Evidence map›Paper›PMID 41911468›Full record

ArticleJMIR research protocols2026

Motor Imagery and Action Observation in Breast Cancer Survivors: Protocol for a Randomized Controlled Trial.

María Pilar Arnal-Vallés, Nelia Soto-Ruiz, Ana Beatriz Bays-Moneo, Cristina García-Vivar, Paula Escalada-Hernández

Abstract readClinical Trial Protocol
In one paragraph

Article in JMIR research protocols, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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. Trial
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

5 authors.

María Pilar Arnal-Vallés *Department of Health Sciences, Public University of Navarre (UPNA), Avda. Barañain S/N., Pamplona, 31008, Spain, +34 948166117.ORCID 0009-0002-5064-1263
Nelia Soto-Ruiz *Department of Health Sciences, Public University of Navarre (UPNA), Avda. Barañain S/N., Pamplona, 31008, Spain, +34 948166117.ORCID 0000-0002-5161-2272
Ana Beatriz Bays-Moneo *Department of Health Sciences, Public University of Navarre (UPNA), Avda. Barañain S/N., Pamplona, 31008, Spain, +34 948166117.ORCID 0000-0002-8341-0405
Cristina García-Vivar *Department of Health Sciences, Public University of Navarre (UPNA), Avda. Barañain S/N., Pamplona, 31008, Spain, +34 948166117.ORCID 0000-0002-6022-559X
Paula Escalada-Hernández *Department of Health Sciences, Public University of Navarre (UPNA), Avda. Barañain S/N., Pamplona, 31008, Spain, +34 948166117.ORCID 0000-0003-2263-156X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Breast cancer is the most common type of cancer in women worldwide, and its incidence is increasing. Although breast cancer survival is slowly increasing, related sequelae can persist after the disease has been treated. The main physical symptoms associated with breast cancer survival include pain, lymphedema, and associated functional limitations. Although multiple treatments are available for alleviating symptoms in breast cancer survivors, their effectiveness remains limited. Motor imagery (MI) and action observation (AO) therapies, which are based on the theory of motor simulation and are used in multiple fields with satisfactory results, have been proposed as alternatives for treating pain and improving mobility and strength. Objective: This study aims to design, implement, and evaluate the effectiveness of a program combining MI and AO therapies to improve functionality and mobility and alleviate pain and lymphedema of the affected upper limb in women who have survived breast cancer. Methods: A randomized controlled clinical study will be conducted in a sample of 108 participants who have experienced breast cancer and, as a result, have pain in the affected extremity, lymphedema, or loss of strength and/or mobility. The intervention group will include 54 participants managed with the MI and AO program (a combination of MI, AO, and mobility exercises), while the control group will consist of 54 women performing mobility exercises alone. Pain intensity, muscle strength, joint range, limb diameter, fear of movement, and imagery capability will be evaluated. Results: The intervention is expected to yield improvements in pain intensity, joint range, muscle strength, and symptoms associated with lymphedema, among other outcomes. The study was funded in December 2023. The number of participants recruited as of manuscript submission is approximately 80, and data analysis has not yet started. These results will be published in 2026. Conclusions: The implementation of an intervention based on MI and AO has the potential to positively impact female breast cancer survivors who face physical and psychological sequelae that interfere with their daily lives.

Indexed as

Breast NeoplasmsCancer SurvivorsImagery, PsychotherapyAdultFemaleHumansRandomized Controlled Trials as Topicaction observationbreast cancerexercisesfunctionalityimagery abilitykinesiophobialymphedemamobilitymotor imageryoncologypainprotocolrandomizedrange of motionrehabilitationstrengthsurvivorssurvivorshiptrialupper limb

Identifiers

PMID41911468
PMCPMC13035201

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Registered trials

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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.