Motor Representations in Orthopedic Patients

NCT03358160 | Unknown

• 1 other identifier: RMPO
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to investigate the possible effects that a motor limitation at the peripheral level might have on the ability to visually discriminate others' actions. Previous literature has shown that specific motor skills (motor expertise) facilitate the visual discrimination of domain-specific actions, and that these motor experts' superior abilities might be mediated by areas not only responsible for the visual recognition of movements (as it happens in non-expert subjects) but also involved in motor planning. Similarly, impairment in the motor system due to neurological damage modulates not only the ability to perform movements but also the ability to discriminate and predict the temporal course of observed actions. Based on these findings, it has been hypothesized that the motor representations of gait, despite being a hyper-learned motor pattern, might be subjected to modification as a result of an impairment of walking caused by a peripheral functional limitation in the lower limbs as the one characterizing orthopaedic patients who underwent a surgical operation for total knee arthroprosthesis. In this protocol, patients are thus required to perform visual discrimination tasks based on the observation of movements performed with either the upper or lower limbs, and their performance is expected to correlated with their functional impairments in movement execution. These results would indicate that the (in)ability to perform a movement might have an impact on its representation at the central level and on internal motion simulation capabilities, which also influence the ability to visual discriminate others' actions through action-perception transfer: this would suggest that rehabilitation in orthopaedic patients should take into account (and restore) such a central impairment in motor representations.

Conditions

Orthopedic Disorder; Motor Disorder; Perceptual Disorders

Outcome Measures

Primary Outcomes (1)

• Group Differences in action discrimination performance.

  Group Differences in action discrimination performance depending on the impairment in movement execution.

  End 2018.

Study Arms (3)

TKA

Orthopaedic patients who underwent surgical operation for total knee arthroprothesis.

Behavioral: Action discrimination tasks.

Rizoarthrosis

Orthopaedic patients who underwent surgical operation to treat chronic arthrosis of the thumb.

Behavioral: Action discrimination tasks.

Healthy Controls

Healthy age-matched controls.

Behavioral: Action discrimination tasks.

Interventions

Action discrimination tasks. BEHAVIORAL

The investigators will compare the groups' performance during action discrimination tasks related to movements of the upper vs. lower limbs.

Healthy Controls; Rizoarthrosis; TKA

Eligibility Criteria

• Age: 45 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Orthopaedic patients and age-matched healthy controls.

You may qualify if:

• Participants must be able to understand instructions and have no history of neurological or psychiatric disorders.

You may not qualify if:

• History of neurological or psychiatric disorders.

Sponsors & Collaborators

• I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio: lead

Study Sites (1)

IRCCS Galeazzi Orthopedic Hospital

Milan, 20161, Italy

RECRUITING

MeSH Terms

Conditions

Musculoskeletal Diseases; Motor Disorders; Perceptual Disorders

Condition Hierarchy (Ancestors)

Mental Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 21, 2017
• First Posted: November 30, 2017
• Study Start: May 31, 2016
• Primary Completion: March 30, 2017
• Study Completion: December 30, 2018
• Last Updated: November 30, 2017

Record last verified: 2017-11

Locations

IT (1)