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Correct graded motor imagery sequence
Laterality - pt determines from pic if it’s right or left hand speed abs accuracy recorded
Imagined movement - affected hand still and pt imagines movement shown in picture
Mirror movement - affected hand not visible both hands make posture shown in picture or series of exs
Stress load prog
Active ex’s with minimal stress to tissue or jnt movement eg scrub and carry programme
Scrub - 3-5 mins per day to to 10 mins 3x day
Carry 1x 5lb for 3-5 mins up to 10 mins 3x day
Fibromyalgia s and s
Palpable tender 11/17 tender points
Fatigue
Reduced sleep
Headache
Mood disorder
Recommend aerobic activity strengthening cbt and coping strategies
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