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Graded motor imagery (GMI) is a brain-based treatment that can be used in an orthopedic rehab setting to gradually target the activation of different brain regions without activating pain neurotags. GMI training consists of 3 parts: 1.) Left/right (laterality) discrimination of the affected area (aka implicit motor imagery) 2.) Explicit motor imagery 3.) Mirror therapy Not ready to begin GMI? Don’t worry, one can start by repeatedly watching others move into the position that would usually elicit pain (i.e., lumbar flexion, in the case of low back pain and giving thumbs up in the case of osteoarthritis of the thumb). Mirror neurons most likely serves as the mechanism for this (check out our last post on mirror neurons). Swipe left to see the progression (in purple). . . P.S. Context of the task, location, time and background noises can be manipulated in order to increase the demand in a graded manner. And GMI isn't a stand alone treatment, it needs to be integrated with the appropriate education and multidisciplinary care. This is a continuation of our #GradedMotorImagerySeries (<-- check it out) so make sure to check out our last 3 posts and our upcoming posts. These posts will help you to better understand our upcoming series, #IsNeuroplasticityTheMissingLinkToTheManagementOfPersistentMusculoskeletalPainSeries. Follow us @neuroorthobasedapproach #neuroorthobasedapproach #noigroup @noigroup #gradedmotorimagery Disclaimer: This is only used for educational purposes. If you need specific medical advice, please seek a professional who is licensed or knowledgeable in that area. Ref πŸ“š: Moseley et al. (2012). The Graded Motor Imagery Handbook. 2 ♡ 1 ✍ March 21