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 Rehabiljournal_title
Clinical rehabilitationauthors
Crosbie JH,McDonough SM,Gilmore DH,Wiggam MIdoi
10.1191/0269215504cr702oasubject
Has Abstractpub_date
2004-02-01 00:00:00pages
60-8issue
1eissn
0269-2155issn
1477-0873journal_volume
18pub_type
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