Home-Based Motor Imagery Training for Gait Rehabilitation of People With Chronic Poststroke Hemiparesis

Dunsky, Ayelet; Dickstein, Ruth; Marcovitz, Emanuel; Levy, Sandra M.; Deutsch, Judith E.

doi:10.1016/j.apmr.2007.12.039

Cited by 154 publications

(151 citation statements)

References 61 publications

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“…Gait ability of hemiplegic patients has also been improved after gait training with motor imagery of the normal gait pattern 24) . Some studies have suggested that a motor imagery home training exercise is effective at improving the motor function of hemiplegic patients, and have mentioned the necessity of continuing motor imagery studies [25][26] . However, motor imagery training studies of gait function are few, there is only one study of the lower extremity, and there have been no randomized controlled studies.…”

Section: Introductionmentioning

confidence: 99%

Effects of Motor Imagery Training on Gait Ability of Patients with Chronic Stroke

et al. 2011

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Abstract.[Purpose] The purpose of this study was to investigate the effects of motor imagery training on improvement of gait ability of patients with chronic stroke. The motor imagery training was performed using imagination of normal gait movement.[Subjects] Participants were randomly allocated to two groups: a motor imagery training group (n=13) and a control group (n=11).[Methods] Both groups received treadmill training for 3 session 30 minutes per week for 6 weeks. The motor imagery training group practiced additional motor imagery training. Measures were evaluated by gait ability.[Results] The outcomes significantly improved by motor imagery training were gait speed, step length of paretic side, step length of non-paretic side, stride length of paretic side, stride length of non-paretic side, single limb support period of paretic side, and double limb support period of both sides. [Conclusion] The motor imagery training improved gait ability. These results suggest that motor imagery training is feasible and suitable for individuals with stroke.

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Section: Introductionmentioning

confidence: 99%

Effects of Motor Imagery Training on Gait Ability of Patients with Chronic Stroke

et al. 2011

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“…These outcomes are in line with the conclusions of two preceding studies. One made a comparison between motor imagery and real movement by means of cerebrum imaging and showed that both tasks brought about the arrangement of the same neural networks in the premotor cortex, parietal lobe and cerebellum [37], and the other demonstrated that motor imagery training increased dynamic balance ability by activating the neural system [38]. These results propose that the combination of motor imagery training and proprioception program resulted in activation of the cerebellum and cerebrum which in turn affected proprioception, and the visual and vestibular organs responsible for balance ability, especially, that the activation of the proprioception responsible for detecting the position and movements of joints affects the balance ability [39].…”

Section: Discussionmentioning

confidence: 99%

Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis

Emara¹,

Negamy²

2017

IJNPT

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Abstract:The function of the affected side in the hemiplegic cerebral palsy is influenced by muscle tone abnormality, change of proprioception, diminished power, and decreased the speed of movement, weak grasp, and release functions. Mirror therapy (MT) is a therapeutic technique that uses the interaction of visuomotor-proprioception inputs to improve movement performance of the affected limb. This study was done to investigate the effects of mirror visual feedback exercises on upper extremity function and on the alternation of wrist proprioception in children with hemiparesis. Thirty-two children with spastic hemiparesis from both sexes ranging in age from five to seven years represented the sample of the study. They were assigned randomly into two groups of equal number (control and study). Every child in both groups was evaluated at baseline and after 3 months of intervention using The Quality of Upper Extremity Skills Test to evaluate movement patterns and hand function. Also, electro-goniometer was used to assess repositioning error through Active Reproduction of Active Positioning test (ARAP). The control group received a selected exercise program, while the study group received mirror visual feedback (MVF) exercises program training in addition to the same exercise program given to control group. Comparison of the pretreatment results of the two groups revealed no significant differences in all variables, while significant improvements were observed in all the measuring variables of the two groups when comparing their pre and post-treatment mean values. Significant differences were also observed when comparing the post-treatment results of the two groups in favor of the study group. MVF exercises could be used together with a therapeutic exercise program for the enhancement of hand function and wrist proprioception in children with hemiparesis.

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“…Ezért a szenzoros-perceptuális memória és motoros mechanizmusok is beletartoznak a motoros képzelet definíciójába." Napjainkban a motoros képzelet alkalmazásának terápiás hatását a neuro rehabili tációban is egyre növekvõ hangsúllyal használják, fõként az olyan páciensek rehabilitációjában, akik valamilyen szenzoros-motoros károso-dást szenvedtek el (Braun, Beurskens, Borm, Schack, & Wade, 2006;Dickstein & Deutsch, 2007;Dunsky, Dickstein, Marcovitz, Levy, & Deutsch, 2008;Mulder, 2007;Munzert & Zentgraf, 2009;Page, Levine, & Leonard, 2007), vagy valamilyen oknál fogva nem képesek az izmaik használatára. A motoros képzeletet többnyire bizonyos mozdulatok gyakorlásával össze-függésben használják a teljesítmény javítására, és az ismételt képzeleti gyakorlás az elsõdleges és másodlagos motoros kérgi régiók és a prefrontá-lis területek aktivációján keresztül pozitívan hat az izomerõre.…”

Section: Motoros Képzeletunclassified

The role of imagery in treatment and rehabilitation with special regard to pain management

Hegedüs¹,

Szolcsányi²

2012

Mentálhigiéné és Pszichoszomatika

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Különbözõ pszichológiai módszereket már régóta alkalmaznak nem csak fájdalomcsök-kentés céljából, hanem a legkülönfélébb kognitív módszereket igénylõ klinikai helyzetekben is. A klinikumban és a rehabilitációban használatos pszichológiai módszerekkel törté-nõ fájdalomcsökkentés mellett a placebo-fájdalomcsillapítás is egyre inkább kutatott és feltárt jelensége az orvostudománynak. Mindkettõ hatásmechanizmusában fontos szerepet játszik az orvos-beteg kapcsolat minõsége. A beteg vonatkozásában a kognitív pszicholó-giai módszerek közül a képzelet alkalmazásának lehet nagy jelentõsége sok esetben, fõként azért, mert egy betegség vagy sérülés során a személy könnyen olyan regresszív munkamódba kerülhet, amelyben az elsõdleges folyamatok, így a képzelet is, felerõsödnek. Ezért a betegek képzeletének terápiás folyamatba való bevonása az egyik lehetséges módja annak, hogy minél szélesebb körben kihasználjuk a pszichoszociális tényezõkben rejlõ gyó-gyító lehetõségeket és gyorsítsuk a gyógyulás folyamatát. Jelen összefoglaló keretében a képzelõerõ terápiás alkalmazására vonatkozó szakirodalom néhány elemét kívánjuk bemutatni, elsõsorban arra a kérdésre koncentrálva, hogy a képzelõerõ milyen módon játsz-hat szerepet a különbözõ betegségekkel kapcsolatban megjelenõ fájdalomcsillapítás terü-letén.

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Home-Based Motor Imagery Training for Gait Rehabilitation of People With Chronic Poststroke Hemiparesis

Cited by 154 publications

References 61 publications

Effects of Motor Imagery Training on Gait Ability of Patients with Chronic Stroke

Effects of Motor Imagery Training on Gait Ability of Patients with Chronic Stroke

Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis

The role of imagery in treatment and rehabilitation with special regard to pain management

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