The addition of functional task-oriented mental practice to conventional physical therapy improves motor skills in daily functions after stroke
Braz. j. phys. ther. (Impr.)
;
17(6): 564-571, dez. 2013. tab, graf
Artigo
em Inglês
| LILACS
| ID: lil-696985
ABSTRACT
BACKGROUND:
Mental practice (MP) is a cognitive strategy which may improve the acquisition of motor skills and functional performance of athletes and individuals with neurological injuries.OBJECTIVE:
To determine whether an individualized, specific functional task-oriented MP, when added to conventional physical therapy (PT), promoted better learning of motor skills in daily functions in individuals with chronic stroke (13±6.5 months post-stroke).METHOD:
Nine individuals with stable mild and moderate upper limb impairments participated, by employing an A1-B-A2 single-case design. Phases A1 and A2 included one month of conventional PT, and phase B the addition of MP training to PT. The motor activity log (MAL-Brazil) was used to assess the amount of use (AOU) and quality of movement (QOM) of the paretic upper limb; the revised motor imagery questionnaire (MIQ-RS) to assess the abilities in kinesthetic and visual motor imagery; the Minnesota manual dexterity test to assess manual dexterity; and gait speed to assess mobility.RESULTS:
After phase A1, no significant changes were observed for any of the outcome measures. However, after phase B, significant improvements were observed for the MAL, AOU and QOM scores (p<0.0001), and MIQ-RS kinesthetic and visual scores (p=0.003; p=0.007, respectively). The significant gains in manual dexterity (p=0.002) and gait speed (p=0.019) were maintained after phase A2.CONCLUSIONS:
Specific functional task-oriented MP, when added to conventional PT, led to improvements in motor imagery abilities combined with increases in the AOU and QOM in daily functions, manual dexterity, and gait speed. .
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Atividades Cotidianas
/
Modalidades de Fisioterapia
/
Imagens, Psicoterapia
/
Acidente Vascular Cerebral
/
Destreza Motora
Tipo de estudo:
Guia de Prática Clínica
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Braz. j. phys. ther. (Impr.)
Assunto da revista:
MEDICINA FISICA E REABILITACAO
Ano de publicação:
2013
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade de Brasilia/BR
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