Graded Motor Imagery | Treatment for pain and movement disorders

We use Graded Motor Imagery (GMI) for the treatment of pain and injury as part of a tailored programme of therapy. GMI has been a hugely significant step forward in the way we approach pain as it targets the brain and the changes that occur in persisting pain and injury.

Examples of conditions and problems that we treat with GMI:

  • Complex Regional Pain Syndrome (CRPS/RSD)
  • Repetitive Strain Injury (RSI)
  • Back pain
  • Neck pain
  • Tendinopathy
  • Arthritis
  • Neuropathic pain

What is GMI?

GMI is a three stage programme that sequentially targets the processes that underpin normal movement and sense of the body:

  • Laterality
  • Imagery
  • Mirror therapy

When we move the brain makes a left/right judgement that is a normal part of the planning of movement. We know that this process is both delayed and less accurate in pain and injury. The Recognise tool online allows us to identify changes in laterality and then provide focused brain training to improve the brain’s ability to plan movement.

In the clinics we have the equipment and resources for GMI training. This includes the Recognise online programme, imagery techniques and the mirror box.

It is important that the training is performed at home between the clinic sessions. The GMI tools are available from NOIgroup– call Joanna on 01904 737919 or on the website

Further information and videos

David Butler talks about GMI

Part 1

Part 2

Part 3

Part 4


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