Mental imagery for promoting relearning for people after stroke: a randomized controlled trial

Archives of Physical Medicine and Rehabilitation
Karen P Y LiuChristina W Hui-Chan

Abstract

To study the efficacy of mental imagery at promoting relearning for people after a stroke. Prospective, randomized controlled trial. An inpatient rehabilitation stroke unit in Hong Kong. Forty-six inpatients, 60 years of age or older, after a cerebral infarction. Patients were randomized to receive 15 sessions (1 h/d for 3 wk) of either the mental imagery program or the conventional functional training intervention on the relearning of daily living tasks. Performance of 15 trained and 5 untrained tasks, including household, cooking, and shopping tasks; and the Fugl-Meyer Assessment and Color Trails Test (CTT). Patients engaged in mental imagery-based intervention showed better relearning of both trained and untrained tasks compared with the control group (trained tasks: P<.005; untrained tasks: P<.001). They also demonstrated a greater ability to retain the trained tasks after 1 month and transfer the skills relearned to other untrained tasks (P<.001). However, among the various ability measures, the mental imagery group showed a significant increase in the CTT scores only after the intervention (P<.005). Mental imagery can be used as a training strategy to promote the relearning of daily tasks for people after an acute stroke....Continue Reading

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