Evidence map›Paper›PMID 40852787›Full record

SynthesisEuropean journal of pain (London, England)2025

Effectiveness of Movement Representation Strategies in Knee Pain: A Systematic Review and Meta-Analyses on Knee Pain and Function.

Julie Flebus, Javier Martín Núñez, María Granados Santiago, Alejandro Heredia Ciuró, Andrés Calvache Mateo, Alba Navas Otero, Marie Carmen Valenza

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European journal of pain (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Julie FlebusUniversité Versailles-Saint Quentin en Yvelines Institut de Formationen Masso-Kinésithérapie-Assas, Pairs, France.
Javier Martín NúñezDepartment of Physiotherapy, University of Granada, Granada, Spain.
María Granados SantiagoDepartment of Nursing, University of Granada, Granada, Spain.
Alejandro Heredia CiuróDepartment of Physiotherapy, University of Granada, Granada, Spain.
Andrés Calvache MateoDepartment of Physiotherapy, University of Granada, Granada, Spain.
Alba Navas OteroDepartment of Physiotherapy, University of Granada, Granada, Spain.
Marie Carmen ValenzaDepartment of Physiotherapy, University of Granada, Granada, Spain.

Funding

Spanish Ministry of Education FPU:21/00451Spanish Ministry of Education FPU:22/01543
6 · The paper itself

Abstract

introductionA highly prevalent condition, knee pain often results in significant functional limitations and a reduced quality of life. Due to its multifactorial causes and diverse pathologies, numerous therapeutic approaches have been proposed, each with varying degrees of success. Among these, movement representation strategies have emerged as promising interventions. These techniques engage the central nervous system by using mental simulation of motor actions-such as motor imagery and action observation-without the need for actual physical movement, often focusing on imagining or observing pain-free, unrestricted motion.

methodsBecause the effectiveness of movement representation strategies in knee pain remains uncertain and no prior synthesis of randomised evidence exists, a systematic review of the literature was conducted for randomised controlled trials indexed from three databases inception to March 2025. Two reviewers performed independent data extraction and methodologic quality assessment of the studies.

resultsEleven studies were included in this review. The results of pain and function outcomes showed significant improvements after interventions based on movement representation techniques. The meta-analyses showed that these techniques have a significant effect on pain and function. DISCUSSION AND

conclusionThe results of our review demonstrated notable results from the implementation of movement representation techniques to standard physical therapy aimed at decreasing pain and increasing function in patients with knee pain. The meta-analyses revealed a significant positive effect of these interventions. SIGNIFICANCE STATEMENT: Movement representation strategies combined with physical therapy have a significant effect on function and pain in patients with knee pain. The most commonly used strategies were motor imagery training and action observation training. The meta-analyses revealed a significant positive effect of these interventions, showing improvements in both pain and function in patient with knee pain.

Indexed as

ArthralgiaImagery, PsychotherapyKnee JointPain ManagementPhysical Therapy ModalitiesHumansMovementfunctionkneemovement representation techniquespain

Identifiers

PMID40852787
PMCPMC12376090

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.