The effect of motor imagery training for trunk movements on trunk muscle control and proprioception in stroke patients

Dong-Sik Oh, Jong-Duk Choi, Dong-Sik Oh, Jong-Duk Choi

Abstract

[Purpose] The present study was conducted to evaluate the effect of motor imagery training for trunk movements on trunk muscle control and proprioception in stroke patients. [Subjects and Methods] A total of 12 study subjects were randomly assigned to the experimental group (a motor imagery training group) and the control group (a neurodevelopmental treatment, NDT) group. The two groups were treated five times (30 minutes each time) per week for 4 weeks. The experimental group underwent imagery training for 10 minutes and trunk control centered NDT for 20 minutes and the control group underwent only trunk control centered NDT for 30 minutes. The trunk muscle activity and the position sense of the subjects were evaluated before and after the intervention. [Results] The two groups showed significant improvements in muscle activity after the intervention. Only the experimental group showed significant improvements in proprioception. The experimental group showed significant improvements in the variations of muscle activity and proprioception compared to the control group. [Conclusion] Motor imagery training for trunk movements can be effectively used to improve trunk muscle activity and proprioception in stroke patients.

Keywords: Motor imagery training; Muscle activity; Proprioception.

References

    1. Meijer R, Ihnenfeldt DS, de Groot IJ, et al. : Prognostic factors for ambulation and activities of daily living in the subacute phase after stroke. A systematic review of the literature. Clin Rehabil, 2003, 17: 119–129.
    1. Weerdesteyn V, de Niet M, van Duijnhoven HJ, et al. : Falls in individuals with stroke. J Rehabil Res Dev, 2008, 45: 1195–1213.
    1. Dickstein R, Shefi S, Marcovitz E, et al. : Anticipatory postural adjustment in selected trunk muscles in post stroke hemiparetic patients. Arch Phys Med Rehabil, 2004, 85: 261–267.
    1. Horak FB, Esselman P, Anderson ME, et al. : The effects of movement velocity, mass displaced, and task certainty on associated postural adjustments made by normal and hemiplegic individuals. J Neurol Neurosurg Psychiatry, 1984, 47: 1020–1028.
    1. Jandt SR, Caballero RM, Junior LA, et al. : Correlation between trunk control, respiratory muscle strength and spirometry in patients with stroke: an observational study. Physiother Res Int, 2011, 16: 218–224.
    1. Ryerson S, Byl NN, Brown DA, et al. : Altered trunk position sense and its relation to balance functions in people post-stroke. J Neurol Phys Ther, 2008, 32: 14–20.
    1. Wilson ET, Wong J, Gribble PL: Mapping proprioception across a 2D horizontal workspace. PLoS One, 2010, 5: e11851.
    1. Verheyden G, Vereeck L, Truijen S, et al. : Trunk performance after stroke and the relationship with balance, gait and functional ability. Clin Rehabil, 2006, 20: 451–458.
    1. Schmid AA, Van Puymbroeck M, Altenburger PA, et al. : Balance is associated with quality of life in chronic stroke. Top Stroke Rehabil, 2013, 20: 340–346.
    1. Jackson PL, Lafleur MF, Malouin F, et al. : Potential role of mental practice using motor imagery in neurologic rehabilitation. Arch Phys Med Rehabil, 2001, 82: 1133–1141.
    1. de Vries S, Mulder T: Motor imagery and stroke rehabilitation: a critical discussion. J Rehabil Med, 2007, 39: 5–13.
    1. Zimmermann-Schlatter A, Schuster C, Puhan MA, et al. : Efficacy of motor imagery in post-stroke rehabilitation: a systematic review. J Neuroeng Rehabil, 2008, 5: 8.
    1. García Carrasco D, Aboitiz Cantalapiedra J: Effectiveness of motor imagery or mental practice in functional recovery after stroke: a systematic review. Neurologia, 2016, 31: 43–52.
    1. Braun SM, Beurskens AJ, Borm PJ, et al. : The effects of mental practice in stroke rehabilitation: a systematic review. Arch Phys Med Rehabil, 2006, 87: 842–852.
    1. Sharma N, Pomeroy VM, Baron JC: Motor imagery: a backdoor to the motor system after stroke? Stroke, 2006, 37: 1941–1952.
    1. Decety J, Grèzes J: Neural mechanisms subserving the perception of human actions. Trends Cogn Sci, 1999, 3: 172–178.
    1. Faralli A, Bigoni M, Mauro A, et al. : Noninvasive strategies to promote functional recovery after stroke. Neural Plast, 2013, 2013: 854597.
    1. Decety J: The neurophysiological basis of motor imagery. Behav Brain Res, 1996, 77: 45–52.
    1. Yue G, Cole KJ: Strength increases from the motor program: comparison of training with maximal voluntary and imagined muscle contractions. J Neurophysiol, 1992, 67: 1114–1123.
    1. Boschker MS, Bakker FC, Rietberg MB: Retroactive interference effects of mentally imagined movement speed. J Sports Sci, 2000, 18: 593–603.
    1. Di Rienzo F, Blache Y, Kanthack TF, et al. : Short-term effects of integrated motor imagery practice on muscle activation and force performance. Neuroscience, 2015, 305: 146–156.
    1. Verheyden G, Nieuwboer A, Van de Winckel A, et al. : Clinical tools to measure trunk performance after stroke: a systematic review of the literature. Clin Rehabil, 2007, 21: 387–394.
    1. Dickstein R, Deutsch JE, Yoeli Y, et al. : Effects of integrated motor imagery practice on gait of individuals with chronic stroke: a half-crossover randomized study. Arch Phys Med Rehabil, 2013, 94: 2119–2125.
    1. Liebenson C, Hyman J: Spine stabilization exercise program. Rehabilitation of the spine: a practitioner’s manual. Lippincott Williams & Wilkins, 1996, pp 331–358.
    1. Malouin F, Richards CL, Jackson PL, et al. : The Kinesthetic and Visual Imagery Questionnaire (KVIQ) for assessing motor imagery in persons with physical disabilities: a reliability and construct validity study. J Neurol Phys Ther, 2007, 31: 20–29.
    1. Hall C, Pongrac J, Buckholz E: The measurement of imagery ability. Hum Mov Sci Elsevier, 1985, 4: 107–118.
    1. Hall CR, Martin KA: Measuring movement imagery abilities: a revision of the movement imagery questionnaire. J Ment Imag, Brandon House, 1997.
    1. Isaac A, Marks DF, Russell DG: An instrument for assessing imagery of movement: the Vividness of Movement Imagery Questionnaire (VMIQ). J Ment Imag, Brandon House, 1986.
    1. Gregg M, Hall C, Butler A: The MIQ-RS: a suitable option for examining movement imagery ability. Evid Based Complement Alternat Med, 2010, 7: 249–257.
    1. Butler AJ, Cazeaux J, Fidler A, et al. : The Movement Imagery Questionnaire-Revised, Second Edition (MIQ-RS) is a reliable and valid tool for evaluating motor imagery in stroke populations. Evid Based Complement Alternat Med, 2012, 2012: 497289.
    1. Souza GM, Baker LL, Powers CM: Electromyographic activity of selected trunk muscles during dynamic spine stabilization exercises. Arch Phys Med Rehabil, 2001, 82: 1551–1557.
    1. Scott IR, Vaughan AR, Hall J: Swiss ball enhances lumbar multifidus activity in chronic low back pain. Phys Ther Sport, 2015, 16: 40–44.
    1. Baggio JA, Mazin SS, Alessio-Alves FF, et al. : Verticality perceptions associate with postural control and functionality in stroke patients. PLoS One, 2016, 11: e0150754.
    1. Hassan BS, Mockett S, Doherty M: Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Ann Rheum Dis, 2001, 60: 612–618.
    1. Han KB, Shin WS: Effects of trunk position sense through visual cue deprivation balance training in subacute stroke. J Korean Soc Phys Med, 2013, 8: 327–335.

Source: PubMed

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