ObjectiveTo explore the effect of motor imagery on motor recovery in hemiplegic patients after stroke. MethodsFrom May, 2015 to October, 2016, 40 hemiplegic patients after stroke were randomly divided into control group (accepted routine rehabilitation, n=20) and motor imagery group (accepted motor imagery and routine rehabilitation, n=20). They were assessed with Fugl-Meyer Assessment (FMA), modified Barthel Index (MBI) before and six weeks after treatment. Fractional anisotropy (FA) of the focus was measured with diffusion tensor imaging (DTI). ResultsThe scores of FMA and MBI improved in both groups after treatment (t>5.088, P<0.001), and improved more in the motor imagery group than in the control group (t>2.124, P<0.05). The FA reduced in the focus compared with the same site of unaffected side in both groups before treatment (t>3.892, P<0.01), and there was no significant difference between two groups (t<1.144, P>0.05). FA increased in more patients of the motor imagery group (5/5) than in the control group (2/4). ConclusionMotor imagery can promote the recovery of motor function and activities of daily living in stroke patients, and may help the recovery of fibers in white matter.
YANG Fan
,
SANG De-chun
,
ZHANG Xiao-yu
,
LU Li-ping
,
CHU Hong-yu
. Effect of Motor Imagery on Motor Function in Hemiplegic Patients after Stroke[J]. Chinese Journal of Rehabilitation Theory and Practice, 2017
, 23(9)
: 1081
-1085
.
DOI: 10.3969/j.issn.1006-9771.2017.09.019
[1] Wang W, Jiang B, Sun H, et al. Prevalence, incidence and mortality of stroke in China: Results from a Nationwide Population-Based Survey of 480,687 adults [J]. Circulation, 2017, 135(8): 759-771.
[2] Zhao XF, Du Y, Liu PG, et al. Acupuncture for stroke: evidence of effectiveness, safety, and cost from systematic reviews [J]. Top Stroke Rehabil, 2012, 19(3): 226-233.
[3] Valiengo L, Casati R, Bolognini N, et al. Transcranial direct current stimulation for the treatment of post-stroke depression in aphasic patients: a case series [J]. Neurocase, 2016, 22(2): 225-228.
[4] Saposnik G, Levin M. Virtual reality in stroke rehabilitation: a meta-analysis and implications for clinicians [J]. Stroke, 2011, 42(5): 1380-1386.
[5] Høyer E, Jahnsen R, Stanghelle JK, et al. Body weight supported treadmill training versus traditional training in patients dependent on walking assistance after stroke: a randomized controlled trial [J]. Disabil Rehabil, 2012, 34(3): 210-219.
[6] Nikhil S. Motor imagery after stroke: where next? [J]. Imag Med, 2012, 4(1): 129-136.
[7] Porro CA, Francescato MP, Cettolo V, et al. Primary motor and sensory cortex activation during motor performance and motor imagery: a functional magnetic resonance imaging study [J]. J Neurosci, 1996, 16: 7688-7698.
[8] Dettmers C, Benz M, Liepert J, et al. Motor imagery in stroke patients, or plegic patients with spinal cord or peripheral diseases [J]. Acta Neurol Scand, 2012, 126(4): 238-247.
[9] Yeo SS, Seo JP, Kwon YH, et al. Precommissural fornix in the human brain: a diffusion tensor tractography study [J]. Yonsei Med J, 2013, 54(2): 315-320.
[10] Zijta FM, Froeling M, Nederveen AJ, et al. Diffusion tensor imaging and fiber tractography for the visualization of the female pelvic floor [J]. Clin Anat, 2013, 26(1): 110-114.
[11] Huseyinsinoglu BE, Ozdincler AR, Krespi Y. Bobath concept versus constraint-induced movement therapy to improve arm functional recovery instrokepatients: a randomized controlled trial [J]. Clin Rehabil, 2012, 26(8): 705-715.
[12] Pereira S, Mehta S, Lobo L, et al. Functional electrical stimulation for improving gait in persons with chronic stroke [J]. Top Stroke Rehabil, 2012, 19(6): 491-498.
[13] Langhammer B, Stanghelle JK. Can physiotherapy after stroke based on the Bobath concept result in improved quality of movement compared to the motor relearning programme [J]. Physiother Res Int, 2011, 16(2): 69-80.
[14] Kho AY, Liu KP, Chung RC. Meta-analysis on the effect of mental imagery on motorrecovery of the hemiplegic upper extremity function [J]. Aust Occup Ther J, 2014, 61(2): 38-48.
[15] Hong IK, Choi JB, Lee JH. Cortical changes after mental imagery training combined with electromyography-triggered electrical stimulation in patients with chronic stroke [J]. Stroke, 2012, 43(9): 2506-2509.
[16] Brunelli S, Morone G, Iosa M, et al. Efficacy of progressive muscle relaxation, mental imagery, and phantom exercise training on phantom limb: a randomized controlled trial [J]. Arch Phys Med Rehabil, 2015, 96(2): 181-187.
[17] Berger CC, Ehrsson HH. The fusion of mental imagery and sensation in the temporal association cortex [J]. J Neurosci, 2014, 34(41): 13684-13692.
[18] Torunn A, Julie B, Dahle LA, et al. Stroke patients do not need to be inactive in the first two-weeks after stroke: results from a stroke unit focused on early rehabilitation [J]. Int J Stroke, 2012, 7(1): 25-31.
[19] Svendsen ML, Ehlers LH, Ingeman A, et al. Higher stroke unit volume associated with improved quality of early stroke care and reduced length of stay [J]. Stroke, 2012, 43(11): 3041-3045.
[20] Song J, Nair VA, Young BM, et al. DTI?measures track and predict motor function outcomes in?stroke?rehabilitation utilizing BCI technology [J]. Front Hum Neurosci, 2015, 9: 195.
[21] Aja-Fernandez S, Alberola-Lopez C, Westin CF. Noise and signal estimation in magnitude MRI and Rician distributed images: a LMMSE approach [J]. IEEE Trans Image Process, 2008, 17(8): 1383-1398.
[22] Assemlal HE, Tschumperle D, Brun L, et al. Recent advances in diffusion MRI modeling: angular and radial reconstruction [J]. Med Image Anal, 2011, 15(4): 369-396.
[23] Durrleman S, Fillard P, Pennec X, et al. Registration, atlas estimation and variability analysis of white matter fiber bundles modeled as currents [J]. Neuroimage, 2011, 55(3): 1073-1090.
[24] Seo Y. Effects of different field strengths, gradient directions, and acquisitions on fractional anisotropy in diffusiontensor imaging: A tract-based spatial statistics study [J]. Concept Magnetic Resonance Part B, 2013, 43B(1): 41-48.