Effects and Dose–Response Relationships of Motor Imagery Practice on Strength Development in Healthy Adult Populations: a Systematic Review and Meta-analysis

Paravlić, Armin H.; Slimani, Maamer; Tod, David; Marušič, Uroš; Milanović, Zoran; Pišot, Rado

doi:10.1007/s40279-018-0874-8

Cited by 86 publications

(104 citation statements)

References 126 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Indeed, MI practice induces cortical reorganization [59]. Further, it evokes movement-related cortical potentials, enhancing corticospinal excitability and muscular activity, which that consequently leads to increased muscle force output [13,[60][61][62]. To the best of our knowledge, only one previous study tested the hypothesis that MI training increases voluntary neural drive to task-oriented muscle action assessed by the twitch interpolation technique.…”

Section: Discussionmentioning

confidence: 99%

“…Motor imagery (MI)-i.e., the mental representation of a physical action without overt body movement [11]-is effective in improving motor performance [12,13]. MI exerts beneficial effects on strength [13] and flexibility [14] in healthy adults; it reduces pain [15,16]; and it contributes to the rehabilitation of Parkinson's disease and stroke patients [17,18], though its effects on musculoskeletal patients are equivocal [19]. A recent metaanalysis showed that, when added to routine physical therapy (RPT) in post-injury rehabilitation, MI does not elicit greater benefits on functional mobility, perceived pain, and self-efficiency than RPT alone [19].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Home-based motor imagery intervention improves functional performance following total knee arthroplasty in the short term: a randomized controlled trial

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background Motor imagery (MI) is effective in improving motor performance in the healthy asymptomatic adult population. However, its possible effects among older orthopaedic patients are still poorly investigated. Therefore, this study explored whether the addition of motor imagery to routine physical therapy reduces the deterioration of quadriceps muscle strength and voluntary activation (VA) as well as other variables related to motor performance in patients after total knee arthroplasty (TKA). Methods Twenty-six patients scheduled for TKA were randomized to either MI practice combined with routine physical therapy group (MIp) or to a control group receiving physical therapy alone (CON). MIp consisted of maximal voluntary isometric contraction (MViC) task: 15 min/day in the hospital, then 5 times/week in their homes for 4 weeks. MViC and VA of quadriceps muscle, knee flexion and extension range of motion, pain level, along with a Timed Up-and-Go Test (TUG) and self-reported measure of physical function (assessed using the Oxford Knee Score questionnaire [OKS]) were evaluated before (PRE) and 1 month after surgery (POST). Results Significantly better rehabilitation outcomes were evident on the operated leg for the MIp group compared to CON: at POST, the MIp showed lower strength decrease (p = 0.012, η2= 0.237) and unaltered VA, significantly greater than CON (p = 0.014, η2= 0.227). There were no significant differences in knee flexion and extension range of motion and pain level (p > 0.05). Further, MIp patients performed better in TUG (p < 0.001, η2= 0.471) and reported better OKS scores (p = 0.005, η2= 0.280). The non-operated leg showed no significant differences in any outcomes at POST (all p > 0.05). In addition, multiple linear regression analysis showed that failure of voluntary activation explained 47% of the quadriceps muscle strength loss, with no significant difference in perceived level of pain. Conclusion MI practice, when added to physical therapy, improves both objective and subjective measures of patients’ physical function after TKA, and facilitates transfer of MI strength task on functional mobility. Trial registration Retrospectively registered on ClinicalTrials.govNCT03684148

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Home-based motor imagery intervention improves functional performance following total knee arthroplasty in the short term: a randomized controlled trial

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…Currently, motor imagery [MI] that refers to mental representation of an action without any concomitant body movement ( 7 ), is a widely used cognitive strategy to enhance functional performance for both sports-based ( 8 , 9 ) and therapeutic interventions ( 10 , 11 ). Hence, it shows a promising indication of implementation in the rehabilitation practice of orthopaedic ( 12 , 13 ) and Parkinson’s disease patients ( 11 ), following immobilization ( 14 ) or stroke rehabilitation ( 10 , 15 ).…”

Section: Introductionmentioning

confidence: 99%

Validation of the Slovenian version of motor imagery questionnaire 3 (MIQ-3): Promising tool in modern comprehensive rehabilitation practice

Paravlić

Pišot

Mitić

2018

Slovenian Journal of Public Health

View full text Add to dashboard Cite

PurposeThe high rate of injury incidence and its severity is estimated to cause approximately 9% of global mortality, while a large proportion of people surviving their injuries experience temporary or permanent disabilities. To reduce the occurrence of disability and improve general health of survivors, a more comprehensive rehabilitation approach is needed. Motor imagery is recognized as the promising cognitive strategy to counteract impaired functional capacity of the neuromuscular system. Thus, we aimed to provide to the Slovenian-speaking community a valid and reliable version of Motor Imagery Questionnaire – 3 [MIQ-3], that consists of kinaesthetic imagery [KI] and visual [i.e., Internal Imagery [IMI] and external imagery [EVI]] items.MethodsWe investigated both absolute and relative test-retest repeatability; construct validity and internal consistency of the KI, IMI and EMI items of the Slovenian version of MIQ-3 in 86 healthy adult subjects.ResultsResults showed high to very high average intra-class correlation coefficient [ICC] for the visual items [ICC=0.89] and KI items [ICC=0.92], whilst the measure of absolute variability presented as coefficient of variation [CV%] ranged from 4.9% [EVI] to 6.7% [KI]. The internal consistency was satisfactory [Cronbach α=0.91 [KI] and 0.89]) for both visual items. Confirmatory analysis confirmed a two-factorial structure of MIQ-3.ConclusionUnderstanding the content of the questionnaire is of utmost importance to ensure its effectiveness in rehabilitation practice. The Slovenian translation of the MIQ-3 is culturally and linguistically equivalent to the original English version.

show abstract

“…Knowing that antagonistic muscle activity increases when the complexity of the movement rises (e.g., during closed chain, weight-bearing exercise), quadriceps function is more affected leading to greater difficulty in performing everyday activities such as walking or standing up from the chair, thus affecting patients' overall functionality and quality of life [57]. A recent comprehensive review of available literature found motor imagery (MI) practice to have moderate beneficial effects on strength gains, regardless of the cortical representation of trained muscle, suggesting that both large and small cortically represented muscles can almost equally benefit from MI practice [58]. The underlying mechanisms of the observed strength gains might be explained by alteration of both central and peripheral levels of muscle action control [59,60], with evidence of higher agonist activation [61] followed by antagonistic muscle inhibition during agonistic muscle action [62].…”

Section: Discussionmentioning

confidence: 99%

“…The underlying mechanisms of the observed strength gains might be explained by alteration of both central and peripheral levels of muscle action control [59,60], with evidence of higher agonist activation [61] followed by antagonistic muscle inhibition during agonistic muscle action [62]. Therefore, incorporating MI practice in early stages of injury or surgical rehabilitation should be considered, when overt movement is restricted [50,58,61].…”

Section: Discussionmentioning

confidence: 99%

Neurostructural correlates of strength decrease following total knee arthroplasty: A systematic review of the literature with meta-analysis

Paravlić¹,

Kovač²,

Pišot³

et al. 2019

Bosn J of Basic Med Sci

Self Cite

View full text Add to dashboard Cite

Recent literature suggests that alterations in both neural and structural components of the neuromuscular system are major determinants of knee extensor muscle weakness after total knee arthroplasty (TKA). Therefore, the goal of this study was to investigate the maximal voluntary strength (MVS), voluntary muscle activation (VMA), and the cross-sectional area (CSA) of the muscle, up to 33 months after the TKA. We searched relevant scientific databases and literature for outcomes of interest, including quadriceps MVS, VMA, and CSA. Ten studies met the inclusion criteria and involved a total of 289 patients. The quality of the studies was evaluated by Methodological Index for Non-Randomized Studies (MINORS). Results showed that quadriceps MVS markedly declines in the early postoperative period, after which it slowly and linearly recovers over time. However, the same phenomenon was not observed for VMA and CSA, which were not significantly altered after the TKA. Furthermore, a meta-regression analysis revealed that the change in VMA accounted for 39% of the relative change in quadriceps strength (R 2 =0.39; p=0.015) in the early postoperative period. Patients treated with TKA had considerable weakness of the quadriceps muscle, which was detectable up to 3 months after surgery. Although the change in VMA largely explains quadriceps weakness, this change and CSA differences were not significant, suggesting that other neural correlates, such as hamstrings coactivation, might alter quadriceps muscle function. Thus, more attention should be paid to address VMA failure and coactivation of antagonist muscles. More comprehensive rehabilitation approaches may be required to target the whole neural circuit controlling the motor action.

show abstract

Effects and Dose–Response Relationships of Motor Imagery Practice on Strength Development in Healthy Adult Populations: a Systematic Review and Meta-analysis

Cited by 86 publications

References 126 publications

Home-based motor imagery intervention improves functional performance following total knee arthroplasty in the short term: a randomized controlled trial

Home-based motor imagery intervention improves functional performance following total knee arthroplasty in the short term: a randomized controlled trial

Validation of the Slovenian version of motor imagery questionnaire 3 (MIQ-3): Promising tool in modern comprehensive rehabilitation practice

Neurostructural correlates of strength decrease following total knee arthroplasty: A systematic review of the literature with meta-analysis

Contact Info

Product

Resources

About