Motor imagery for gait rehabilitation after stroke

Silva, Stephano; Borges, Lorenna Raquel Dantas de Macedo; Santiago, Lorenna Marques de Melo; Lucena, Larissa Coutinho de; Lindquist, Ana Raquel Rodrigues; Ribeiro, Tatiana Souza

doi:10.1002/14651858.cd013019

Cited by 13 publications

(23 citation statements)

References 48 publications

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“…The second author (VZ) also searched SPORTDiscus on the 15 April 2021. The search terminology regarding MI and mental practice (MP) was based on recently published Cochrane reviews in the field of rehabilitation and a peer-reviewed systematic review protocol [31,66,67]. Furthermore, the search strategy deployed followed recommendations for searching and selecting studies designed by Cochrane for identifying RCTs and controlled clinical trials (as described in the Cochrane Handbook for Systematic Reviews of Interventions) [68] of published trials if allocation of interventions was random.…”

Section: Search Strategy Selection Criteria and Processmentioning

confidence: 99%

“…However, the languagebased confounding factor is probably mitigated by the fact the main literature sources are English-speaking peer-reviewed journals. The composition of the search strategy was based on recently published Cochrane reviews and other review protocols in the field of MI and mental practice [31,66], and the database searches itself were conducted by a professional research librarian providing a comprehensive search and detailed knowledge of different databases with a medical focus. The systematic searches were conducted in seven databases and one trial registry covering different disciplines, for example, sports, psychology and populations (e.g., healthy children, children with a high proficiency in a sport or with a coordination disorder).…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…The acquisition of psychomotor skills can be promoted by MI as well [27][28][29] and ideokinetic imagery was found to have a positive influence on posture and pain level in low back pain patients [30]. However, evidence was, for instance, still found insufficient to estimate the effect of MI on gait, motor function and functional mobility after stroke compared to placebo or no intervention [31]. Nonetheless, MI has been widely supported as an effective way to enhance the actual performance of motor actions [32].…”

Section: Introductionmentioning

confidence: 99%

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Effect of Motor Imagery Training on Motor Learning in Children and Adolescents: A Systematic Review and Meta-Analysis

Behrendt

Zumbrunnen

Brem

et al. 2021

IJERPH

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Background: There is an urgent need to systematically analyze the growing body of literature on the effect of motor imagery (MI) training in children and adolescents. Methods: Seven databases and clinicaltrials.gov were searched. Two reviewers independently screened references and full texts, and extracted data (studies’ methodology, MI elements, temporal parameters). Two studies were meta-analyzed providing the standard mean difference (SDM). Selected studies were evaluated with the risk of bias (RoB) and GRADE tools. Results: A total of 7238 references were retrieved. The sample size of the 22 included studies, published between 1995 and 2021, ranged from 18 to 136 participants, totaling 934 (nine to 18 years). Studies included healthy pupils, mentally retarded adolescents, children with motor coordination difficulties or with mild mental disabilities. The motor learning tasks focused on upper, lower and whole body movements. SMDs for the primary outcome of pooled studies varied between 0.83 to 1.87 (95% CI, I2, T2 varied 0.33–3.10; p = 0.001; 0–74%; 0–0.59). RoB varied between some concerns and high risk. GRADE rating was low. Conclusions: MI combined with physical practice (PP) might have a high potential for healthy and impaired children and adolescents. However, important reporting recommendations (PETTLEP, TIDieR, CONSORT) should be followed. The systematic review was registered with PROSPERO: CRD42021237361.

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Section: Search Strategy Selection Criteria and Processmentioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of Motor Imagery Training on Motor Learning in Children and Adolescents: A Systematic Review and Meta-Analysis

Behrendt

Zumbrunnen

Brem

et al. 2021

IJERPH

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“…Various training strategies can be used to improve patients' motor control and learning process. Motor imagery (MI) method is one of the training strategies that has gained in interest, facilitating the recovery of neurological deficits of upper and lower limb functions for stroke patients in the past decade (18)(19)(20). The operational definition of MI is as follows: "a dynamic mental state during which the representation of a given motor act or movement is rehearsed in working memory without any overt motor output" (21).…”

mentioning

confidence: 99%

“…However, the variety of training protocols both in MI and exercise parts among studies causes controversial results. Systematic reviews (18,20,28) reported high heterogeneity protocols that led to the different findings between studies, as well as the need to explore the ideal treatment protocol. Sub-group analysis by Guerra et al (18) showed that MI was associated with balance gain, based on the functional reach test, and improved performance, based on the Timed Up and Go (TUG) test and gait speed.…”

mentioning

confidence: 99%

Effectiveness of Motor Imagery Combined with Structured Progressive Circuit Class Training on Functional Mobility in Post-Stroke Individuals: A Randomized Controlled Trial

Aung

Hiengkaew

Tretriluxana

et al. 2022

JRM

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Objective: To compare the effect of motor imagery combined with structured progressive circuit class therapy vs health education combined with structured progressive circuit class therapy on dynamic balance, endurance, and functional mobility in post-stroke individuals.Design: Randomized controlled trial.Methods: A total of 40 post-stroke individuals were randomly assigned to experimental and control groups. The experimental group was trained using motor imagery combined with structured progressive circuit class therapy, while the control group received health education combined with structured progressive circuit class therapy, for 12 sessions. Outcomes included the step test for affected and unaffected limbs, the 6-Minute Walk Test, and the Timed Up and Go test. Assessments were performed at baseline (T0), 2 weeks (T1), and 4 weeks (T2) after the intervention.Results: There were significant effects (p < 0.05) of: group on the step test for unaffected limb; of time on all outcomes; and of their interaction effect on the step test for affected limb, 6-Minute Walk Test, and Timed Up and Go test. Inter-group comparison showed significant (p < 0.05) in the step test for unaffected limb at T1. At T2, significant differences (p < 0.05) were found in the step test for affected and unaffected limbs and in the Timed Up and Go test. Conclusion: Motor imagery combined with structured progressive circuit class therapy was more effective on the step test, 6-Minute Walk Test, and Timed Up and Go test than training with structured progressive circuit class therapy alone. This suggests that motor imagery should be incorporated into training programmes for restoring dynamic balance, endurance, and functional mobility in post-stroke individuals.

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