The effects of mental practice combined with modified constraint-induced therapy on corticospinal excitability, movement quality, function, and activities of daily living in persons with stroke

Kim, Hee; Yoo, Eun‐Young; Jung, Min‐Ye; Kim, Jong-Bae; Park, Ji-Hyuk; Kang, Dae-Hyuk

doi:10.1080/09638288.2017.1337817

Cited by 26 publications

(22 citation statements)

References 34 publications

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“…In the 12 studies 11,12,[24][25][26][27][28][29][30][31][32][33] which had medical students or trainees as their population, the primary outcome measures were the Objective Standard Assessment of Technical Skills (OSATS), variations of a Global Rating Scale, independent measures of time taken, precision and accuracy in completion of task or a purpose-built checklist. The remaining studies used task-specific measures such as the Fugl-Meyer assessment for stroke 50,56,61 or broader measures of function such as using a goniometer for range of motion [40][41][42][43] .…”

Section: Primary Outcome Measuresmentioning

confidence: 99%

Adapting Motor Imagery Training Protocols to Surgical Education: A Systematic Review and Meta-Analysis

et al. 2021

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Objective. Motor imagery (MI) is widely used to improve technical skills in sports and has been proven to be effective in neurorehabilitation and surgical education. This review aims to identify the key characteristics of MI protocols for implementation into surgical curricula. Design. This study is a systematic review and meta-analysis. PubMed, MEDLINE, Embase and PsycINFO databases were systematically searched. The primary outcome was the impact of MI training on measured outcomes, and secondary outcomes were study population, MI intervention characteristics, study primary outcome measure and subject rating of MI ability (systematic review registration: PROSPERO CRD42019121895). Results. 456 records were screened, 60 full texts randomising 2251 participants were reviewed and 39 studies were included in meta-analysis. MI was associated with improved outcome in 35/60 studies, and pooled analysis also showed improved outcome on all studies with a standardised mean difference of .39 (95% CI: .12, .67, P = .005). In studies where MI groups showed improved outcomes, the median duration of training was 24 days (mode 42 days), and the median duration of each individual MI session was 30 minutes (range <1 minute-120 minutes). Conclusions. MI training protocols for use in surgical education could have the following characteristics: MI training delivered in parallel to existing surgical training, in a flexible format; inclusion of a brief period of relaxation, followed by several sets of repetitions of MI and a refocusing period. This is a step towards the development of a surgical MI training programme, as a low-cost, low-risk tool to enhance practical skills.

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Section: Primary Outcome Measuresmentioning

confidence: 99%

Adapting Motor Imagery Training Protocols to Surgical Education: A Systematic Review and Meta-Analysis

et al. 2021

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“…One study showed a low bias risk in selection, performance, detection, attrition, and reporting bias [22]. Seven studies did not mention blinding of participations and personnel and so there were insufficient information to permit the judgement of whether they had a 'low risk' or 'high risk' of bias [5,8,9,[23][24][25][26]. Four studies did not address blinding of the outcome assessment [8,9,23,25], and one study had no blinding of the outcome assessment, and the outcome measurement was likely to be influenced by lack of blinding [26].…”

Section: Risk Of Bias In All Included Rctsmentioning

confidence: 99%

Motor imagery on upper extremity function for persons with stroke: a systematic review and meta-analysis

Lee

2019

PTRS

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Objective: The purpose of this review was to investigate whether motor imagery training has an effect on the recovery of upper extremity function in individuals with hemiparetic stroke or not. Design: A systematic review and meta-analysis. Methods: PubMed and three other databases were searched up to December 18th, 2018 and randomized controlled trials (RCTs) evaluating motor imagery training on upper extremity function in persons with a diagnosis of hemiparetic stroke were included. This review selected the following information from each study: surname of the first author, published year, nation, population, intervention, therapeutic intensity of intervention, therapeutic comparison, outcome measures, additional therapy, summary of results, and descriptive statistics of outcome measures. Results: This review selected seventeen RCTs with 487 stroke survivors and the following intervention methods: six motor imagery training with additional therapeutic technology, two motor imagery training with additional modified constraint-induced therapy, four mirror therapy, and five motor imagery training. Ten RCTs were eligible for meta-analysis after systematic review. The motor imagery group were more effective than the control group based on the Fugl-Meyer assessment (3.43; 95% confidence interval [CI], 1.65 to 5.22; heterogeneity [chi 2 =8.03, df=8, I 2 =0%], test of overall effect Z=3.76; test for subgroup differences [chi 2 =2.56, df=2, I 2 =21.8%]) and the Action Research Arm Test (1.32; 95% CI, −8.12 to 10.76; heterogeneity [Tau 2 =70.74, chi 2 =15.22, df=3, I 2 =80%], test of overall effect Z=3.76). Conclusions: The results of this review suggests that motor imagery shows positive effectiveness on improving upper extremity function in persons with hemiparetic stroke.

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“…The basic components of CIMT include repetitive task/shaping practice with the affected limb, constraint of the unaffected limb, and transfer package [39]. Task practice involves carrying out the usual everyday tasks or activities such as brushing, cooking, washing plates, playing tennis, kicking or throwing a ball, and picking up a cup and taking it to the mouth to drink from it [40,41]. In shaping practice, similar tasks as in task practice are carried out; however, they are broken down into manageable components in which the participant will have to master a component before proceeding to another [40][41][42].…”

Section: Components Of Constraint-induced Movement Therapymentioning

confidence: 99%

“…Task practice involves carrying out the usual everyday tasks or activities such as brushing, cooking, washing plates, playing tennis, kicking or throwing a ball, and picking up a cup and taking it to the mouth to drink from it [40,41]. In shaping practice, similar tasks as in task practice are carried out; however, they are broken down into manageable components in which the participant will have to master a component before proceeding to another [40][41][42]. For example, when a participant is to learn how to pick up a cup and take it to the mouth to drink from it, he will be taught to learn how to grasp the cup, then pick it up, and the rest follows.…”

Section: Components Of Constraint-induced Movement Therapymentioning

confidence: 99%

“…However, the effects are restricted to only those who have mild to moderate impairment. Consequently, the inclusion criteria used during CIMT include patients who have 10° and 30° of interphalangeal and wrist joints extension, respectively, or those that have some level of motor activity enough to enable them practice some tasks with the limb [40,59,73]. Thus, the existing protocol of CIMT is not a one size fits all kind of rehabilitation technique, though the need to investigate how its application can be extended to all forms of degree or level of impairment arises.…”

Section: Effects Of Constraint-induced Movement Therapymentioning

confidence: 99%

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Movement Rehabilitation in Physiotherapy after Stroke: The Role of Constraint-Induced Movement Therapy

Abdullahi¹

2019

Different Areas of Physiotherapy

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Stroke is increasingly becoming a global health problem. This is because it may lead to death, Long-term disability such as in motor function, and significant burden to the patients and their families. The disability can be prevented or rehabilitated using a physiotherapy technique known as constraint-induced movement therapy (CIMT). The CIMT comprises of task practice with the affected limb, constraint of the unaffected limb, and transfer package to foster compliance and increase the amount of task repetition. It helps to reestablish normal motor control through facilitating changes in physiological functions of the brain, improvement in realworld arm use, and movement precision and quality. However, its protocols vary. Some protocols use number of hours and others use number of repetitions to determine the intensity or the amount of task practice. This chapter argued that CIMT is effective, but the protocols that use a number of hours of task practice are not clear and are resource intensive; and as such they could interfere with the process of clinical decision making. Consequently, it proposed the use of a number of repetitions of task practice to determine the intensity or the amount of task practice and extending the application of CIMT to those with severe impairments after stroke. Different Areas of Physiotherapy 2 movement therapy: the future perspective. Information from all the sections to be discussed is needed by the physiotherapist in order to be able to make an effective clinical decision during application of CIMT in people with stroke.

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The effects of mental practice combined with modified constraint-induced therapy on corticospinal excitability, movement quality, function, and activities of daily living in persons with stroke

Cited by 26 publications

References 34 publications

Adapting Motor Imagery Training Protocols to Surgical Education: A Systematic Review and Meta-Analysis

Adapting Motor Imagery Training Protocols to Surgical Education: A Systematic Review and Meta-Analysis

Motor imagery on upper extremity function for persons with stroke: a systematic review and meta-analysis

Movement Rehabilitation in Physiotherapy after Stroke: The Role of Constraint-Induced Movement Therapy

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