Effect Of Motor Imagery Therapy Research Articles

Motor imagery therapy on upper limb motor control after stroke

BackgroundStroke is a common neurological disease, the main pathological feature of which is cerebral ischemia or bleeding caused by sudden blockage or rupture of cerebral vessels. Impaired upper limb motor control after stroke severely affects patients’ quality of life and ability to perform daily activities. Traditional rehabilitation methods mainly rely on physical therapy and drug therapy, but there are limited effects.Subjects and MethodsIt is to explore the clinical effect of motor imagery therapy in the study of upper limb motor control after stroke. Fifty patients with stroke and the influence of upper limb movement were selected as experimental subjects, 25 as an experimental group and 25 as a control group. The experimental group received six months of rehabilitation training using motor imagery therapy, and the control group received six months of rehabilitation training using traditional drug alteplase.ResultsThe experimental results were evaluated by SPSS23.0 system. P<0.05 indicated that the difference was statistically significant, and the upper limb motor function and muscle strength of 20 patients in the experimental group were significantly improved after half a year, More than 80 percent have recovered, with significant differences (P<0.05).ConclusionsAfter the motor imagination therapy is integrated into stroke patients, it can promote the reorganization of brain nerves, enhance the motor memory of muscles, improve the patients’ attention and concentration on sports, and help them recover the motor function of the upper limbs.Acknowledgement2021 Shanghai Society of Integrated Traditional Chinese and Western Medicine Community Medicine and Health Management Research Project (No. 2021-117); 2022 Shanghai Jing’an District Medical Research Fund Project (No. 2022QT05).

Preliminary Study on Effect of Motor Imagery Combined With Low-Frequency Pulsed Electrical Stimulation Therapy on Upper Limb Function of Young Stroke Patients

Background: To observe and explore the clinical effect of motor imagery therapy (MIT) combined with low-frequency pulsed electrical stimulation therapy (LFPEST) on improving upper limb function in young stroke patients. Methods: Eighty-one young stroke patients with hemiplegia were divided into MIT group, LFPEST group and combined treatment group. Fugl-Meyer assessment (FMA), functional test hemiplegic upper extremity (FTHUE) and modified Barthel Index (MBI) were used to evaluate the upper limb function and activities of daily living before and 6 weeks after treatment. Results: After treatment, the FMA score, FTHUE grading and MBI score of the combined treatment group and the MIT group were significantly higher than those of the LFPEST group (P < 0.05), and the curative effect of the combined treatment group was significantly higher than that of the MIT group (P < 0.05). Conclusions: MIT combined with LFPEST has more obvious curative effect than LFPEST and MIT, which can significantly improve the upper limb function, hand function and daily living ability of young stroke patients with hemiplegia. J Neurol Res. 2021;11(3-4):54-59 doi: https://doi.org/10.14740/jnr661

Preliminary Study on Effect of Motor Imagery Combined With Low-Frequency Pulsed Electrical Stimulation Therapy on Upper Limb Function of Young Stroke Patients

Background: To observe and explore the clinical effect of motor imagery therapy (MIT) combined with low-frequency pulsed electrical stimulation therapy (LFPEST) on improving upper limb function in young stroke patients. Methods: Eighty-one young stroke patients with hemiplegia were divided into MIT group, LFPEST group and combined treatment group. Fugl-Meyer assessment (FMA), functional test hemiplegic upper extremity (FTHUE) and modified Barthel Index (MBI) were used to evaluate the upper limb function and activities of daily living before and 6 weeks after treatment. Results: After treatment, the FMA score, FTHUE grading and MBI score of the combined treatment group and the MIT group were significantly higher than those of the LFPEST group (P < 0.05), and the curative effect of the combined treatment group was significantly higher than that of the MIT group (P < 0.05). Conclusions: MIT combined with LFPEST has more obvious curative effect than LFPEST and MIT, which can significantly improve the upper limb function, hand function and daily living ability of young stroke patients with hemiplegia. J Neurol Res. 2021;11(3-4):54-59 doi: https://doi.org/10.14740/jnr661

Motor imagery therapy combined with balance training can improve performance in the activities of daily living after an initial stroke

Objective To explore the effect of motor imagery therapy combined with balance evaluation and training on balance and performance in the activities of daily living (ADL) after an initial stroke. Methods A total of 48 stroke patients were randomly divided into a control group (n=25) and an observation group (n=23). All of the patients in both groups were given routine rehabilitation and balance training. In addition, the patients of the observation group were given motor imagery therapy. Balance and ADL performance were assessed before the training and 2 weeks and 4 weeks after the training began. The subjects′ balance was analyzed using the center of the gravity shift index, shift angle, total length of shift trace and envelope area using a balance evaluation system and the balance subscale of the Fugl-Meyer assessment (FM-B). Performance in the activities of daily living was assessed using the modified Barthel index (MBI). Results Before the training there were no significant differences between the two groups in terms of any of the measurements. After 2 weeks and 4 weeks of training, all the measurements in both groups were significantly better than those before training, but the improvement of the observation group was significantly greater than that of the control group (except in terms of the MBI). Conclusion Motor imagery therapy combined with balance training can distinctly improve the balance and activities of daily living of stroke survivors. The combination is worthy of application in the clinic. Key words: Motor imagery therapy; Stroke; Balance; Activities of daily living

Clinical effect of motor imagery therapy on upper limb motor dysfunction after stroke

Objective To investigate the clinical effect of motor imagery therapy on upper limb motor dysfunction in stroke patients. Methods 120 patients with post stroke upper limb disability were selected.According to the digital table, they were divided into observation group and control group, 60 cases in each group.Two groups were treated with primary disease and rehabilitation treatment, the observation group used motor imagery therapy, the two groups were treated for 3 months.Limb simplified Fugl-Meyer rating scale(FMA) and self-care ability Barthel index(MBI) were used to evaluate the motor function and self-care ability of the patients before and after treatment.The upper limb movement was evaluated by ARAT before and after treatment.The quality of life score before and after treatment was observed. Results Before treatment, there were no statistically significant differences in FMA and BI scores between the two groups(t=0.13, 0.23, all P>0.05). After treatment, the FMA score of the control group was (29.74±4.04)points, the BI score was (57.29±4.23)points, the FMA and BI scores of the observation group was (33.29±4.14)points, (63.12±4.21)points, respectively, the differences were statistically significant between before and after treatment in the self-group(t=3.56, 5.61, all P<0.05), and the degree of elevation of the observation group was more significant than those of the control group, the differences were statistically significant(t=2.38, 4.14, all P<0.05). After treatment, the degrees of elevation of the scores of ARAT in the observation group[grab (13.34±2.00)points, grip (10.23±0.39)points, pinch (14.53±1.43)points, thick (8.20±0.42)points]were significantly higher than those in the control group, the differences were statistically significant(t=3.45, 2.87, 3.17, 2.98, all P<0.05). After treatment, the rise degree of the scores of quality of life in the observation group[physiological field (68.71±6.62)points, psychological field (69.02±6.38)points, social relations (67.72±6.79)points, environmental field (70.72±6.98)points]were higher than those in the control group, the differences were statistically significant(t=4.23, 3.98, 3.23, 2.98, all P<0.05). Conclusion The effect of exercise therapy on the upper limb of patients after stroke has significantly clinical efficacy, and it can help patients to restore limb motor function, improve self-care ability and quality of life, it is safe and worthy of clinical promotion. Key words: Stroke; Exercise Therapy; Psychotherapy; Upper Extremity; Rehabilitation

Effect of motor imagery therapy on cognitive function of patients with stroke

Objective To explore the rehabilitation effect of motor imagery therapy on cognitive function of stroke patients. Methods A total of 99 stroke patients with mild to moderate cognitive dysfunction were randomly divided into 3 groups: control group (N = 33), cognitive training group (N = 33) and motor imagery training group (N = 33). All patients received conventional rehabilitation training. Before and after 8-week training, all subjects were assessed with Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA). At the same time, event-related potential (ERP) was examined to detect P300 latency and amplitude. Results ompared with before training, MMSE ( P = 0.000) and MoCA ( P = 0.000) scores were significantly increased, P300 latency was shortened ( P = 0.000) and P300 amplitude was increased ( P = 0.000) in 3 groups after 8 - week training. There were significant differences among 3 groups on MMSE ( P = 0.030) and MoCA ( P = 0.013) scores, P300 latency ( P = 0.004) and P300 amplitude ( P = 0.009) before and after training. Among them, cognitive training group and motor imagery training group had significantly higher MMSE ( P = 0.019, 0.021) and MoCA ( P = 0.003, 0.031) scores, shorter P300 latency ( P = 0.020, 0.003) and higher P300 amplitude ( P = 0.003, 0.002) than control group. Conclusions Motor imagery training can not only improve motor function of stroke patients, but also improve their cognitive function. DOI: 10.3969/j.issn.1672-6731.2017.06.005

Influence of combining motor imagery therapy with counterbalance exercise on fall efficacy of the elderly

Objective To explore the effect of motor imagery therapy and its combination with counterbalance exercise on the fall efficacy of elderly people. Methods Totals of 156 eligible elderly people with fear of falling (FOF) were selected as objects and randomly divided into three groups. The first group was the control group, treated with routine rehabilitation nursing. People in the second group were treated with routine rehabilitation nursing plus motor imagery therapy. People in the third group were treated with routine nursing plus motor imagery therapy, combined with counterbalance exercise. The intervention lasted for 2 weeks. People in the three groups were assessed by fall efficacy and depression scales before and after the intervention. Results Regarding fall efficacy before and after the intervention, there were not significant differences in the control group [(3.79±1.46) points vs. (4.01±1.35)points, t=0.798, P>0.05)], or in the second group [(3.88±1.86) vs. (4.38±1.14), t=1.653, P>0.05)], but there was significant difference in the third group [(3.91±1.54) vs. (5.75±1.43), t=6.314, P 0.05)], but there were significant differences in the second group [(55.58±7.42) vs. (47.45±6.89), t=5.790, P<0.01)], and in the third group [(56.23±6.54) vs. (46.23±7.21), t=7.408, P<0.01)]. Conclusions The motor imagine therapy alone can not significantly improve fall efficacy of the elderly with FOF, but can significantly reduce their depression. Combined use of motor imagery therapy and counterbalance exercise can significantly increase their fall efficacy and reduce their depression. Key words: Elderly; Falling; Motor imagery therapy; Counterbalance exercise

Motor imagery therapy supplemented with scalp acupuncture for improving lower limb motor function after stroke

Objective To investigate the effect of motor imagery therapy supplemented with scalp acupuncture for improving the lower limb motor function of stroke patients with hemiplegia.Methods A total of 120 hemiplegic stroke patients were randomly divided into an experimental group and a control group with 60 patients in each.All were given routine medical care and scalp acupuncture (stimulating the posterior and anterior oblique line of the parietal-temporal lobe contralateral to the hemiplegic limb).The treatment was given daily for 3 weeks as one session,and 2 sessions were administered to both groups.The experimental group was given motor imagery therapy in addition.Each treatment took about 25 min every day for 3 weeks as one session,and again 2 consecutive sessions were administered.The temporal and spatial gait parameters (10m maximum walking speed,stride length and cadence) of all of the patients were assessed,the Fugl-Meyer lower extremity assessment (FMA-L) was conducted and functional ambulation classifications (FACs) were assigned before therapy and at the end of the 6 weeks.Results After 6 weeks of treatment,all of the measures had improved significantly for both groups.The experimental group,however,had improved significantly more than the control group.Conclusion Motor imagery therapy can supplement scalp acupuncture to improve lower limb motor function in hemiplegic stroke patients. Key words: Motor imagery therapy; Scalp acupuncture; Stroke; Lower limb motor function; Hemiplegia

The effect of motor imagery therapy on walking ability in patients with post-stroke hemiplegia

Objective To study the effect of motor imagery therapy combined with conventional rehabilitation treatment on walking ability in patients with post-stroke hemiplegia.Methods Eighty patients with post-stroke hemiplegia were randomly divided into a treatment group (40 cases) and a control group (40 cases).All the patients in both groups were given basic medication and conventional rehabilitation treatment.In addition,the patients in treatment group were given motor imagery therapy.The 10 m maximum walking speed (10 m MWS),stride length,cadence,Fugl-Meyer motor assessment (lower limb) (FMA-L) and Holden's functional ambulation classification (FAC) were used to evaluate walking ability before the beginning of training and at the end of six weeks of training.Results Before intervention there was no significant difference between the two groups in terms of all the assessment (P ＞0.05).At the end of training,all measurements in both groups [the treatment group:10 m MWS (0.53 ± 0.20)m/s,stride length (78.91 ± 20.46) cm,cadence (78.10 ± 12.03) min,FMA-L (24.13 ±5.77),FAC (3.60±1.01);the control group:10 m M WS (0.42 ±0.15)m/s,stride length (69.75 ± 18.31)cm,cadence (71.14±9.29)/min,FMA-L (20.65 ±4.70),FAC (2.93 ±0.89)] were significantly better than those before training (P ＜ 0.05),and the improvements in treatment group were significantly better than those in control group (P ＜ 0.05).Conclusion Motor imagery therapy combined with conventional rehabilitation treatment can distinctly improve the walking ability in patients with post-stroke hemiplegia. Key words: Motor imagery therapy; Stroke; Walking ability

Effect of motor imagery therapy on walking ability in patients with stoke and hemiplegia

Objective To investigate the effect of motor imagery therapy on walking ability in patients with stroke and hemiplegia. Methods Thirty-six patients with stroke and hemiplegia were divided into group A and group B based on the odd or even admission number,with 19 patients in each group. From the first to the third week,patients in group A were treated with conventional rehabilitation therapy combined with motor imaginary therapy,and those in group B only received conventional rehabilitation therapy. During the fourth and fifth week( washout period),both patients in group A and group B did not receive formal conventional rehabilitation therapy and motor imaginary therapy. In the sixth to eighth week,patients in group B received conventional rehabilitation therapy combined with motor imaginary therapy,and those in group A only received conventional rehabilitation therapy. The walking ability of patients in two groups was assessed with lower extremity Fugl-Meyer motor assessment( FMA),functional ambulation category( FAC) and Tinetti gait assessment( TGA)scales before treatment,and at the end of the third week,fifth week and eighth week. Results There was no significant difference in FMA,FAC and TGA scores between two groups before treatment( P 0. 05). The scores of each scale at the end of the third week,fifth week and eighth week were significantly higher than those before treatment in two groups( P 0. 01). At the end of the third week,the score of each scale in group A was significantly higher than that in group B( P 0. 01). At the end of the eighth week,the score of each scale in group B was significantly higher than that in group A( P 0. 01). Conclusion On the basis of conventional rehabilitation therapy,motor imagery therapy can further improve the walking ability in patients with stroke and hemiplegia and enhance the efficacy of rehabilitation training.