Document Detail


Home-based motor imagery training for gait rehabilitation of people with chronic poststroke hemiparesis.
MedLine Citation:
PMID:  18674992     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Ayelet Dunsky; Ruth Dickstein; Emanuel Marcovitz; Sandra Levy; Judith E Deutsch; Judith Deutsch
Publication Detail:
Type:  Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  89     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-04     Completed Date:  2008-08-06     Revised Date:  2008-12-02    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1580-8     Citation Subset:  AIM; IM    
Affiliation:
The Zinman College of Physical Education and Sport Sciences, Wingate Institute, Netanya, Israel. ayelet@wincol.ac.il
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MeSH Terms
Descriptor/Qualifier:
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:
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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