Graded Motor Imagery (GMI)

Chronic pain can significantly impact a person's ability to move and function normally, often leading to a fear of movement that further exacerbates the condition. When traditional therapies fall short in addressing these complex pain-movement relationships, Graded Motor Imagery (GMI) offers a valuable alternative.

GMI is an innovative rehabilitation approach used to treat complex pain conditions and improve motor function. It's primarily used for chronic pain, back pain, phantom limb pain, and conditions like Complex Regional Pain Syndrome (CRPS). By gradually retraining the brain's perception and processing of movement, GMI can help break the pain-fear-avoidance cycle and improve overall function.

How GMI Works

GMI uses a three-stage process to gradually retrain the brain's perception of the affected body part:

1. Left/Right Discrimination
   The first stage involves identifying left or right images of the affected body part, helping to activate motor cortex networks.
2. Imagined Movements
   In this stage, patients mentally rehearse movements without actually performing them, further engaging motor planning areas of the brain.
3. Mirror Therapy
   The final stage uses mirrors to create a visual illusion of normal movement in the affected limb, helping to normalise brain responses to movement.

Evidence and Effects

Research has shown GMI to be effective in reducing pain and improving function in various conditions. Studies have reported significant pain reduction and increased mobility in patients with CRPS and phantom limb pain.

Benefits of GMI

• Reduced pain intensity
• Improved motor function
• Enhanced body perception
• Non-invasive treatment option
• Potential for long-term pain management

Our Comprehensive Approach

• Thorough initial assessment with an experienced Pain Physiotherapist
• Personalised GMI treatment plans
• Integration with other pain management strategies
• Ongoing support and monitoring
• Regular follow-ups to optimise results and adjust treatment as needed

Meet Our Expert, Tracy Wallwork

Tracy is a highly experienced Pain Physiotherapist and Musculoskeletal Physiotherapist with a Master of Physiotherapy and over three decades of experience helping people manage persistent pain. She specialises in the treatment of chronic conditions, with a particular focus on Ehlers-Danlos Syndrome (EDS), hypermobility spectrum disorders, and Complex Regional Pain Syndrome (CRPS).

Tracy's unique skillset blends musculoskeletal expertise with pain management strategies, offering comprehensive care for complex conditions. Her deep understanding of persistent pain and GMI means you're in the very best hands.

Seek evidence-based pain relief. If you're struggling with complex pain conditions or movement limitations, GMI could be the tool you've been searching for. Book an appointment to learn more today.