Correlation Between Age of Stroke Patients and Mental Imagery to Improve Hand Function

2021 ◽  
pp. 28-31
Author(s):  
Iqra Muveen ◽  
Waqar Afzal
Keyword(s):  
Older Adult ◽  
Mental Imagery ◽  
Mirror Neurons ◽  
Outcome Measure ◽  
Pearson Correlation ◽  
Hand Function ◽  
Imagery Ability ◽  
Inclusion Criteria ◽  
Stroke Patients ◽  
Physical Task

Mental imagery is the rehearsal of a physical task mentally, without execution of any physical task. The technique triggers the similar neurons (mirror neurons) of brain as are triggered by physical performance of the task.  Objective: To find correlation between age of stroke patients and mental imagery to improve hand function.Methodology: A sample of 50 patients was selected from DHQ hospital Jhelum. The inclusion criteria were as follows; age 55-75, gender (male and female), and stroke duration more than 12 months. Patients of age below 55 and above 75, patients with parietal stroke were excluded from study. Patients were treated with mental imagery technique for 10 weeks, P<0.05.Results: Both male and females were included in study. Sample consisted of 67% females and 33% male. Mean age of participants was 56.42 + 1.36. WMFT was used as outcome measure. Post treatment mean WMFT score was 57.9. Pearson Correlation was used to find out correlation between age and mental imagery outcome. Conclusions: It was concluded that no correlation is present between age and mental imagery ability of older adult stroke patients. Older adults were benefited with mental imagery technique and a significant improvement in hand function ofstroke patients was found.

scholarly journals Recovery of Motor Imagery Ability in Stroke Patients

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Sjoerd de Vries ◽  
Marga Tepper ◽  
Bert Otten ◽  
Theo Mulder
Keyword(s):  
Motor Imagery ◽  
Mental Imagery ◽  
Hand Function ◽  
Mental Practice ◽  
Imagery Ability ◽  
Stroke Patients ◽  
Motor Functioning ◽  
Rehabilitation Process ◽  
Implicit Motor ◽  
The Relationship

Objective. To investigate whether motor imagery ability recovers in stroke patients and to see what the relationship is between different types of imagery and motor functioning after stroke.Methods. 12 unilateral stroke patients were measured at 3 and 6 weeks poststroke on 3 mental imagery tasks. Arm-hand function was evaluated using the Utrecht Arm-Hand task and the Brunnström Fugl-Meyer Scale. Age-matched healthy individuals (N=10) were included as controls.Results. Implicit motor imagery ability and visual motor imagery ability improved significantly at 6 weeks compared to 3 weeks poststroke.Conclusion. Our study shows that motor imagery can recover in the first weeks after stroke. This indicates that a group of patients who might not be initially selected for mental practice can, still later in the rehabilitation process, participate in mental practice programs. Moreover, our study shows that mental imagery modalities can be differently affected in individual patients and over time.

Effects of mental imagery technique in addition to conventional physical therapy to improve hand functions in chronic stroke patient

2021 ◽  
pp. 1-15
Author(s):  
Iqra Mubeen ◽  
Ashfaq Ahmad ◽  
Waqar Afzal
Keyword(s):  
Physical Therapy ◽  
Mental Imagery ◽  
Hand Function ◽  
Chronic Stroke ◽  
P Value ◽  
Stroke Patients ◽  
Maximum Duration ◽  
Significant Difference ◽  
Group A ◽  
Group B

Abstract Objective: To find the effect of mental imagery and conventional physical therapy for the treatment of hand function in chronic stroke patients. Methods: A randomized controlled trial was conducted at Rana and Alvi welfare society. A sample of 50 stroke patients was selected and divided in two groups; group A (experimental) and group B (control).  Inclusion and exclusion criteria were established and patients meeting inclusion criteria were included in the study. P value was set as 0.05. Group A was treated with conventional physical therapy combined with mental imagery whereas Group B was treated with conventional physical therapy alone. Wolf motor function test and action research arm test was used as outcome measures. Results: Group A consisted of 68% of females and 32% of males and group B comprised of 44% females and 32% males. Mean age of group A and B were 59.68 + 2.37 and 58.52 + 2.46 respectively. Mean duration (in months) of stroke for group A was 16.32+3.77 (minimum and maximum duration 13 and 23 months respectively). The stroke mean duration of group B was 16.00 +2.34 (minimum and maximum duration 13 and 20 months respectively). Both groups did not show significant difference at 5th week (P=0.721) whereas a significant difference was observed at 10th week (P=0.000) Conclusion: It was concluded that mental imagery technique in combination with conventional physical therapy is significantly effective to improve hand function among chronic stroke patients in comparison to conventional physical therapy alone. Continuous...

scholarly journals The Movement Imagery Questionnaire-Revised, Second Edition (MIQ-RS) Is a Reliable and Valid Tool for Evaluating Motor Imagery in Stroke Populations

2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
Andrew J. Butler ◽  
Jennifer Cazeaux ◽  
Anna Fidler ◽  
Jessica Jansen ◽  
Nehama Lefkove ◽  
...  
Keyword(s):  
Motor Imagery ◽  
Mental Imagery ◽  
Internal Consistency ◽  
Motor Performance ◽  
Outcome Measure ◽  
Imagery Ability ◽  
Stroke Survivors ◽  
Movement Imagery ◽  
Stroke Population ◽  
Reliable Instrument

Mental imagery can improve motor performance in stroke populations when combined with physical therapy. Valid and reliable instruments to evaluate the imagery ability of stroke survivors are needed to maximize the benefits of mental imagery therapy. The purposes of this study were to: examine and compare the test-retest intra-rate reliability of the Movement Imagery Questionnaire-Revised, Second Edition (MIQ-RS) in stroke survivors and able-bodied controls, examine internal consistency of the visual and kinesthetic items of the MIQ-RS, determine if the MIQ-RS includes both the visual and kinesthetic dimensions of mental imagery, correlate impairment and motor imagery scores, and investigate the criterion validity of the MIQ-RS in stroke survivors by comparing the results to the KVIQ-10. Test-retest analysis indicated good levels of reliability (ICC range: .83–.99) and internal consistency (Cronbachα: .95–.98) of the visual and kinesthetic subscales in both groups. The two-factor structure of the MIQ-RS was supported by factor analysis, with the visual and kinesthetic components accounting for 88.6% and 83.4% of the total variance in the able-bodied and stroke groups, respectively. The MIQ-RS is a valid and reliable instrument in the stroke population examined and able-bodied populations and therefore useful as an outcome measure for motor imagery ability.

scholarly journals A Study to Find out Effect of Circuit Training on Balance in Stroke Patients- An Experimental Study

2021 ◽  
Vol 11 (7) ◽  
pp. 339-344
Author(s):  
Dafda Renuka H ◽  
Patel Prital P ◽  
Sheikh Safa A
Keyword(s):  
Experimental Study ◽  
Cognitive Skills ◽  
Sampling Method ◽  
Outcome Measure ◽  
Berg Balance Scale ◽  
Inclusion Criteria ◽  
Stroke Patients ◽  
Circuit Training ◽  
Group A ◽  
Group B

Following stroke, patients lose functions of the motor, sensory and higher cognitive skills to various degrees which diminish their ability to balance effectively and make necessary postural adjustments. Circuit training was being used to improve balance in patients. Circuit training is a form of body conditioning that involves endurance training, resistance training, high intensity aerobic exercise and exercises performed in a circuit. Berg Balance Scale was used as an outcome measure. Method: It is an experimental study done in 20 stroke patients selected with the help of purposive sampling method. Patients were selected on the basis of inclusion criteria and were divided into two groups. Group A received circuit training and Group B received conventional training. Training was given for 3 session per week for 4 weeks. Pre and Post BBS was taken. Result: The study suggested that circuit training is more effective than conventional training in stroke patients. Conclusions: The study shows that there is effect of circuit training on balance in stroke patient Key words: Stroke, Balance, Circuit training, BBS, Conventional training.

Large-Scale Demonstration Experiment of Mental Imagery Ability

1993 ◽  
Vol 76 (3_suppl) ◽  
pp. 1089-1090 ◽  
Author(s):  
F. Richard Ferraro
Keyword(s):  
Gender Differences ◽  
Individual Differences ◽  
Present Article ◽  
Mental Imagery ◽  
Large Scale ◽  
Introductory Psychology Class ◽  
Imagery Ability ◽  
Psychology Class ◽  
Demonstration Experiment ◽  
And Gender

The present article describes a demonstration experiment used in a large introductory psychology class pertaining to mental imagery ability. The experiment is effective in providing a concrete instance of mental imagery as well as an effective discussion regarding individual differences and gender differences in imagery ability.

Skeletal and Dental Correction and Stability Following LeFort I Advancement in Patients With Cleft Lip and Palate With Mild, Moderate, and Severe Maxillary Hypoplasia

2021 ◽  
pp. 105566562199610
Author(s):  
Buddhathida Wangsrimongkol ◽  
Roberto L. Flores ◽  
David A. Staffenberg ◽  
Eduardo D. Rodriguez ◽  
Pradip. R. Shetye
Keyword(s):  
Retrospective Study ◽  
Outcome Measures ◽  
Cleft Lip ◽  
Outcome Measure ◽  
Cleft Lip And Palate ◽  
Inclusion Criteria ◽  
Maxillary Hypoplasia ◽  
Main Outcome Measure ◽  
Lateral Cephalograms

Objective: This study evaluates skeletal and dental outcomes of LeFort I advancement surgery in patients with cleft lip and palate (CLP) with varying degrees of maxillary skeletal hypoplasia. Design: Retrospective study. Method: Lateral cephalograms were digitized at preoperative (T1), immediately postoperative (T2), and 1-year follow-up (T3) and compared to untreated unaffected controls. Based on the severity of cleft maxillary hypoplasia, the sample was divided into 3 groups using Wits analysis: mild: ≤0 to ≥−5 mm; moderate: <−5 to >−10 mm; and severe: ≤−10 mm. Participants: Fifty-one patients with nonsyndromic CLP with hypoplastic maxilla who met inclusion criteria. Intervention: LeFort I advancement. Main Outcome Measure: Skeletal and dental stability post-LeFort I surgery at a 1-year follow-up. Results: At T2, LeFort I surgery produced an average correction of maxillary hypoplasia by 6.4 ± 0.6, 8.1 ± 0.4, and 10.7 ± 0.8 mm in the mild, moderate, and severe groups, respectively. There was a mean relapse of 1 to 1.5 mm observed in all groups. At T3, no statistically significant differences were observed between the surgical groups and controls at angle Sella, Nasion, A point (SNA), A point, Nasion, B point (ANB), and overjet outcome measures. Conclusions: LeFort I advancement produces a stable correction in mild, moderate, and severe skeletal maxillary hypoplasia. Overcorrection is recommended in all patients with CLP to compensate for the expected postsurgical skeletal relapse.

scholarly journals Functional outcome of joint mobilization added to task-oriented training on hand function in chronic stroke patients

2020 ◽  
Vol 56 (1) ◽  
Author(s):  
Asmaa Sabbah ◽  
Sherine El Mously ◽  
Hanan Helmy Mohamed Elgendy ◽  
Mona Adel Abd Eltawab Farag ◽  
Abeer Abo Bakr Elwishy
Keyword(s):  
Functional Outcome ◽  
Hand Function ◽  
Chronic Stroke ◽  
Stroke Patients ◽  
Joint Mobilization ◽  
Task Oriented

scholarly journals Acute reperfusion therapies for acute ischemic stroke patients with unknown time of symptom onset or in extended time windows: an individualized approach

2021 ◽  
Vol 14 ◽  
pp. 175628642110211
Author(s):  
Georgios Magoufis ◽  
Apostolos Safouris ◽  
Guy Raphaeli ◽  
Odysseas Kargiotis ◽  
Klearchos Psychogios ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Endovascular Treatment ◽  
Acute Ischemic Stroke ◽  
Symptom Onset ◽  
Time Windows ◽  
Intravenous Thrombolysis ◽  
Inclusion Criteria ◽  
Stroke Patients ◽  
Treatment Algorithms ◽  
Late Presenters

Recent randomized controlled clinical trials (RCTs) have revolutionized acute ischemic stroke care by extending the use of intravenous thrombolysis and endovascular reperfusion therapies in time windows that have been originally considered futile or even unsafe. Both systemic and endovascular reperfusion therapies have been shown to improve outcome in patients with wake-up strokes or symptom onset beyond 4.5 h for intravenous thrombolysis and beyond 6 h for endovascular treatment; however, they require advanced neuroimaging to select stroke patients safely. Experts have proposed simpler imaging algorithms but high-quality data on safety and efficacy are currently missing. RCTs used diverse imaging and clinical inclusion criteria for patient selection during the dawn of this novel stroke treatment paradigm. After taking into consideration the dismal prognosis of nonrecanalized ischemic stroke patients and the substantial clinical benefit of reperfusion therapies in selected late presenters, we propose rescue reperfusion therapies for acute ischemic stroke patients not fulfilling all clinical and imaging inclusion criteria as an option in a subgroup of patients with clinical and radiological profiles suggesting low risk for complications, notably hemorrhagic transformation as well as local or remote parenchymal hemorrhage. Incorporating new data to treatment algorithms may seem perplexing to stroke physicians, since treatment and imaging capabilities of each stroke center may dictate diverse treatment pathways. This narrative review will summarize current data that will assist clinicians in the selection of those late presenters that will most likely benefit from acute reperfusion therapies. Different treatment algorithms are provided according to available neuroimaging and endovascular treatment capabilities.

Anthropometric Outcome of Primary Unilateral Cleft Lip Repair in Indonesia

2021 ◽  
pp. 105566562098275
Author(s):  
Robertus Arian Datusanantyo ◽  
Magda Rosalina Hutagalung ◽  
Sitti Rizaliyana ◽  
Djohansjah Marzoeki
Keyword(s):  
Cleft Lip ◽  
Outcome Measure ◽  
Cleft Lip And Palate ◽  
Inclusion Criteria ◽  
Initial Size ◽  
Tertiary Center ◽  
Observational Cohort ◽  
Cleft Lip Repair ◽  
Unilateral Cleft Lip Repair ◽  
Junior Residents

Objective: This study aimed to measure and analyze the outcome of primary unilateral cleft lip repair. Design: Observational cohort study. Setting: Surabaya Cleft Lip and Palate (CLP) Center, a major referral center for the Eastern part of Indonesia, affiliated with a tertiary center. Patients, Participants: From 69 patients who met the inclusion criteria, we excluded 31 patients who were more than 2 years of age and were operated on by junior residents under supervision. Interventions: We performed anthropometric measurements of the patients on photographs taken before, immediately after, and a year after the surgery. Main Outcome Measure(s): This study measured nasal width, vertical lip height, horizontal lip length, and philtral height ratios. Results: While nasal width and philtral height ratios decreased significantly ( P = .000 and P = .000, respectively) reaching symmetry immediately after surgery, the horizontal lip length, and vertical lip height ratios remained unchanged ( P = .862 and P = .981, respectively). A year after surgery, the nasal width and horizontal lip length ratios increased significantly ( P = .017 and P = .006, respectively), while philtral height and vertical lip height ratios remained unchanged ( P = .927 and P = .138, respectively). There was no difference in the ratios based on the initial size and completeness of the cleft. Conclusion: In Surabaya CLP Center, the symmetry of nasal width, philtral height, horizontal lip length, and vertical lip height were achieved by the unilateral cleft lip repair despite the initial size and completeness of the cleft.

scholarly journals Effectiveness of self-administered mirror therapy on upper extremity impairments and function of acute stroke patients: study protocol

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Venkadesan Rajendran ◽  
Deepa Jeevanantham ◽  
Céline Larivière ◽  
Ravinder-Jeet Singh ◽  
Lisa Zeman ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Upper Extremity ◽  
Outcome Measure ◽  
Outcome Evaluation ◽  
Secondary Outcome ◽  
Mirror Therapy ◽  
Stroke Patients ◽  
Extremity Function ◽  
Upper Extremity Function ◽  
Experimental Group

Abstract Background Many therapeutic interventions are performed by physiotherapists to improve upper extremity function and/or activities of daily living (ADL) in stroke patients. Mirror therapy (MT) is a simple technique that can be self-administered by the patients with intact cognition following patient education by a skilled physiotherapist. However, the effectiveness of self-administered MT in post-stroke patients in upper extremity function remains unclear. Therefore, the objective of this study is to examine the effectiveness of MT in improving upper extremity function and recovery in acute stroke patients. Methods This study is a single-center, prospective, randomized, open-label, controlled trial with blinded outcome evaluation (PROBE design), in which a total of 36 eligible acute stroke patients will be randomly assigned to control (n=18) and experimental group (n=18). Participants in the control group will receive regular rehabilitation interventions whereas participants in the experimental group will receive MT education in addition to their regular interventions for 4 weeks. Study outcome The primary outcome measure will be upper extremity function that will be measured using the Fugl-Meyer Assessment scale and the Wolf Motor Function Test. The secondary outcome measure will be behaviors related to ADL as estimated using the Modified Barthel Index. Outcome measures will be assessed at baseline and at 4 weeks post-rehabilitation intervention/MT. Results A two-way repeated analysis of variance (ANOVA) with time and group effects will be used to analyze between-group differences. The level of significance will be set at P < 0.05. Conclusion The results of the study will provide critical information to include self-administered MT as an adjuvant to regular interventions and may facilitate recovery of the upper extremity function of stroke patients. Trial registration ClinicalTrials.gov NCT04542772. Registered on 9 September 2020. Protocol version: Final 1.0.

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