Mental practice with motor imagery in stroke recovery: randomized controlled trial of efficacy

This randomized controlled trial evaluated the therapeutic benefit of mental practice with motor imagery in stroke patients with persistent upper limb motor weakness. There is evidence to suggest that mental rehearsal of movement can produce effects normally attributed to practising the actual movem...

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Bibliographic Details
Published in:Brain (London, England : 1878) England : 1878), 2011-05, Vol.134 (Pt 5), p.1373-1386
Main Authors: LETSWAART, Magdalena, JOHNSTON, Marie, DIJKERMAN, H. Chris, JOICE, Sara, SCOTT, Clare L, MACWALTER, Ronald S, HAMILTON, Steven J. C
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Analysis of Variance
Attention - physiology
Biological and medical sciences
Female
Humans
Imagery, Psychotherapy - methods
Longitudinal Studies
Male
Medical sciences
Middle Aged
Motor Activity - physiology
Motor Skills - physiology
Neurology
Original
Physical Therapy Modalities
Recovery of Function - physiology
Single-Blind Method
Stroke Rehabilitation
Treatment Outcome
Vascular diseases and vascular malformations of the nervous system
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Summary:This randomized controlled trial evaluated the therapeutic benefit of mental practice with motor imagery in stroke patients with persistent upper limb motor weakness. There is evidence to suggest that mental rehearsal of movement can produce effects normally attributed to practising the actual movements. Imagining hand movements could stimulate restitution and redistribution of brain activity, which accompanies recovery of hand function, thus resulting in a reduced motor deficit. Current efficacy evidence for mental practice with motor imagery in stroke is insufficient due to methodological limitations. This randomized controlled sequential cohort study included 121 stroke patients with a residual upper limb weakness within 6 months following stroke (on average
ISSN:0006-8950
1460-2156
DOI:10.1093/brain/awr077