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Response in Patients With Persistent Pelvic Pain to Motor Imagery Through Auditory or Visual Input-A Pilot Randomized
Borja Perez-Dominguez1, Alba Arce-Elorza2, Isabel Rubio-Garcia2
1Department of Physiotherapy, University of Valencia, Valencia, Spain.
Pain Research & Management
|February 18, 2025
Summary
Auditory motor imagery may help manage persistent pelvic pain, showing more promise than visual input. This approach offers a less intrusive, home-based option for pain management.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Pain Management
Background:
- Persistent pelvic pain (PPP) is a challenging condition impacting quality of life.
- Current management strategies for PPP have limitations, necessitating novel therapeutic approaches.
- Motor imagery (MI) is a cognitive intervention with potential for pain modulation.
Purpose of the Study:
- To evaluate the efficacy of a motor imagery (MI) intervention for persistent pelvic pain (PPP).
- To compare the effects of visual versus auditory MI input on pain and attention.
- To investigate the influence of mental visualization capacity on intervention outcomes.
Main Methods:
- A randomized trial involving 40 patients with PPP.
- Six sessions of MI intervention over two weeks, delivered via visual or auditory stimuli.
- Assessment of pain intensity, attention to pain, and motor imagery capabilities.
Main Results:
- Auditory MI showed a trend towards reduced pain intensity (p=0.091), unlike visual MI.
- Attention to pain improved in the visual MI group (p=0.194) but not the auditory group.
- Mental visualization capacity did not significantly affect intervention outcomes.
Conclusions:
- Auditory motor imagery presents a promising, less intrusive option for managing persistent pelvic pain.
- Home-based auditory MI interventions may be beneficial, especially with limited access to conventional care.
- Personalized MI approaches, favoring auditory over visual stimuli, demonstrate potential therapeutic value.

