Document Detail


Motor imagery to enhance recovery after subcortical stroke: who might benefit, daily dose, and potential effects.
MedLine Citation:
PMID:  18780881     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Motor imagery may enhance motor recovery after stroke. OBJECTIVES: To estimate the proportion of patients able to perform motor imagery, the feasibility of delivery of motor imagery training (MIT), and the effects of MIT on motor recovery in an exploratory study. METHODS: An immediate pretreatment and posttreatment single-group design was used to study 10 patients after subcortical stroke with neuromuscular weakness in the upper limb. MIT that included upper limb activities reflecting everyday tasks was provided for 10 consecutive working days. Measures included assessment of chaotic motor imagery, patient report of tolerability of MIT, Motricity Index (MI), Nine Hole Peg Test (9HPT), and quality of movement (MAL-QOM). MIT dose was changed in response to patient feedback. Graphed motor function scores were inspected visually for clinically important changes. RESULTS: Four of the 10 patients were unable to perform motor imagery. Patient opinion was positive about the content and shaped daily dose of MIT given in two 20-minute periods separated by a 10-minute rest. Clinically important changes in motor scores were found. Four patients increased MI score (range 8-16), 3 patients increased 9HPT score (range 0.02-0.04 pegs/second), and 4 patients increased MAL-QOM score (range 0.63-1.29). CONCLUSIONS: MIT was received positively by patients, but 40% were unable to perform imagery and interindividual variations were found on motor function.
Authors:
Lucy Simmons; Nikhil Sharma; Jean-Claude Baron; Valerie M Pomeroy
Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurorehabilitation and neural repair     Volume:  22     ISSN:  1552-6844     ISO Abbreviation:  Neurorehabil Neural Repair     Publication Date:    2008 Sep-Oct
Date Detail:
Created Date:  2008-09-10     Completed Date:  2010-01-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100892086     Medline TA:  Neurorehabil Neural Repair     Country:  United States    
Other Details:
Languages:  eng     Pagination:  458-67     Citation Subset:  IM    
Affiliation:
University of Cambridge, University of East Anglia, Norwich, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Cohort Studies
Feasibility Studies
Female
Hand Strength
Humans
Imagery (Psychotherapy)*
Male
Middle Aged
Motor Activity*
Motor Skills
Patient Selection
Pilot Projects
Recovery of Function
Stroke / physiopathology,  psychology,  rehabilitation*
Treatment Outcome
Young Adult
Grant Support
ID/Acronym/Agency:
G0001219//Department of Health; //Medical Research Council

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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