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document
Action observation treatment improves recovery of postsurgical orthopedic patients : evidence for a top-down effect ? OBJECTIVE To assess whether action observation treatment ( AOT ) may also improve motor recovery in postsurgical orthopedic patients , in addition to conventional physiotherapy . DESIGN Randomized controlled trial . SETTING Department of rehabilitation . PARTICIPANTS Patients ( N=60 ) admitted to our department postorthopedic surgery were randomly assigned to either a case ( n=30 ) or control ( n=30 ) group . Exclusion criteria were age 18 years or younger and 90 years or older , Mini-Mental State Examination score of 21 of 30 or lower , no ambulating order , advanced vision impairment , malignancy , pneumonia , or heart failure . INTERVENTIONS All participants underwent conventional physiotherapy . In addition , patients in the case group were asked to observe video clips showing daily actions and to imitate them afterward . Patients in the control group were asked to observe video clips with no motor content and to execute the same actions as patients in the case group afterward . Participants were scored on functional scales at baseline and after treatment by a physician blinded to group assignment . MAIN OUTCOMES MEASURES Changes in FIM and Tinetti scale scores , and dependence on walking aids . RESULTS At baseline , groups did not differ in clinical and functional scale scores . After treatment , patients in the case group scored better than patients in the control group ( FIM total score , P=.02 ; FIM motor subscore , P=.001 ; Tinetti scale score , P=.04 ) ; patients in the case group were assigned more frequently to 1 crutch ( P=.01 ) . CONCLUSIONS In addition to conventional physiotherapy , AOT is effective in the rehabilitation of postsurgical orthopedic patients . The present results strongly support top-down effects of this treatment in motor recovery , even in nonneurologic patients .
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Intervention_Physical
action observation treatment ( AOT )
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Intervention_Control
control
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Intervention_Educational
observe video clips showing daily actions and to imitate them afterward
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Intervention_Physical
.
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Intervention_Educational
observe video clips with no motor content and to execute the same actions as patients in the case group
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Outcome_Other
Changes in
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Outcome_Physical
FIM
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Outcome_Other
and
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Outcome_Physical
Tinetti scale scores
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Outcome_Other
, and dependence on walking aids .
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Outcome_Other
clinical and functional scale scores .
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Outcome_Other
(
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Outcome_Physical
FIM total score
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Outcome_Physical
FIM motor subscore
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Outcome_Physical
Tinetti scale score
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Outcome_Other
frequently to 1 crutch
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Participant_Condition
postsurgical orthopedic patients
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Participant_Condition
postsurgical orthopedic
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Participant_Sample-size
N=60
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Participant_Age
age 18 years or younger and 90 years or older