Wednesday, February 19, 2014

Effects of integrated motor imagery practice on gait of individuals with chronic stroke: A half-crossover randomized study

I don't know, your doctor and therapist will need to put this into their therapy toolbox. I'm sure they can figure out how to contact them to get the intervention details.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J67489&phrase=no&rec=123255
NARIC Accession Number: J67489.  What's this?
ISSN: 0003-9993.
Author(s): Dickstein, Ruth; Deutsch, Judith E.; Yoeli, Yonat; Kafri, Michal; Falash, Faten; Dunsky, Ayelet; Eshet, Adi; Alexander, Neil.
Publication Year: 2013.
Number of Pages: 7.
Abstract: Study evaluated the effects of a new motor imagery practice approach in which motor and motivational contents were integrated in order to improve gait in 23 subjects with chronic poststroke hemiparesis. This was a half-crossover study with 2 phases. In phase 1, subjects were randomly assigned to receive either the experimental or the control treatment. In phase 2, the subjects who had initially received the control treatment “crossed over” to receive the experimental intervention. The experimental and the control intervention were delivered in the subjects’ homes; assessments were performed in a hospital laboratory. The experimental intervention, called integrated motor imagery practice, consisted of imagery scripts aimed at improving home and community walking as well as fall-related self-efficacy. The control treatment consisted of physical therapy to improve the function of the affected upper extremity. In-home walking, indoor and outdoor community ambulation, and fall-related self-efficacy were assessed before and after the intervention as well as at a 2-week follow-up. In-home walking was significantly improved after application of the experimental intervention, but not after the control treatment. However, fall-related self-efficacy and community ambulation were not significantly improved. Results of this study showed that home delivery of integrated motor imagery practice was feasible and had a positive effect on walking in the home. However, it was ineffective for improving gait in public domains.

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