Abstract
Methods: A stroke patient with a left putaminal hemorrhage participated in this study. This study consisted of baseline and intervention periods (4 weeks each). The participant performed standard rehabilitation during the baseline period, and auditory neurofeedback training with motor imagery in addition to standard rehabilitation during the intervention period. The Fugl-Meyer Assessment (FMA), Motor Activity Log (MAL), Hand Laterality Judgement Task (HLJT), Kinesthetic and Visual Imagery Questionnaire-10 (KVIQ-10) scores were measured before (Pre1) and after (Pre 2) the baseline period, and then after the intervention period (Post). Results: The shoulder/elbow/forearm subscale of the FMA, the amount of use and quality of movement subscales of the MAL, the accuracy and reaction time of the HLJT, and the visual and kinesthetic subscales of the KVIQ-10 improved in the Post compared with the Pre1 and Pre 2. Conclusion: This study suggests that auditory neurofeedback training contributes to improving upper extremity function and motor imagery ability in stroke patients.
Highlights
IntroductionStroke is one of the disorders in which motor dysfunction after onset is likely to remain [2]
17 million people suffer a stroke every year worldwide [1]
This study suggests that auditory neurofeedback training contributes to improving upper extremity function and motor imagery ability in stroke patients
Summary
Stroke is one of the disorders in which motor dysfunction after onset is likely to remain [2]. It is known that complete restoration of motor function of paralyzed limbs after stroke is approximately 20% in the upper extremities, whereas it is around 60% in the lower extremities [3]. As upper extremity dysfunction after a stroke greatly decreases the quality of life (QOL) [4], it is an important issue to improve upper extremity function after stroke. Mental practice with motor imagery is one of the effective treatments for improving upper extremity function after stroke [5]. Motor imagery is commonly defined as the mental simulation of one’s own performance without any associated overt movement [6]. Previous studies reported that motor imagery is effective for improving motor skill acquisition [8] and increasing muscle strength [9], motor imagery is widely applied in stroke rehabilitation [10,11,12,13,14]
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