Goal Management Training ® Home-Based Intervention for PD-MCI: Report on Two Parkinson’s disease patients with MCI

Background. Action observation and motor imagery activate neural structures involved in action execution, thereby facilitating movement and learning. Although some benefits of action observation and motor imagery have been reported in Parkinson’s disease (PD), methods have been based on stroke rehabilitation and may be less suitable for PD. Moreover, previous studies have focused on either observation or imagery, yet combining these enhances effects in healthy participants. The present study explores the feasibility of a PD-specific home-based intervention combining observation, imagery, and imitation of meaningful everyday actions.Methods. A focus group was conducted with six people with mild to moderate PD and two companions, exploring topics relating to the utility and feasibility of a home-based observation and imagery intervention.Results. Five themes were identified. Participants reported their experiences of exercise and use of action observation and motor imagery in everyday activities, and the need for strategies to improve movement was expressed. Motivational factors including feedback, challenge, and social support were identified as key issues. The importance of offering a broad range of actions and flexible training was also highlighted.Conclusions. A home-based intervention utilising action observation and motor imagery would be useful and feasible in mild to moderate PD.

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Action Imagery and Observation in Neurorehabilitation for Parkinson’s Disease (ACTION-PD): development and pilot randomised controlled trial of a user-informed home training intervention to improve everyday functional actions

10.1101/2020.07.14.188375 ◽

2020 ◽

Author(s):

Judith Bek ◽

Paul S. Holmes ◽

Jordan Webb ◽

Chesney E. Craig ◽

Zoё C. Franklin ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Randomised Controlled Trial ◽

Motor Imagery ◽

Action Observation ◽

Controlled Trial ◽

List Type ◽

Home Based ◽

Home Based Intervention ◽

Randomised Controlled

ABSTRACTBackgroundParkinson’s disease (PD) causes difficulties with everyday manual activities, but few studies have addressed these therapeutically. Training with action observation (AO) and motor imagery (MI) can significantly improve performance in healthy individuals, particularly when these techniques are applied simultaneously (AO+MI). Both AO and MI have shown promising effects in PD, but previous studies have used these separately. This article describes the development and pilot testing of an intervention combining AO+MI and physical practice to improve functional manual actions in PD.MethodsThe home-based intervention, delivered using a tablet computer app, was iteratively designed by an interdisciplinary team including people with PD, and further developed through focus groups and initial testing. The intervention was then tested in a six-week randomised controlled trial (ISRCTN 11184024) of 10 participants with mild to moderate PD (6 intervention; 4 treatment as usual).Results and ConclusionsUsage and qualitative data provided preliminary evidence of acceptability and usability, indicating that a feasibility RCT is warranted. Exploratory analyses suggested potential improvements in manual actions. The importance of personalisation, choice, and motivation was highlighted, as well as the need to facilitate engagement in motor imagery. The findings also have broader relevance for AO+MI interventions in PD and other populations.IMPLICATIONS FOR REHABILITATIONParkinson’s disease affects everyday manual activities and there is a need to address these therapeutically.A home-based intervention based on combined action observation and motor imagery is acceptable and usable for people with Parkinson’s, and may improve everyday hand movements.Important considerations for interventions using observation and imagery include personalisation, choice, and motivation.Some people with Parkinson’s may need additional support to engage in motor imagery, and this should be addressed within future interventions.

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Effects of Goal Management Training According to Bilateral Activities of Autism Spectrum Disorders: Pilot Study

The Korean Society of Cognitive Therapeutic Exercise ◽

10.29144/kscte.2018.10.2.01 ◽

2018 ◽

Vol 10 (2) ◽

pp. 1-7

Author(s):

Si-Nae Ahn

Keyword(s):

Autism Spectrum Disorders ◽

Pilot Study ◽

Management Training ◽

Autism Spectrum ◽

Goal Management ◽

Spectrum Disorders ◽

Goal Management Training

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Development of a Program based on Goal Management Training for Adolescents with Executive Dysfunctions Complaints

The Spanish Journal of Psychology ◽

10.1017/sjp.2021.17 ◽

2021 ◽

Vol 24 ◽

Author(s):

Liana Garcia Nunes ◽

Alessandra Gotuzo Seabra

Keyword(s):

Working Memory ◽

Executive Functions ◽

Execution Time ◽

Management Training ◽

Intellectual Ability ◽

Control Group ◽

Goal Management ◽

Executive Dysfunctions ◽

Goal Management Training

Abstract This study aimed to develop a program based on Goal Management Training (GMT) and to investigate its effectiveness on executive functions, through formal instruments and an ecological task. Participants were 25 adolescents with complaints of executive dysfunctions. They underwent neuropsychological assessment of working memory, inhibitory control, cognitive flexibility, planning, and intellectual ability. Participants also took part in a cooking activity and were evaluated for errors per action, of omission, activity performance time, recipe consultation. After, they were randomly allocated to an active control group (CG), which underwent psychoeducation sessions, and an experimental group (EG), stimulated through GMT in eight sessions. Then participants underwent another assessment and follow-up after 4 weeks. In post-intervention analyses, results showed an improvement in executive functions in EG, in the working memory measurement and time of the ecological activity (g = 1.78 and .93, respectively), IQ (g = −1.01), reasoning (g = −.89), flexibility (g = −1.21), and inhibition (g = −3.11). In follow-up evaluation, large-size effects were observed on flexibility (g = −2.95), inhibition (g = −5.78) and execution time of the ecological activity (g = .98). Significant interactions between assessment Time x Group revealed EG gains in IQ, scores in reasoning and flexibility. EG also had longer execution time in flexibility and inhibition tests. That is, EG had greater scores and probably was less impulsive in these tests. Furthermore, EG decreased the number of verifications and the time in the ecological task, that is, had a more efficient performance. Results suggest the intervention can be as instrument to promote executive function.

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