Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Motor Imagery Training on Somatosensory Evoked Potentials and Upper Limb Function in Stroke Patients

  • Received : 2020.02.05
  • Accepted : 2020.03.11
  • Published : 2020.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Motor imagery is the mental representation of an action without overt movement or muscle activation. However, few previous studies have demonstrated motor imagery training effects as an objective assessment tool in patients with early stroke. Objective: To investigate the effect of motor imagery training on Somatosensory Evoked Potentials (SSEP) and upper limb function of stroke patients. Design: A quasi-experimental study. Methods: Twenty-four patients with stroke were enrolled in this study. All subjects were assigned to the experimental or control group. All participants received traditional occupational therapy for 30 minutes, 5 times a week. The experimental group performed an additional task of motor imagery training (MIT) 20 minutes per day, 5 days a week, for 4 weeks. Both groups were assessed using the SSEP amplitude, Fugl-Meyer assessment of upper extremity (FMA UE) and Wolf motor function test. Results: After the intervention, the experimental group showed significant improvement in SSEP amplitude and FMA UE than did the control group. Conclusion: These findings suggest that the MIT effectively improve the SSEP and upper limb function of stroke patients.

Keywords

References

  1. Warlow CP, Van Gijn J, Dennis MS, et al. Stroke: practical management. New Jersey: John Wiley & Sons; 2001.
  2. Wang L, Yu C, Chen H, et al. Dynamic functional reorganization of the motor execution network after stroke. Brain. 2010;133(4):1224-1238. https://doi.org/10.1093/brain/awq043
  3. Nakayama H, Jorgensen HS, Raaschou HO, et al. Recovery of upper extremity function in stroke patients: The Copenhagen stroke study. Arch Phys Med Rehabil. 1994;75:394-398. https://doi.org/10.1016/0003-9993(94)90161-9
  4. Trombly CA, Ma HI. A synthesis of the effects of occupational therapy for persons with stroke, Part I: Restoration of roles, tasks, and activities. Am J Occup Ther. 2002;56(3):250-259. https://doi.org/10.5014/ajot.56.3.250
  5. Miller MC. How will national health care reform affect my mental health coverage? Does this new law nullify the parity bill that was supposed to take effect this year? Harv Ment Health Lett. 2010;27(1):8.
  6. Sirigu A, Duhamel JR. Motor and visual imagery as two complementary but neurally dissociable mental processes. J Cogn Neurosci. 2001;13(7):910-919. https://doi.org/10.1162/089892901753165827
  7. Dickstein R, Deutsch JE. Motor imagery in physical therapist practice. Phys Ther. 2007;87(7):942-953. https://doi.org/10.2522/ptj.20060331
  8. Dickstein R, Deutsch JE, Yoeli Y, et al. Effects of integrated motor imagery practice on gait of individuals with chronic stroke: a half-crossover randomized study. Arch Phys Med Rehabil. 2013;94(11):2119-2125. https://doi.org/10.1016/j.apmr.2013.06.031
  9. Feys H, Van Hees J, Bruyninckx F, et al. Value of somatosensory and motor evoked potentials in predicting arm recovery after a stroke. J Neurol Neurosurg Psychiatry. 2000;68:323-331. https://doi.org/10.1136/jnnp.68.3.323
  10. Timmerhuis TPJ, Hageman G, Oosterloo SJ, et al. The prognostic value of cortical magnetic stimulation in acute middle cerebral artery infarction compared to other parameters. Clin Neurol Neurosurg. 1996;98:231-236. https://doi.org/10.1016/0303-8467(96)00034-0
  11. Keren O, Ring H, Solzi P, et al. Upper limb somatosensory evoked potentials as a predictor of rehabilitation progress in dominant hemisphere stroke patients. Stroke. 1993; 24:1789-1793. https://doi.org/10.1161/01.STR.24.12.1789
  12. Hong IK, Choi JB, Lee JH. Cortical changes after mental imagery training combined with electromyography-triggered electrical stimulation in patients with chronic stroke. Stroke. 2012;43(9):2506-2509. https://doi.org/10.1161/STROKEAHA.112.663641
  13. Zhu MH, Wang J, Gu XD, et al. Effect of action observation therapy on daily activitiesand motor recovery in stroke patients. Int J Nurs Sci. 2015;2(3):279-282. https://doi.org/10.1016/j.ijnss.2015.08.006
  14. Dunsky A, Dickstein R, Marcovitz E, et al. Home-based motor imagery training for gait rehabilitation of people with chronic poststroke hemiparesis. Arch Phys Med Rehabil. 2008;89(8):1580-1588. https://doi.org/10.1016/j.apmr.2007.12.039
  15. Tzvetanov P, Rousseff RT. Predictive value of median-SSEP in early phase of stroke: A comparison in supratentorial infarction and hemorrhage. Clin Neurol Neurosurg. 2005;107:475-481. https://doi.org/10.1016/j.clineuro.2004.12.008
  16. Tzvetanov P, Rousseff RT, Atanassova P. Prognostic value of median and tibial somatosensory evoked potentials in acute stroke. Neurosci Lett. 2005;380:99-104. https://doi.org/10.1016/j.neulet.2005.01.023
  17. Fugl-Meyer AR, Jaasko L, Leyman I, et al. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med. 1975;7(1):13-31.
  18. Wolf SL, Lecraw DE, Barton LA, et al. Forced use of hemiplegic upper extremities to reverse the effect of learned nonuse among chronic stroke and head-injured patients. Exp Neurol. 1989;104(2):125-132. https://doi.org/10.1016/S0014-4886(89)80005-6
  19. Wolf SL, Catlin PA, Ellis M, et al. Assessing Wolf motor function test as outcome measure for research in patients after stroke. Stroke. 2001;32(7):1635-1639. https://doi.org/10.1161/01.STR.32.7.1635
  20. Faul F, Erdfelder E, Buchner A, et al. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  21. Cohen J. A power primer. In: Kazdin AE, ed. Methodological issues & strategies in clinical research. Washington, D.C: American Psychological Association; 2003:427-436.
  22. Trombly CA, Quintana LA. The effects of exercise on finger extension of CVA patients. Am J Occup Ther. 1983;37(3):195-202. https://doi.org/10.5014/ajot.37.3.195
  23. Taub E, Miller NE, Novack TA, et al. Technique to improve chronic motor deficit after stroke. Arch Phys Med Rehabil. 1993;74(4):347-354.
  24. Jeannerod M. Neural simulation of action: a unifying mechanism for motor cognition. Neuroimage. 2001;14(1):103-109. https://doi.org/10.1006/nimg.2001.0832
  25. Kim SS, Lee BH. Motor imagery training improves upper extremity performance in stroke patients. J Phys Ther Sci. 2015;27(7): 2289-2291. https://doi.org/10.1589/jpts.27.2289
  26. Park BK, Chae J, Lee YH, et al. Median nerve somatosensory evoked potentials and upper limb motor function in hemiparesis. Electromyogr Clin Neurophysiol. 2003;43:169-179.
  27. Braun SM, Beurskens AJ, Kleynen M, et al. A multicenter randomized controlled trial to compare subacute 'treatment as usual'with and without mental practice among persons with stroke in Dutch nursing homes. J Am Med Dir Assoc. 2012;13(1):85-e1.
  28. Shin MJ, Kim SH, Lee CH, et al. Optimal strategies of upper limb motor rehabilitation after stroke. Brain Neurorehabil. 2014;7(1):21-29. https://doi.org/10.12786/bn.2014.7.1.21