Browse > Article
http://dx.doi.org/10.20540/JIAPTR.2020.11.1.2005

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

Choi, Jongbae (Kyung Hee University Medical Center)
Yang, Jongeun (Bethesda Hospital Rehabilitation Center)
Publication Information
Journal of International Academy of Physical Therapy Research / v.11, no.1, 2020 , pp. 2005-2011 More about this Journal
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
Stroke; Somatosensory evoked potentials; Upper limb function;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Shin MJ, Kim SH, Lee CH, et al. Optimal strategies of upper limb motor rehabilitation after stroke. Brain Neurorehabil. 2014;7(1):21-29.   DOI
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.   DOI
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.   DOI
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.   DOI
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.   DOI
7 Warlow CP, Van Gijn J, Dennis MS, et al. Stroke: practical management. New Jersey: John Wiley & Sons; 2001.
8 Dickstein R, Deutsch JE. Motor imagery in physical therapist practice. Phys Ther. 2007;87(7):942-953.   DOI
9 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.   DOI
10 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.   DOI
11 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.   DOI
12 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.   DOI
13 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.   DOI
14 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.   DOI
15 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.   DOI
16 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.   DOI
17 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.   DOI
18 Tzvetanov P, Rousseff RT, Atanassova P. Prognostic value of median and tibial somatosensory evoked potentials in acute stroke. Neurosci Lett. 2005;380:99-104.   DOI
19 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.
20 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.   DOI
21 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.   DOI
22 Jeannerod M. Neural simulation of action: a unifying mechanism for motor cognition. Neuroimage. 2001;14(1):103-109.   DOI
23 Cohen J. A power primer. In: Kazdin AE, ed. Methodological issues & strategies in clinical research. Washington, D.C: American Psychological Association; 2003:427-436.
24 Trombly CA, Quintana LA. The effects of exercise on finger extension of CVA patients. Am J Occup Ther. 1983;37(3):195-202.   DOI
25 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.
26 Kim SS, Lee BH. Motor imagery training improves upper extremity performance in stroke patients. J Phys Ther Sci. 2015;27(7): 2289-2291.   DOI
27 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.
28 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.