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The Graded Motor Imagery Handbook

Finally! A handbook arising from the last 15 years of neuroscience, clinical trials and clinical reasoning science is here for both clinicians and pain sufferers.

Graded Motor Imagery (GMI) offers a novel three stage synaptic exercise process for neuropathic pain involving left/right discrimination, imagined movements and mirror therapy. With patience, persistence and often lots of hard work, GMI gives new hope for treatment outcomes.

David Butler shows how curiosity and learning are critical allies in the search for why you or your patients hurt and he encourages a deep knowledge of the therapy and science behind GMI for the best outcomes.

Lorimer Moseley shares his researcher’s inquisitiveness about the science behind GMI and the neuromatrix: the representation of body parts in our brains and how and why these representations may be affected by injury. GMI aims to alter pain ‘neurotags’ or sensitive networks in the brain. Graded motor imagery is a treatment in its infancy. How do we know if it is appropriate to use? How do we know what’s normal?

Tim Beames invites us on a clinical reasoning exploration through patient-therapist narratives, providing invaluable insights into the progression from left/right discrimination, imagined movements to use of mirrors. The online RecogniseTM programme was developed to assess and restore the Lefts and Rights in your brain.

Tom Giles, the go-to guy for RecogniseTM, provides the ‘nuts and bolts’ of how to get the best out of the online programme, smart phone app and other practical GMI tools.


Graded motor imagery resources

www.noigroup.com/recognise
www.gradedmotorimagery.com
Evidence based document for graded motor imagery

www.bodyinmind.org/resources


Authors: Prof. G. Lorimer Moseley, Dr David S. Butler, Timothy B. Beames, Thomas J. Giles.
ISBN: 978-0-9872467-5-2
Illustrations and diagrams. 143 pages

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BOOK REVIEWS


A review by Diane Jacobs, PT, Writer
With the release of The Graded Motor Imagery Handbook this spring, Noigroup (Neuro Orthopaedic Institute) takes itself, and by extension, the physiotherapy profession, out of “tissues”, past the foramen magnum, and into the brain, which provides (at least to this PT reviewer) a bridge across the Cartesian chasm that long ago divided the branch of the profession which considers itself “Neuro”, from the one that considers itself “Ortho”; this bridge is built from fifteen years of deep Noigroup marination in neuro and pain science and education. Read more...

A review by Bronwyn Thompson, MSc (Psych), DipOT
Graded motor imagery (GMI) has become incredibly popular in pain management, especially for people with unilateral pain.  It’s a treatment that is intensive for patients/participants, but is non-invasive, means the person with pain develops self management skills, and has level B1 evidence.  For those who don’t know – level B1 evidence means there are several RCT’s, and at least one meta-analysis showing support for this approach. Read more...

A review by Jan Fisher (Jeisea), wife of 38 years and a mother of 2 fantastic adults, pain sufferer.
This new Noigroup publication is born of a firm conviction that, as Lorimer Moseley says, "people in pain do better if they are given the resources to master their situation". To this end The Graded Motor Imagery Handbook builds on and extends much further the knowledge that Explain Pain began. A persistent theme is that treatment requires patience and persistence, courage and commitment. I have to agree with that. Read more...