Working memory and mental practice outcomes after stroke.

Abstract:

OBJECTIVE:To examine the relationship between working memory and motor improvement obtained after a single training session combining mental and physical practice. DESIGN:Before-after trial. SETTING:Laboratory of a university-affiliated research rehabilitation center. PARTICIPANTS:A sample of 12 patients with stroke and 14 age- and gender-matched healthy subjects. INTERVENTION:In a single session, patients were trained with combined mental and physical practice to increase the loading on the affected leg while standing up and sitting down. MAIN OUTCOME MEASURES:Motor improvement as measured by the percentage change in limb loading on the affected limb after training and 24 hours later (follow-up), and the relationship between working memory and percentage motor improvement. RESULTS:The loading on the affected leg was improved after training (P< .01) and at follow-up (P< .05), and working memory scores at follow-up correlated significantly (P< .004 to P< .007) with the level of improvement. The visuospatial domain yielded the strongest correlation (r= .83), followed by the verbal (r= .62) and kinesthetic (r= .59) domains. CONCLUSIONS:These results suggest that the outcome (improved limb loading) of mental rehearsal with motor imagery depends on the ability to maintain and manipulate information in working memory.

journal_name

Arch Phys Med Rehabil

authors

Malouin F,Belleville S,Richards CL,Desrosiers J,Doyon J

doi

10.1016/s0003-9993(03)00771-8

subject

Has Abstract

pub_date

2004-02-01 00:00:00

pages

177-83

issue

2

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(03)00771-8

journal_volume

85

pub_type

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