Motor Imagery Training After Stroke: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Guerra, Zaqueline Fernandes; Lucchetti, Alessandra Lamas Granero; Lucchetti, Giancarlo

doi:10.1097/npt.0000000000000200

Cited by 106 publications

(80 citation statements)

References 45 publications

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“…Improving walking ability among people after a stroke is considered as a critical goal of rehabilitation (Braun et al, 2006;Dunsky et al, 2006;Dunsky et al, 2008). The possibility of a MI practice to supplement the rehabilitation process was proven in several studies (Braun et al, 2006;de Vries et al, 2013;Dickstein et al, 2004;Dickstein & Deutsch, 2007;Dunsky et al, 2006;Dunsky et al, 2008;Guerra et al, 2017;Kho et al, 2014;Kumar et al, 2016;Lee et al, 2011;Li et al, 2017;Malouin & Richards, 2010;Mulder, 2007;Stevens & Stoykov, 2003).…”

Section: Discussionmentioning

confidence: 99%

“…Based on its potential for relearning skills, MI has become a target for many researchers in the field of neurology and especially in stroke rehabilitation, at all stages (Braun, Beurskens, Borm, Schack, & Wade, 2006;Dickstein & Deutsch, 2007;Guerra, Lucchetti, & Lucchetti, 2017;Jackson et al, 2001;Kho, Liu, & Chung, 2014;Malouin, Jackson, & Richards, 2013). Using MI interventions in treatment has been manipulated to engage motivation, cognitive processes, motor control and sensory feedback-based learning mechanisms (Li, Li, Tan, Chen, & Lin, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Motor Imagery Training for Gait Rehabilitation of People With Post-Stroke Hemiparesis: Practical Applications and Protocols

Dunsky¹,

Dickstein²

2018

GJHS

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Over the last two decades, the use of motor imagery (MI) for post-stroke rehabilitation has significantly increased. Previous findings support the feasibility of the incorporation of specific MI exercises to improve walking skills in individuals with post-stroke hemiparesis. However, detailed practical applications and specific protocols for the implementation of MI are scarce. The objective of this manuscript is to propose practical applications for a structured MI regimen, including detailed protocols of a six-week intervention targeting gait improvement following stroke. The proposed regimen is based on previous experience with MI rehabilitation programs for gait improvement following stroke, motor learning principles with applications for stroke rehabilitation, and the PETTLEP model. The proposed detailed protocols were found to be adjusted for gait improvement of post-stroke survivors as described in several studies, and may address the targets of different rehabilitation programs. Based on motor learning principles and guidelines, an example of verbal instructions for each treatment session during six weeks of intervention is proposed. The potential of this training program to augment and extend the rehabilitation process was proven in several studies. The variety of possibilities of scenes to image allows the clinician to target specific impaired performance and disabilities. By using the proposed structure and protocols, a large number of therapists may be able to address these targets.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Motor Imagery Training for Gait Rehabilitation of People With Post-Stroke Hemiparesis: Practical Applications and Protocols

Dunsky¹,

Dickstein²

2018

GJHS

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“…On these bases, motor imagery has been successfully applied as motor learning technique (Avanzino et al, 2015;Di Rienzo et al, 2016;Ruffino et al, 2017;Bisio and Bove, 2018;. Moreover, it has been suggested as promising add-on to physical therapy in facilitating motor recovery in neurological patients (Abbruzzese et al, 2016;Guerra et al, 2017;Hanson and Concialdi, 2019) and to the conventional training in different sport domains for improving motor performance (Guillot and Collet, 2008;Bisio and Bove, 2018).…”

Section: Introductionmentioning

confidence: 99%

Thinking Before Doing: A Pilot Study on the Application of Motor Imagery as a Learning Method During Physical Education Lesson in High School

Canepa

Sbragi

Saino

et al. 2020

Front. Sports Act. Living

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Motor imagery (MI), i. e., the mental simulation of an action without its actual execution, is a promising technique to boost motor learning via physical practice in rehabilitation, sport, and educational fields. The purpose of the present pilot study was to test the feasibility and the effectiveness of the application of MI as learning methodology place alongside conventional teaching technique as employed for physical education lessons. Thirty-three high school students from two classes were enrolled for instruction in the underhand serve in volleyball. One group, the motor imagery group (MIG) carried out the physical exercise along with the kinesthetic MI of the action, while the other group (the control group) was limited to the merely physical exercise. The training period lasted 8 weeks. MI duration and the duration of real movement (ME), the isochrony index (differences between real and imagined movements duration), and the number of balls which passed over the net (NBN) were evaluated before and after training. Results showed a significant improvement in the isochrony index for the MIG group exclusively; namely, MI duration became more similar to ME duration. Moreover, in MIG a significantly negative relationship appeared between the percentage change in the isochrony index and the difference between NBN before and after training. These findings suggest improvement in sensorimotor representation of the action, which lies at the basis of enhanced motor performance. The present study constitutes initial proof of concept on the application of MI as learning technique applicable to physical education lesson at high school.

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“…Motor imagery (MI) is a key technique in motor learning and motor control facilitating brain plasticity (Shumway-Cook and Woollacott, 2007 ). MI, which is an established training technique from sports sciences, was recently introduced to the field of neurorehabilitation, in particular to stroke rehabilitation (Braun et al, 2013 ; Guerra et al, 2017 ). Decety and Grezes defined MI as “…a dynamic state during which the representation of a given motor act is internally rehearsed without any motor output.” (Decety and Grezes, 1999 ).…”

Section: Introductionmentioning

confidence: 99%

“…However, McInnes et al found that patients with a brain lesion in the parietal and frontal lobes might not benefit from MI training. However, just recently, Guerra et al summarised the beneficial effect of MI on activities of daily living, balance, lower limbs and gait, as well as upper limb function without limitation to specific brain lesions (Guerra et al, 2017 ). For patients with PD, Caligiore et al postulated that the effect of MI in PD could be influenced by the duration of the disease.…”

Section: Introductionmentioning

confidence: 99%

Muscle Activation During Grasping With and Without Motor Imagery in Healthy Volunteers and Patients After Stroke or With Parkinson's Disease

2018

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Introduction: The present study assessed whether motor imagery (MI) produces electromyographic activation in specific muscles of the upper limb during a hand grasping and arm-lifting task in healthy volunteers, patients after stroke, or with Parkinson's disease. Electromyographic (EMG) activation was compared under three conditions: MI, physical execution (PE), and rest. The task is clinically relevant unilateral executed movement using open muscle chains.Methods: In a cross-sectional study EMG activation was measured in four muscles: M. deltoideus pars clavicularis, M. biceps brachii, M. extensor digitorum, M. flexor carpi radialis. MI ability was evaluated with mental rotation, mental chronometry and the Kinaesthetic and Visual Imagery Questionnaire. Cognitive performance was screened with the Mini-Mental State Examination.Results: Twenty-two participants (11 females, age 52.6 ±15.8, age range 21 to 72) were included: ten healthy volunteers, seven patients after stroke (time after stroke onset 16.3 ± 24.8 months), and five patients with Parkinson's disease (disease duration 60.4 ± 24.5 months). Overall Mini-Mental State Examination scores ranged between 27 and 30. An increased EMG activation during MI compared to rest condition was observed in M. deltoideus pars clavicularis and M. biceps brachii across all participants (p-value = 0.001, p = 0.007). Seven participants (two healthy volunteers, three patients after stroke and two patients with Parkinson's disease) showed a EMG activation during MI of the hand grasping and arm-lifting task in at least one of the target muscles. No correlation between EMG activation during MI and scores of three MI ability assessments were found.Conclusions: The findings suggest that MI can yield subliminal EMG activation. However, that might vary on individual basis. It remains unclear what parameters contribute to or inhibit an EMG activation during MI. Future investigations should determine factors that influence EMG activation, e.g. MI instructions, tasks to imagine, amount of MI training, and longitudinal changes after an MI training period.

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Motor Imagery Training After Stroke: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Cited by 106 publications

References 45 publications

Motor Imagery Training for Gait Rehabilitation of People With Post-Stroke Hemiparesis: Practical Applications and Protocols

Motor Imagery Training for Gait Rehabilitation of People With Post-Stroke Hemiparesis: Practical Applications and Protocols

Thinking Before Doing: A Pilot Study on the Application of Motor Imagery as a Learning Method During Physical Education Lesson in High School

Muscle Activation During Grasping With and Without Motor Imagery in Healthy Volunteers and Patients After Stroke or With Parkinson's Disease

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