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The adjunctive role of mental practice in the rehabilitation of the upper limb after hemiplegic stroke: a pilot studya
Jacqueline H Crosbie
Suzanne M McDonough
Faculty of Life and Health Sciences, University of Ulster, Newtownabbey, Northern Ireland
David H Gilmore
M Ivan Wiggam
Department of Health Care for Elderly People, Royal Victoria Hospital, Belfast, Northern Ireland
Objective: To assess the feasibility and practicalities of using the technique of mental practice as an adjunct in the rehabilitation of the upper limb following stroke.
Design: A series of single-case studies.
Setting: A stroke rehabilitation unit in Belfast.
Subjects: Fourteen patients admitted for rehabilitation of their first stroke: six men and four women, aged 45–81 between 10 and 176 days post stroke.
Intervention: Each patient underwent a single-case design, with two weeks baseline, two weeks intervention and one week withdrawal. The intervention consisted of structured daily mental practice sessions of a reach and grasp task, in addition to their usual therapy.
Main outcome measures: The upper limb component of the Motricity Index was used to grade motor activity sequentially across the timescale of the study.
Results: Of the 14 patients recruited, four withdrew and 10 completed the study. Nine showed improvement in upper limb Motricity Index score with mental practice as measured by the two-band standard deviation method. One of these cases demonstrated an unstable baseline such that changes could not be attributed to intervention.
Conclusions: This pilot study suggests that mental practice may be useful as an adjunct to physiotherapy after stroke.
Clinical Rehabilitation, Vol. 18, No. 1,
60-68 (2004)
DOI: 10.1191/0269215504cr702oa
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