Deans' stroke musings: Use of Mental Practice to Reduce Severe Upper Extremity Hemiparesis: A Pilot Study

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, August 2, 2024

Use of Mental Practice to Reduce Severe Upper Extremity Hemiparesis: A Pilot Study

Ask your competent? doctor if action observation is better and what the fuck the protocol is for mental practice. Because if you don't have protocols, you have NOTHING!

action observation (130 posts to May 2011)

Use of Mental Practice to Reduce Severe Upper Extremity Hemiparesis: A Pilot Study

Teresa M. Green, PhD, OTR/L;

Asha Vas;

Farida S. Gayle, MS, OTR/L

Author & Article Information

The American Journal of Occupational Therapy, 2024, Vol. 78(Supplement_2), 7811500283p1.

https://doi.org/10.5014/ajot.2024.78S2-PO283

Abstract

Date Presented 03/22/24

This study examined the efficacy and feasibility of a mental practice protocol to address severe upper extremity hemiparesis. The results suggest that mental practice is an efficacious, appropriate, and feasible intervention for this population.

Primary Author and Speaker: Teresa M. Green

Additional Authors and Speakers: Farida S. Gayle

Contributing Authors: Asha Vas

Mental practice (MP) is a cognitive adjunctive intervention that improves activity limitations of the hemiparetic upper extremity (UE; Stockley et al., 2021), and provides similar cortical benefits as physical practice (Page & Peters, 2014). Unfortunately, most MP protocols require active wrist or finger flexion to be eligible (Page et al., 2016) and the use of the intervention to address severe UE hemiparesis has not been thoroughly explored (Stockley et al., 2021). Therefore, the purpose of this study was to examine the efficacy of MP for individuals with severe UE hemiparesis and the feasibility of following a MP protocol in inpatient rehabilitation.

DESIGN: Single-group, pretest-posttest pilot study. 11 patients, <1 month post-stroke with severe UE hemiparesis, and 17 occupational therapists using convenience sampling.

METHOD: Patients completed MP 5 days/week for 2 weeks. The Wolf Motor Function Test (WMFT) and Fugl Meyer Assessment (FMA) measured UE recovery. The Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM) assessed MP perceptions.

RESULTS: Wilcoxon signed-rank test demonstrated a statistically significant difference in FMA scores from pretest (Mdn = 7.00, M = 8.36, SD = 5.46) to posttest (Mdn = 13.00, M = 16.27, SD = 11.11), n = 11, Z = 2.70, p = .007, r = .57. There was a statistically significant change in WMFT Functional Ability Scores from pretest (Mdn = 1.00, M = .91, SD = .83) to posttest (Mdn = 1.00, M = 1.55, SD = 1.29), Z = 2.07, p = .041, r = .44. MP improved UE impairments with less effect on functional abilities. AIM, IAM, and FIM demonstrated patients and therapists were largely agreeable to the appropriateness and feasibility of MP, while less agreeable to the acceptability of MP.

CONCLUSION: MP is a feasible, appropriate, and effective treatment for severe UE hemiparesis. A randomized controlled trial is now needed to substantiate this pilot work.