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Mental Rotation and Motor Imagery Training in Multiple Sclerosis

5 augusti 2026 uppdaterad av: Ramazan KURUL, Abant Izzet Baysal University

Mental Rotation and Motor Imagery Training for Upper-Extremity Function in Relapsing-Remitting Multiple Sclerosis: A Randomized Controlled Trial

This randomized controlled trial investigated the effects of sequential laterality, motor imagery, and mental rotation training in individuals with relapsing-remitting multiple sclerosis. Both groups received conventional physiotherapy, while the intervention group received structured cognitive-motor training and the control group received active visual-attention training.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Detaljerad beskrivning

Fifty-four participants were randomly assigned to the intervention or control group. Both groups received 45-minute sessions three times per week for six weeks. Mental rotation ability was the primary outcome, while upper-extremity function, manual ability, motor imagery, grip strength, dexterity, and information-processing speed were assessed as secondary outcomes. Assessments were performed before and after the intervention by a researcher blinded to group allocation.

Studietyp

Interventionell

Inskrivning (Faktisk)

54

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Turkiet (Türkiye)
      • Bolu, Turkiet (Türkiye), 14100
        • Abant Izzet Baysal University Faculty of Health Science

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Nej

Beskrivning

Inclusion Criteria:

  • Diagnosed with definite relapsing-remitting multiple sclerosis by a neurologist according to the revised McDonald criteria
  • Not experiencing an acute MS relapse
  • Mini Mental State Examination score ≥24
  • No clinical MS relapse within the previous 3 months
  • No corticosteroid treatment for an MS relapse within the previous 3 months
  • Expanded Disability Status Scale score between 1.5 and 6.0
  • Modified Ashworth Scale score ≤2
  • Sufficient communication ability to understand visual and verbal instructions and follow the training protocol
  • Able to attend at least 80% of the planned sessions
  • Able to complete the Movement Imagery Questionnaire-3

Exclusion Criteria:

  • Any medication change within the previous 3 months
  • Uncorrected severe visual or hearing impairment
  • A communication disorder preventing the perception of or response to the visual and verbal stimuli used in the study
  • Participation in another structured upper-extremity rehabilitation program or interventional study during the study period
  • Presence of an additional neurological disorder
  • Advanced sensory loss or proprioceptive impairment that could affect participation in the intervention
  • Botulinum toxin injection within the previous 3 months

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Dubbel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Multicomponent rotation training
Participants received 30 minutes of conventional physiotherapy and 15 minutes of sequential laterality, motor imagery, and mental rotation training, three times per week for six weeks.
Övrig: Laterality, Motor Imagery, and Mental Rotation Training
Participants received 30 minutes of conventional physiotherapy followed by 15 minutes of structured training, three times per week for six weeks. The training progressed sequentially through laterality recognition, motor imagery, and mental rotation. Laterality training involved identifying right- and left-hand images. Motor imagery training involved imagining the hand positions and movements shown in the images without performing an observable movement. Mental rotation training involved mentally rotating figures and selecting the correct response.
Sham Comparator: Sham training
Participants received 30 minutes of conventional physiotherapy and 15 minutes of active visual-attention training using neutral objects, colors, shapes, and symbols, three times per week for six weeks.
Övrig: Active Visual-Attention Control Training
Participants received 30 minutes of conventional physiotherapy followed by 15 minutes of active visual-attention control training, three times per week for six weeks. The training included images of neutral objects, colors, geometric shapes, and symbols that did not depict body parts. Participants classified the images according to color, shape, size, position, or similarity and difference.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
The Purdue Spatial Visualization Test
Tidsram: Baseline and immediately after the 6-week intervention.
The Purdue Spatial Visualization Test a widely used mental rotation tests, consists of 30 three-dimensional spatial perception questions.
Baseline and immediately after the 6-week intervention.

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
The Symbol Digit Modalities Test
Tidsram: Baseline and immediately after the 6-week intervention.
The Symbol Digit Modalities Test is a widely used assessment tool for measuring information-processing speed in patients with MS.
Baseline and immediately after the 6-week intervention.
Nine-Hole Peg Test
Tidsram: Baseline and immediately after the 6-week intervention.
In the Nine-Hole Peg Test, nine wooden pegs were placed into a wooden board containing nine holes using one hand.
Baseline and immediately after the 6-week intervention.
Kinesthetic and Visual Imagery Questionnaire
Tidsram: Baseline and immediately after the 6-week intervention.
Motor imagery ability was evaluated and scored using 20 items examining movements of different body parts in a sitting position, with two subscales assessing kinesthetic and visual imagery abilities. The total score ranges from 10 to 50, with each subscale ranging from 5 to 25.
Baseline and immediately after the 6-week intervention.
Grip Strength
Tidsram: Baseline and immediately after the 6-week intervention
Grip strength was assessed using a Jamar hand dynamometer.
Baseline and immediately after the 6-week intervention
Abilhand
Tidsram: Baseline and immediately after the 6-week intervention.
Abilhand is a patient-reported scale used to determine the perceived level of difficulty individuals experience when using their hands during activities of daily living. The Abilhand total raw score ranges from 0 to 46, with higher scores indicating better self-perceived manual ability in performing daily bimanual activities.
Baseline and immediately after the 6-week intervention.
The Action Research Arm Test (ARAT)
Tidsram: Baseline and immediately after the 6-week intervention.
The Action Research Arm Test was used to evaluate upper extremity functional capacity and consists of four subdomains: grasp, grip, pinch, and gross movement.
Baseline and immediately after the 6-week intervention.

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Abant Izzet Baysal University

Utredare

  • Huvudutredare: Enes Tayyip Benli, phd, Abant Izzet Baysal University

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

15 februari 2024

Primärt slutförande (Faktisk)

15 januari 2026

Avslutad studie (Faktisk)

15 februari 2026

Studieregistreringsdatum

Först inskickad

30 juli 2026

Först inskickad som uppfyllde QC-kriterierna

5 augusti 2026

Första postat (Faktisk)

6 augusti 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

6 augusti 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

5 augusti 2026

Senast verifierad

1 augusti 2026

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • AIBU-FTR-BENLI-010

Plan för individuella deltagardata (IPD)

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NEJ

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