Abstract

Mental imagery of movement is a potentially valuable rehabilitation task, but its therapeutic efficacy may depend on the specific cognitive strategy employed. Individuals use two main strategies to perform the hand mental rotation task (HMRT), which involves determining whether a visual image depicts a left or right hand. One is the motor imagery (MI) strategy, which involves mentally simulating one’s own hand movements. In this case, task performance as measured by response time (RT) is subject to a medial–lateral effect wherein the RT is reduced when the fingertips are directed medially, presumably as the actual motion would be easier. The other strategy is to employ visual imagery (VI), which involves mentally rotating the picture and is not subject to this medial–lateral effect. The rehabilitative benefits of the HMRT are thought to depend on the MI strategy (mental practice), so it is essential to examine the effects of individual factors such as age, image perspective (e.g., palm or back of the hand), and innate ability (as indicated by baseline RT) on the strategy adopted. When presented with pictures of the palm, all subjects in the current study used the MI strategy, regardless of age and ability. In contrast, when subjects were presented with pictures of the back of the hand, the VI strategy predominated among the young age group regardless of performance, while the strategy used by middle-age and elderly groups depended on performance ability. In the middle-age and elderly groups, the VI approach predominated in those with high performance skill, whereas the MI strategy predominated among those with low performance skill. Thus, higher-skill middle-aged and elderly individuals may not necessarily form a motion image during the HMRT, potentially limiting rehabilitation efficacy.

Highlights

  • Motor imagery (MI) is a cognitive process of mental simulation of actions without any concomitant bodily movement and is classified into intentionally and unintentionally generated motor imageries (Hanakawa, 2016)

  • The present study revealed a significant variation in Hand mental rotation task (HMRT) strategy profile among subjects of different ages and performance levels

  • There were no differences in strategy among participants with high, intermediate, and low skill levels (Short, Medium, and Long inverse efficiency score (IES) groups, respectively) for both the back-of-hand picture condition, in which the visual imagery (VI) strategy was always dominant, and for the palm picture condition, in which the MI strategy was always dominant

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Summary

Introduction

Motor imagery (MI) is a cognitive process of mental simulation of actions without any concomitant bodily movement and is classified into intentionally and unintentionally generated motor imageries (explicit/implicit) (Hanakawa, 2016). The RT profile of this strategy is characterized by the medial–lateral effect (De Simone et al, 2013), whereby the RT is shorter when the tip of the middle finger faces the medial side of the body, probably because the image is easier to superimpose compared to the condition where the middle finger faces the lateral side of the body This medial–lateral effect has been confirmed across all ages for the palm picture-based HMRT (ter Horst et al, 2010; Bläsing et al, 2013; Zapparoli et al, 2014, 2016; Conson et al, 2017; Nagashima et al, 2017, 2019). The RT profile is not influenced by the medial–lateral effect but rather by the rotation angle of the hand picture

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