Graded Motor Imagery


Graded Motor Imagery (GMI) exercises your brain and its trillions of connections.

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What is graded motor imagery?

Graded Motor Imagery (GMI) is the most up to date rehabilitation program – based on the latest science and clinical trials – to treat many complex pain, and movement problems.

The three stages of GMI

Graded motor imagery is broken down into three unique stages of treatment techniques, each exercising your brain in different ways.

1. Left/right discrimination

The ability to identify left or right images of their painful body part(s)

This ability appears to be important for normal recovery from pain. The good news is that the brain is plastic and changeable, if given the right training for long enough. More info and training tipsJuliet and Kat using a mirror box

2. Explicit motor imagery

Essentially thinking about moving without actually moving. Imagined movements can actually be hard work if you are in pain. This is most likely because 25 percent of the neurones in your brain are 'mirror neurones' and start firing when you think of moving or even watch someone else move.

By imagining movements, you use similar brain areas as you would when you actually move. This is why sports people imagine an activity before they do it. More info and training tips

3. Mirror therapy

If you put your left hand behind a mirror and right hand in front, you can trick your brain into believing that the reflection of your right hand in the mirror is your left. You are now exercising your left hand in the brain, particularly if you start to move your right hand. Sounds tricky!

PS. mirrors are cheap and you may not need drugs. More info and training tips


The three stages of GMI

We now know that your brain is adaptable and changeable throughout your entire life and by exercising your brain in measured and monitored steps, which increase as progress is made, GMI can treat difficult and ongoing pain problems.

The three different treatment techniques include left/right discrimination training, explicit motor imagery exercises and mirror therapy. These techniques are delivered sequentially but require a flexible approach from the patient and clinician to move forwards, backwards and sideways in the treatment process to suit the individual.

Interested in taking a course?

We also offer a Graded Motor Imagery course for clinicians. If you are a clinician, or if you would like to talk to your clinician about our course, view the course trailer and our course schedule.

The graded motor imagery handbook The graded motor imagery handbook
View GMI Courses here

The Graded Motor Imagery Handbook - Updated 2019!

We recommend that anybody with a chronic pain state learns more about the GMI process and talks to their clinician about options to include brain training exercises as part of a comprehensive rehabilitation programme.

The Graded Motor Imagery Handbook
  • Hard copy | eBook download

Finally! A handbook arising from the last 15 years of neuroscience, clinical trials and clinical reasoning science is here for both clinicians and pain sufferers. Graded Motor Imagery (GMI) offers a novel three stage synaptic exercise process for neuropathic pain involving left/right discrimination, imagined movements and mirror therapy. With patience, persistence and often lots of hard work, GMI gives new hope for treatment outcomes. More info Recognise Apps

  • IOS - iTunes App Store
  • Hand | Foot | Shoulder | Knee | Back | Neck
  • Android - Google Play
  • Hand | Foot | Shoulder | Knee | Back | Neck

Using Recognise has been shown to reduce pain, improve performance and assist with rehabilitation in a range of complex pain, and injury states, when used as part of a Graded Motor Imagery programme.

TEST your ability to quickly and accurately recognise an image of a body area as either left or right (‘Left/Right Discrimination’).

TRAIN your brain and harness its neuroplasticity using a range of tools.

GMI Resources from NOI Group

Mirror Box

Thoughtfully designed for mirror therapy, the NOI Mirror Box is light, portable, hygienic and safe. Sturdy Perspex mirror 300mm x 300mm. Comes with explanations and instructions.

Apps

Simple and portable applications for left/right discrimination exercises with test options and accurately stored results. Available iPhone and android.

Flash Cards

These sets of 48 cards (24 left and 24 right) are ideal for left/right discrimination exercises and further motor imagery tasks. Currently available as: Hand, foot, back, neck, shoulder and knee.

Graded Motor Imagery pack

Set yourself up with a complete toolbox developed over years of research, clinical and anecdotal experience to get the most out of graded motor imagery.


Contact

  • Neuro Orthopaedic Institute (NOI) Australasia has been in operation for over 20 years, with highly qualified instructors working on all continents with multidisciplinary audiences. Organising over 100 seminars a year throughout the world, NOI’s faculty members are active in many conferences, university programmes and other postgraduate education sessions. The company reinvests in education and clinically based research and Noigroup Publications has grown from the demand for resources to support this emerging research.

    Many problems such as chronic pain and stress are still ‘off the radar’ in terms of health professional, business and government understanding. NOI is actively engaged in these challenges on a daily basis. Find out more...

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