chinese Clinical Trial Registry (ChiCTR2300072612).

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分级运动意象对肺癌胸腔镜手术后运动恐惧症患者的运动恐惧、疼痛和康复的影响：一项随机对照试验

目的本研究旨在评估分级运动想象（GMI）对肺癌视频辅助胸腔镜手术（VATS）后运动恐惧患者的运动恐惧、疼痛和康复的影响。方法将 58 名 VATS 术后运动恐惧患者随机分为两组：一组接受常规护理（对照组），另一组接受常规护理加 GMI（GMI 组）。GMI 分三个阶段进行：左/右侧肢体识别、运动想象和镜像疗法，由两名研究人员从术后第一天开始每天下午进行，每天一次，每次约 40 分钟，至少两次。比较两组患者对运动的恐惧程度、与疼痛相关的患者报告结果（PROs）、康复运动参与度和呼气峰流速（PEF）。结果符合条件的 27 人被纳入 GMI 组，29 人被纳入对照组。与术后第一天的报告相比，接受 GMI 治疗的参试者在出院时报告的运动恐惧症、最严重疼痛强度和最轻微疼痛强度、疼痛对活动和情绪的干扰均明显减少，康复运动参与度和呼气峰值流量也比对照组的参试者有所增加（P <0.05）。一个意想不到的发现是，接受 GMI 治疗的患者从手术到出院的间隔时间缩短了（比对照组提前了近一天）。结论 GMI 可以减轻 VATS 术后运动恐惧的肺癌患者对运动的恐惧，改善与疼痛相关的 PROs，提高康复锻炼的参与率和 PEF。该研究已在中国临床试验注册中心注册（ChiCTR2300072612）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Malignancy Spectrum

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