Task-Oriented Circuit Class Training Program with Motor Imagery for Gait Rehabilitation in Poststroke Patients: A Randomized Controlled Trial

Verma, Rajesh; Arya, Kapil; Garg, RavindraK; Singh, T.

doi:10.1310/tsr18s01-620

Cited by 61 publications

(48 citation statements)

References 36 publications

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“…The preliminary evidence demonstrates that balance training along with MI may result in improved functional outcomes as compared to conventional balance training alone. Another group assessed the effectiveness of a task-oriented, circuit class training program (that included MI) for improving gait parameters in subacute stroke patients [82]. The study demonstrated that circuit training in conjunction with MI was more effective than conventional rehabilitation alone, and better promoted independent ambulation, walking speed, and endurance, among other parameters.…”

Section: For Post-stroke Rehabilitationmentioning

confidence: 99%

Motor Imagery-Based Rehabilitation: Potential Neural Correlates and Clinical Application for Functional Recovery of Motor Deficits after Stroke

Tong¹,

Pendy²,

Li³

et al. 2017

Aging and disease

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Motor imagery (MI), defined as the mental implementation of an action in the absence of movement or muscle activation, is a rehabilitation technique that offers a means to replace or restore lost motor function in stroke patients when used in conjunction with conventional physiotherapy procedures. This article briefly reviews the concepts and neural correlates of MI in order to promote improved understanding, as well as to enhance the clinical utility of MI-based rehabilitation regimens. We specifically highlight the role of the cerebellum and basal ganglia, premotor, supplementary motor, and prefrontal areas, primary motor cortex, and parietal cortex. Additionally, we examine the recent literature related to MI and its potential as a therapeutic technique in both upper and lower limb stroke rehabilitation.

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Section: For Post-stroke Rehabilitationmentioning

confidence: 99%

Motor Imagery-Based Rehabilitation: Potential Neural Correlates and Clinical Application for Functional Recovery of Motor Deficits after Stroke

Tong¹,

Pendy²,

Li³

et al. 2017

Aging and disease

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“…Of the 21 remaining studies another five articles were excluded after reading the document full-text: one of the studies investigated the effects of mental practice only on the ICF-body function level (only the Fugl Meyer Assessment was used as outcome measure; Page, 2000), three studies were not a randomized controlled trial (Dijkerman et al, 2004; Hwang et al, 2010; Kim et al, 2011), and the last article which was excluded compared imagery combined with circuit class training with Bobath. As the control study did not involve circuit class training, it was unclear what the surplus of the imagery training would be (Verma et al, 2011). Furthermore, the effectiveness and efficiency of circuit training has been established in earlier research (van de Port et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

The effects of mental practice in neurological rehabilitation; a systematic review and meta-analysis

Braun¹,

Kleynen²,

Heel³

et al. 2013

Front. Hum. Neurosci.

105

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Objective: To investigate the beneficial and adverse effects of a mental practice intervention on activities, cognition, and emotion in patients after stroke, patients with Parkinson's disease or multiple sclerosis.Methods: Electronic databases PubMed/Medline, PEDro, Science Direct, Cochrane Library, PsycINFO, Rehadat, Embase, and Picarta were searched until June 2012. Fourteen randomized controlled trials in stroke and two randomized controlled trials in Parkinson's disease were included, representing 491 patients (421 with stroke). No randomized controlled trials in multiple sclerosis were identified. The methodologic quality of the included trials was assessed with the Amsterdam-Maastricht-Consensus-List (AMCL). Information on study characteristics and outcomes was summarized and evidence for effects described. Data from individual studies in stroke with same outcome measures were pooled.Results: The included 16 randomized controlled trials were heterogeneous and methodologic quality varied. Ten trials reported significant effects in favor of mental practice in patients with stroke (n = 9) and Parkinson's disease (n = 1). In six studies mental practice had similar effects as therapy as usual (n = 5 in stroke and n = 1 in Parkinson's disease). Of six performed meta-analyses with identical measures in stroke studies only two showed significant effects of mental practice: short-term improvement of arm-hand-ability (ARAT: SMD 0.62; 95% CI: 0.05 to 1.19) and improvement of performance of activities (NRS: SMD 0.9; 95% CI: 0.04 to 1.77). Five studies found effects on cognition (e.g., effects on attention, plan actions in unfamiliar surroundings) and four reported observed side-effects, both positive (e.g., might increase motivation and arousal and reduce depression) and negative (e.g., diminished concentration, irritation).Conclusions: Mental practice might have positive effects on performance of activities in patients with neurological diseases, but this review reports less positive results than earlier published ones. Strengths and limitations of past studies are pointed out. Methodologic recommendations for future studies are given.

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“…Motor imagery studies were conducted on several diseases relating to the central nervous system and acute injuries involving orthopedics such as subacute stroke [15][16][17][18][19], chronic stroke [20][21][22], traumatic brain injury [23], multiple sclerosis [23], shoulder impingement syndrome [24], postsurgical anterior cruciate ligament [25], postsurgical flexor tendon repair [26], burn injury [27], phantom limb pain [28], complex regional pain syndrome [28,29], and motor coordination problems [30]. Table 1 lists motor imagery clinical studies found in PubMed.…”

Section: Clinical Studies Of Motor Imagerymentioning

confidence: 99%

“…The effects of motor imagery were observed in upper extremity function in subacute [16] and chronic [23] stroke patients, gait function in subacute [15,18] and chronic [20][21][22] stroke patients, and balance functions in chronic stroke patients [22]. Motor imagery used for motor recovery showed a lack of results in subacute stroke patients with limited upper extremity function [19], stroke patients struggling with goal attainment and Neurological Physical Therapy task performance [17], and those with traumatic brain injury and multiple sclerosis [23].…”

Section: Clinical Studies Of Motor Imagerymentioning

confidence: 99%

Motor Imagery and Action Observation as Effective Tools for Physical Therapy

Nakano¹,

Kodama²

2017

Neurological Physical Therapy

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Motor imagery and action observation facilitate motor recovery of patients because both the motor imagery and the action observation share the activation of cortical neural networks implicated in movement execution. Specifically, imagery, observation, and execution activate the medial parietal area of the brain located between the parietooccipital sulcus and the posterior end of the cingulate sulcus. This chapter reviews the neural mechanisms and clinical studies of motor imagery and action observation and discusses the applications in physical therapy.

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Task-Oriented Circuit Class Training Program with Motor Imagery for Gait Rehabilitation in Poststroke Patients: A Randomized Controlled Trial

Abstract: Among the patients who had a stroke within the previous 4 to 12 weeks, the TOCCT with MI produced statistically significant and clinically relevant improvements in the gait and the gait-related activities.

Cited by 61 publications

References 36 publications

Motor Imagery-Based Rehabilitation: Potential Neural Correlates and Clinical Application for Functional Recovery of Motor Deficits after Stroke

Motor Imagery-Based Rehabilitation: Potential Neural Correlates and Clinical Application for Functional Recovery of Motor Deficits after Stroke

The effects of mental practice in neurological rehabilitation; a systematic review and meta-analysis

Motor Imagery and Action Observation as Effective Tools for Physical Therapy

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