| Home-based motor imagery training for gait rehabilitation of people with chronic poststroke hemiparesis. | |
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MedLine Citation:
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PMID: 18674992 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To test the feasibility and efficacy of a home-based motor imagery gait training program to improve walking performance of individuals with chronic poststroke hemiparesis. DESIGN: Nonrandomized controlled trial. SETTING: Local facility. PARTICIPANTS: Participants (N=17) were community-dwelling volunteers with hemiparesis caused by a unilateral stroke that occurred at least 3 months before the study. INTERVENTION: Participants received 15 minutes of supervised imagery gait training in their homes 3 days a week for 6 weeks. The intervention addressed gait impairments of the affected lower limb and task-specific gait training. Walking ability was evaluated by kinematics and functional scales twice before the intervention, 3 and 6 weeks after the intervention began, and at the 3-week follow-up. MAIN OUTCOME MEASURES: Spatiotemporal, kinematic, and functional walking measurements. RESULTS: Walking speed increased significantly by 40% after training, and the gains were largely maintained at the 3-week follow-up. The effect size of the intervention on walking speed was moderate (.64). There were significant increases in stride length, cadence, and single-support time of the affected lower limb, whereas double-support time was decreased. Improvements were also noted on the gait scale of the Tinetti Performance-Oriented Mobility Assessment as well as in functional gait. Sixty-five percent of the participants advanced 1 walking category in the Modified Functional Walking Categories Index. CONCLUSIONS: Although further study is recommended, the findings support the feasibility and justify the incorporation of home-based motor imagery exercises to improve walking skills for poststroke hemiparesis. |
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Authors:
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Ayelet Dunsky; Ruth Dickstein; Emanuel Marcovitz; Sandra Levy; Judith E Deutsch; Judith Deutsch |
Publication Detail:
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Type: Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of physical medicine and rehabilitation Volume: 89 ISSN: 1532-821X ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2008-08-04 Completed Date: 2008-08-06 Revised Date: 2008-12-02 |
Medline Journal Info:
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Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 1580-8 Citation Subset: AIM; IM |
Affiliation:
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The Zinman College of Physical Education and Sport Sciences, Wingate Institute, Netanya, Israel. ayelet@wincol.ac.il |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Analysis of Variance Ankle Joint / physiopathology Biomechanics Chronic Disease Disability Evaluation Feasibility Studies Female Gait Disorders, Neurologic / etiology, rehabilitation* Home Care Services Humans Imagery (Psychotherapy) / methods* Knee Joint / physiopathology Male Middle Aged Paresis / etiology, rehabilitation* Range of Motion, Articular Recovery of Function* Stroke / complications, rehabilitation* |
| Comments/Corrections | |
Erratum In:
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Arch Phys Med Rehabil. 2008 Nov;89(11):2223 Note: Deutsch, Judith [corrected to Deutsch, Judith E] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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