Managing Chronic Nonspecific Neck Pain With Multimodal Physical Therapy Treatment, Including Modified Graded Motor Imagery With Action Observation. A Case Report
Bibliographic record
Abstract
BACKGROUND: Graded motor imagery (GMI) is a treatment for patients with chronic pain. GMI was initially developed for pain conditions of the extremities (eg, hand, elbow), but has limited application for chronic neck pain. CASE PRESENTATION: A 40-year-old female with an 11-year history of right-sided neck pain and migraines was referred to physical therapy. She reported ongoing symptoms despite engaging with various interventions over an 11-year period. OUTCOME AND FOLLOW-UP: A 4-stage modified GMI program, as part of a multimodal treatment program, resulted in a reduced Neck Disability Index score from 17/50 to 6/50, increased average Patient-Specific Functional Scale score on 5 items from 4.4 to 7.6, and significant reduction in pain and migraine frequency and intensity. DISCUSSION: A multimodal treatment program that included a modified-GMI program yielded clinical benefits in a patient with chronic nonspecific neck pain. JOSPT Cases 2025;5(2):96-102. Epub 27 February 2025. doi:10.2519/josptcases.2025.0083
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".