Stage | GMI training |
---|---|
1 (weeks 0–2) | Laterality recognition Using Recognise software Determine whether left or right side of shoulder Progress by time for which image was presented |
2 (weeks 2–4) | Imagined movements Using video of model performing movements Small-range movements during first week Full-range movements during second week |
3 (weeks 4–6) | Isometric local muscle recruitment Rotator cuff muscles Scapular muscles Add pain-free movement to local contraction |
4 (weeks 6–8) | Mirror therapy Keep the affected arm still in a comfortable position/keep the unaffected arm still in the same position and just observe the reflection Keep the affected arm still in a comfortable position/move the unaffected arm through its full-range of movement (ROM) in different directions |
5 (weeks 8–10) | Mirror therapy Move the affected arm towards the limit of pain in the restricted/painful direction(s) of movement and keep that position/move the unaffected arm through its full ROM in the painful/limited directions Move the affected arm towards the limit of pain in the restricted/painful direction(s) of movement/copy with the unaffected arm through a full ROM (synchronous movements) |