Motor Imagery to Facilitate Sensorimotor Re-Learning (MOTIFS: More Learning) After Knee Injury: An Adaptive Randomized Controlled Trial

Intervention Behavioural change (patients) - The MOTIFS training consists of mental training integrated into physical rehabilitation training interventions. This includes performing physical exercises with simultaneous dynamic motor imagery based on the participant's own experiences and desires, creating an individually relevant activity specific exercise that is developed using shared decision-making between the physical therapist and patient. The intervention is performed in a clinical environment during the training session to ensure that the physical and mental training is performed correctly and safely. The physical therapists are educated in implementation of the intervention, during which they choose a relevant exercise, then discuss with the patient how the movement is relevant to their sport or activity, subsequently modifying the exercise to ensure proper rehabilitative execution as well as activity-specific relevance and realism. The Care-as-Usual training is performed according to established knee injury rehabilitation protocols at the discretion of the physical therapist.
Number of sites 6
Countries involved 1
Sample size 106
Type of statistical analyses Between-groups mean change (t test)
Duration of trial 12-Week intervention duration, with 12 month follow-up
Primary outcome ACL Return to Sport after Injury Scale; Side-to-side difference in a Side Hop task
Effect Measures
Events Intervention Total Events Control Total Risk Diff.
Show Score Ranges


(shows median if more than one score was entered)

Elig. Recr. Setting Org. Int. Flex. Del. Flex. Adherence Follow-Up Prim. Out. Prim. An.
5 3 5 3 4 2 3 5 3