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Mental practice combined with physical practice for upper-limb motor deficit in subacute stroke.

BACKGROUND AND PURPOSE: This case report describes a patient with upper-limb hemiparesis (ULH) who received a program combining physical therapy for the affected side with mental practice. CASE DESCRIPTION: The patient was a 56-year-old man with stable motor deficits, including ULH, on his dominant...

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Publicado en:Physical Therapy Vol. 81; no. 8; pp. 1455 - 1463
Autores principales: Page SJ, Levine P, Sisto SA, Johnston MV
Formato: case study tables/charts Journal Article
Publicado: Oxford University Press / USA Aug2001
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Mental practice combined with physical practice for upper-limb motor deficit in subacute stroke.
      aug:
        au:
          Page SJ
          Levine P
          Sisto SA
          Johnston MV
        affil: Outcomes Research Dept, Kessler Medical Rehabilitation Research and Education Corp, 1199 Pleasant Valley Way, West Orange, NJ 07052; spage@kmrrec.org
      sug:
        subj:
          Stroke Rehabilitation
          Hemiplegia Rehabilitation
          Guided Imagery
          Treatment Outcomes
          Clinical Assessment Tools
          Middle Age
          Male
          Middle Aged: 45-64 years
          Male
      ab: BACKGROUND AND PURPOSE: This case report describes a patient with upper-limb hemiparesis (ULH) who received a program combining physical therapy for the affected side with mental practice. CASE DESCRIPTION: The patient was a 56-year-old man with stable motor deficits, including ULH, on his dominant side resulting from a right parietal infarct that occurred 5 months previously. He received physical therapy for an hour 3 times a week for 6 weeks. In addition, 2 times a week the patient listened to an audiotape instructing him to imagine himself functionally using the affected limb. The patient also listened to the audiotape at home 2 times a week. Pretreatment and posttreatment measures were the upper-extremity scale of the Fugl-Meyer Assessment of Sensorimotor Impairment (Fugl-Meyer Scale), the Action Research Arm Test (ARA), and the Stroke Rehabilitation Assessment of Movement (STREAM). OUTCOMES: The patient exhibited reduction in impairment (Fugl-Meyer Scale) and improvement in arm function, as measured by the ARA and STREAM. DISCUSSION: Mental practice may complement physical therapy to improve motor function after stroke.
      pubtype: Academic Journal
      doctype:
        case study
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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