Effects of Motor Imagery on Upper Extremity Functional Task Performance and Quality of Life among Stroke Survivors

Thankamani Rajesh

Abstract


Purpose: To assess the effects of Motor Imagery programme on upper extremity functional task performance and quality of life among stroke survivors.

Method: Thirty people who were diagnosed with stroke, were selected from the Department of Occupational Therapy, SVNIRTAR, Odisha, India, and consecutively assigned to control (n=15) and experimental (n=15) groups. The control group received conventional occupational therapy only, and the experimental group received conventional occupational therapy combined with Motor Imagery programme. Upper Extremity Motor Activity Log (UE-MAL) and Stroke Specific Quality Of Life Questionnaire (SSQOL) were used for assessment, before and after the intervention.

Results: The experimental group showed significant improvement compared to the control group (P<.004 & P<.001). The implication is that there is a good relationship between upper extremity functional task performance and quality of life (r= 0.928).

Conclusions: The Motor Imagery programme is a simple and very cost-effective treatment used in Occupational Therapy practice. It can be easily taught and learnt. The study concludes that Motor Imagery programme is effective in improving upper extremity functional task performance and quality of life among stroke survivors.


Keywords


Motor imagery; functional task performance; quality of life; stroke; motor activity log

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References


Amasiatu A (2013). Mental imagery rehearsal as a psychological technique to enhancing sports performance. Educational Research International; 1(2): 69-77. Available from: http://www.erint.savap.org.pk/PDF/Vol.1(2)/ERInt.2013(1.2-07).pdf

Bovend'Eerdt TJ, Dawes H, Sackley C, Hooshang I, Wade DT (2010). An integrated motor imagery programme to improve functional task performance in neurorehabilitation: A single-blind randomised controlled trial. Arch Phys Med Rehabilitation; 91: 939-946. http://dx.doi.org/10.1016/j.apmr.2010.03.008 PMid:20510987

Butler AJ, Page SJ (2006). Mental practice with motor imagery: Evidence for motor recovery and cortical reorganisation after stroke. Archives of Physical Medicine & Rehabilitation; 87(12 Suppl 2): S2-11. http://dx.doi.org/10.1016/j.apmr.2006.08.326 PMid:17140874 PMCid:PMC2561070

Carr JH, Shepherd RB (1998). Neurological rehabilitation: Optimising motor performance. Butterworth-Heinemann Publications.

Dawn MN, Glen G, Andrew MG (2010). Use of mental practice to improve upper-limb recovery after stroke: A systematic review. American Journal of Occupational Therapy; 64: 695-708. http://dx.doi.org/10.5014/ajot.2010.09034

Decety J, Jeannerod M (1996). Mentally simulated movements in virtual reality: Does Fitts's law hold in motor imagery?. Behavioural Brain Research; 72: 127–134. http://dx.doi.org/10.1016/0166-4328(96)00141-6

Dettmers C, Teske U, Hamzei F, Uswatte G, Taub E, Weiller C (2005). Distributed form of constraint-induced movement therapy improves functional outcome and quality of life after stroke. Archives of Physical Medicine and Rehabilitation; 86(2): 204-209. http://dx.doi.org/10.1016/j.apmr.2004.05.007 PMid:15706544

Dickstein R, Dunsky A, Marcovitz E (2005). Motor imagery for gait rehabilitation in post-stroke hemiparesis. Physical Therapy; 84(12): 1167-1175.

Dickstein R, Deutsch JE (2007). Motor imagery in physical therapist practice. American Physical Therapy Association; 942-953. http://dx.doi.org/10.2522/ptj.20060331

Dijkerman HC (2004). Does motor imagery training improve hand function in chronic stroke patients? A pilot study. Clinical Rehabilitation; 18(5): 538-49. http://dx.doi.org/10.1191/0269215504cr769oa PMid:15293488

Dowaraha BP (2013). The effects of BIT versus MCMIT on functional performance in upper extremity in chronic hemiparesis. Scientific Research Journal of India; 2(4).

Ertelt D, Small S, Solodkin A, Dettmers C, McNamara A, Binkofski F, Buccino G (2007). Action observation has a positive impact on rehabilitation of motor deficits after stroke. Neuroimage; 36: 164-173. http://dx.doi.org/10.1016/j.neuroimage.2007.03.043 PMid:17499164

Ewan LM, Kathryn K, Holmes P (2010). An observation-based intervention for stroke rehabilitation: Experiences of eight individuals affected by stroke. Disability and Rehabilitation; 32(25): 2097-210. http://dx.doi.org/10.3109/09638288.2010.481345 PMid:20455707

Gaggioli A, Morganti F, Walker R, Meneghini A, Alcaniz M, Lozano J A, Montesa J A, Gil J A, Riva G (2004). Training with computer-supported motor imagery in post-stroke rehabilitation. Cyberpsychology & Behaviour; 7(3): 327-332. http://dx.doi.org/10.1089/1094931041291312 PMid:15257833

Gaggioli A, Meneghini A, Morganti F, Alcaniz M, Riva G (2006). A strategy for computer-assisted mental practice in stroke rehabilitation. Neurorehabil Neural Repair; 20: 503. http://dx.doi.org/10.1177/1545968306290224 PMid:17082506

Gillen G, Burkhardt A (1998). Stroke rehabilitation: A function based approach. New York; Mosby Publication: 125.

Gregg M, Hall C, Butler A (2010). The MIQ-RS: A suitable option for examining movement imagery ability. Evidence-Based Complementary and Alternative Medicine; 7(2): 249-257. http://dx.doi.org/10.1093/ecam/nem170 PMid:18955294 PMCid:PMC2862926

Haan RJ, Limburg M, Meulen JH, Jacobs HM, Aaronson NK (1995). Quality of life after stroke: Impact of stroke type and lesion location. Stroke; 26(3): 402-408. http://dx.doi.org/10.1161/01.STR.26.3.402 PMid:7886714

Harris JE, Eng JJ, Miller WC, Dawson AS (2009). A self-administered graded repetitive arm supplementary programme (GRASP) improves arm function during in-patient stroke rehabilitation. A multi-site randomised controlled trial. Stroke; 40(6): 2123-2128. http://dx.doi.org/10.1161/STROKEAHA.108.544585 PMid:19359633

Hatano S (1976). Experience from a multicentre stroke register: a preliminary report. Bulletin of the World Health Organisation; 54(5): 541-553. PMid:1088404 PMCid:PMC2366492

Holmes PS (2007). Theoretical and practical problems for imagery in stroke rehabilitation: an observation solution. Rehabil Psychology; 52(1): 1–10. http://dx.doi.org/10.1037/0090-5550.52.1.1

Holmes P (2011). Evidence from cognitive neuroscience supports action observation as part of an integrated approach to stroke rehabilitation. Manual Therapy; 16(1): 40-41. http://dx.doi.org/10.1016/j.math.2010.06.011 PMid:20674463

Jackson PL, Lafleur MF, Malouin F, Richards C, Doyon J (2001). Potential role of mental practice using motor imagery in neurologic rehabilitation. Archives of Physical Medicine Rehabilitation; 82(8): 1133-41. http://dx.doi.org/10.1053/apmr.2001.24286 PMid:11494195

Jaracz K, Kozubski W (2003). Quality of life in stroke patients. Acta Neurol Scand; 107(5): 324–329. http://dx.doi.org/10.1034/j.1600-0404.2003.02078.x PMid:12713523

Jarus T, Ratzon N Z (2000). Can you imagine? The effect of mental practice on the acquisition and retention of a motor skill as a function of age. Occupational Therapy Journal of Research; 20(3): 163-178.

Jeannerod M (2001). Neural simulation of action: a unifying mechanism for motor cognition. NeuroImage; 14: S103–S109. http://dx.doi.org/10.1006/nimg.2001.0832 PMid:11373140

Johnson SH, Sprehn G, Saykin AJ (2002). Intact motor imagery in chronic upper limb hemiplegics: evidence for activity independent action representations. Journal of Cognitive Neuroscience; 14(6): 841-852. http://dx.doi.org/10.1162/089892902760191072 PMid:12191452

Kauhanen M (2000). Quality of life after stroke: clinical, functional, psychosocial, and cognitive correlates. Oulu university Library.

Keh-chung Lin, Tiffany Fu, Ching-yi Wu, Ching-ju H (2011). Assessing the stroke-specific quality of life for outcome measurement in stroke rehabilitation: minimal detectable change and clinically important difference. Health and Quality of Life Outcomes; 9:5. http://dx.doi.org/10.1186/1477-7525-9-5 PMid:21247433 PMCid:PMC3034658

King RB (1996). Quality of life after stroke. Stroke; 27: 1467-1472 http://dx.doi.org/10.1161/01.STR.27.9.1467 PMid:8784114

Kosslyn SM, Ganis G, Thompson WL (2001). Neural foundations of imagery. Nat Rev Neuroscience; 2(9): 635-642. http://dx.doi.org/10.1038/35090055 PMid:11533731

Kurlowicz L, Wallace M (1999). The Mini Mental State Examination (MMSE). Issue Number 3. The Hartford Institute For Geriatric Nursing, Division Of Nursing, New York University. http://dx.doi.org/10.3928/0098-9134-19990501-08

Lozano JA, Montesa J, Juan MC, Alca-iz M, Rey B, Gil J, Martinez JM, Gaggioli A, Morganti F (2005). VR-Mirror: a virtual reality system for mental practice in post-stroke rehabilitation. Lecture Notes in Computer Science; 3638: 241-251. http://dx.doi.org/10.1007/11536482_23

Liu KP, Chan CC, Lee TM, Hui-Chan CW (2004a). Mental imagery for promoting relearning for people after stroke: a randomised controlled trial. Archives of Physical Medicine and Rehabilitation; 85(9): 1403-1408. http://dx.doi.org/10.1016/j.apmr.2003.12.035 PMid:15375808

Liu KP, Chan CC, Lee TM, Hui-Chan CW (2004b). Mental imagery for relearning of people after brain injury. Brain Injury; 18(11): 1163-72. http://dx.doi.org/10.1080/02699050410001671883 PMid:15545212

Lynch EB, Butt Z, Allen H, David V, Cindy J N, Lori P (2008). A qualitative study of quality of life after stroke: the importance of social relationships. Journal of Rehabilitation Medicine; 40: 518–523. http://dx.doi.org/10.2340/16501977-0203 PMid:18758667 PMCid:PMC3869390

Mandal AK, Mokashi SP (2009). Effect of occupational therapy task-oriented approach on recovery of upper extremity motor function and activities of daily living in stroke patients. Indian Journal of Occupational Therapy; XLI(2): 31-36.

Mayo NE, Wood-Dauphinee S, Durcan L, Carlton J (2002) Activity, participation, and quality of life 6 months post stroke. Archives Physical Medical Rehabilitation; 83: 1035- 42. http://dx.doi.org/10.1053/apmr.2002.33984

Nakayma H, Jorgensen HS, Raaschou HU, Olsen TS (1994). Compensation in recovery of upper extremity function after stroke: the Copenhagen stroke study. Archives Physical Medical Rehabilitation; 75: 852-857. http://dx.doi.org/10.1016/0003-9993(94)90108-2

Nichols-LarsenDS, Clark PC, Zeringue A, Greenspan A, Blanton S (2005). Factors influencing stroke survivors' quality of life during subacute recovery. Stroke; 36: 1480-1484. http://dx.doi.org/10.1161/01.STR.0000170706.13595.4f PMid:15947263

Page SJ (2000). Imagery improves upper extremity motor function in chronic stroke patients: a pilot study. The Occupational Therapy Journal of Research; 20(3): 200-213. http://dx.doi.org/10.1177/153944920002000304

Page SJ, Levine P, Leonard AC (2005). Effects of mental practice on affected limb use and function in chronic stroke. Archives Physical Medical Rehabilitation; 86: 399-402. http://dx.doi.org/10.1016/j.apmr.2004.10.002 PMid:15759218

Page SJ, Levine P, Sisto S, Johnston MV (2001a). A randomised efficacy and feasibility study of imagery in acute stroke. Clinical Rehabilitation; 15: 233-240. http://dx.doi.org/10.1191/026921501672063235 PMid:11386392

Page SJ, Levine P, Sisto S, Johnston MV (2001b). Mental practice combined with physical practice for upper-limb motor deficit in sub-acute stroke. Physical Therapy; 81(8): 1455-1462. PMid:11509075

Page SJ, Laine D, Leonard AC (2007). Mental practice in chronic stroke: results of a randomised, placebo-controlled trial. Stroke; 38(4): 1293-7. http://dx.doi.org/10.1161/01.STR.0000260205.67348.2b PMid:17332444

Pascual-Leone A, Nguyet D, Cohen LG, Brasil-Neto JP, Cammarota A, Hallett M (1995). Modulation of muscle responses evoked by transcranial magnetic stimulation during the acquisition of new fine motor skills. J Neurophysiol; 74(3): 1037-45. PMid:7500130

Riccio I, Iolascon G, Barillari MR, Gimigliano R, Gimigliano F (2010). Mental practice is effective in upper limb recovery after stroke: a randomised single-blind cross-over study. Eur J Phys Rehabil Med; 46(1): 19-25. PMid:20332722

Sabate M, Gonzalez B, Rodriguez M (2004). Brain lateralisation of motor imagery: motor planning symmetry as a cause of movement lateralisation. Neuropsychologia; 42(8): 1041-1049.

http://dx.doi.org/10.1016/j.neuropsychologia.2003.12.015 PMid:15093143

Stevens JA, Stoykov PME (2003). Using motor imagery in the rehabilitation of hemiparesis. Archives of Physical Medicine & Rehabilitation; 84(7): 1090-1092. http://dx.doi.org/10.1016/S0003-9993(03)00042-X

Tariah HA, Almalty A, Sbeih Z and Al-Oraibi S) 2010). Constraint induced movement therapy for stroke survivors in Jordon: a home-based mode. International Journal of Therapy and Rehabilitation; 17: 638–646. http://dx.doi.org/10.12968/ijtr.2010.17.12.638

Uswatte G, Taub E, Morris D, Light K, Thompson PA (2006). The Motor Activity Log - 28: assessing daily use of the hemiparetic arm after stroke. Neurology; 67: 1189-1194. http://dx.doi.org/10.1212/01.wnl.0000238164.90657.c2 PMid:17030751

Verbunt JA, Seelen HAM, Ramos FB, Michielsen B, Wetzelaer W, Moennekens (2008). Mental practice-based rehabilitation training to improve arm function and daily activity performance in stroke patients: a randomised clinical trial. BMC Neurology; 8: 7 http://dx.doi.org/10.1186/1471-2377-8-7 PMid: 18405377 PMCid:PMC2329664

Whitall J, Waller SM, Silver K, Macko R (2000). Repetitive bilateral arm training with rhythmic auditory cueing improves motor function in chronic hemiparetic stroke. Stroke; 2390-239. http://dx.doi.org/10.1161/01.STR.31.10.2390

Williams L, Weinberger M, Harris LE, Clark D, Biller J (1999). Development of a stroke-specific quality of life scale. Stroke; 30: 1362-1369. http://dx.doi.org/10.1161/01.STR.30.7.1362 PMid:10390308




DOI: https://doi.org/10.5463/dcid.v26i1.225



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