The adjunctive role of mental practice in the rehabilitation of the upper limb after hemiplegic stroke: a pilot study.

Abstract:

OBJECTIVE:To assess the feasibility and practicalities of using the technique of mental practice as an adjunct in the rehabilitation of the upper limb following stroke. DESIGN:A series of single-case studies. SETTING:A stroke rehabilitation unit in Belfast. SUBJECTS:Fourteen patients admitted for rehabilitation of their first stroke: six men and four women, aged 45-81 between 10 and 176 days post stroke. INTERVENTION:Each patient underwent a single-case design, with two weeks baseline, two weeks intervention and one week withdrawal. The intervention consisted of structured daily mental practice sessions of a reach and grasp task, in addition to their usual therapy. MAIN OUTCOME MEASURES:The upper limb component of the Motricity Index was used to grade motor activity sequentially across the timescale of the study. RESULTS:Of the 14 patients recruited, four withdrew and 10 completed the study. Nine showed improvement in upper limb Motricity Index score with mental practice as measured by the two-band standard deviation method. One of these cases demonstrated an unstable baseline such that changes could not be attributed to intervention. CONCLUSIONS:This pilot study suggests that mental practice may be useful as an adjunct to physiotherapy after stroke.

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Crosbie JH,McDonough SM,Gilmore DH,Wiggam MI

doi

10.1191/0269215504cr702oa

subject

Has Abstract

pub_date

2004-02-01 00:00:00

pages

60-8

issue

1

eissn

0269-2155

issn

1477-0873

journal_volume

18

pub_type

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