Recovery of Motor Imagery Ability in Stroke Patients

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.

[1]  J. Baron,et al.  Motor Imagery: A Backdoor to the Motor System After Stroke? , 2006, Stroke.

[2]  Carolyn Copper,et al.  Does mental practice enhance performance , 1994 .

[3]  T. Mulder,et al.  Observation, imagination and execution of an effortful movement: more evidence for a central explanation of motor imagery , 2005, Experimental Brain Research.

[4]  D. Metzler,et al.  Mental rotation: effects of dimensionality of objects and type of task. , 1988, Journal of experimental psychology. Human perception and performance.

[5]  R. Dickstein,et al.  Motor imagery for gait rehabilitation in post-stroke hemiparesis. , 2004, Physical therapy.

[6]  S. H. Johnson,et al.  Intact Motor Imagery in Chronic Upper Limb Hemiplegics: Evidence for Activity-Independent Action Representations , 2002, Journal of Cognitive Neuroscience.

[7]  K. Zentgraf,et al.  Cognitive motor processes: The role of motor imagery in the study of motor representations , 2009, Brain Research Reviews.

[8]  S. Kosslyn,et al.  Mental rotation of objects versus hands: neural mechanisms revealed by positron emission tomography. , 1998, Psychophysiology.

[9]  Sjoerd J de Vries,et al.  Motor imagery and stroke rehabilitation: a critical discussion. , 2007, Journal of rehabilitation medicine.

[10]  D. Landers,et al.  The effects of mental practice on motor skill learning and performance: A meta-analysis. , 1983 .

[11]  F. Lacquaniti,et al.  Different motor imagery modes following brain damage , 2010, Cortex.

[12]  Ivan Toni,et al.  Neural Topography and Content of Movement Representations , 2005, Journal of Cognitive Neuroscience.

[13]  A. Fugl-Meyer,et al.  The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. , 1975, Scandinavian journal of rehabilitation medicine.

[14]  W. Marsden I and J , 2012 .

[15]  Alessio Toraldo,et al.  Dissociation between the mental rotation of visual images and motor images in unilateral brain-damaged patients , 2003, Brain and Cognition.

[16]  A. Sirigu,et al.  The Mental Representation of Hand Movements After Parietal Cortex Damage , 1996, Science.

[17]  S. Kosslyn,et al.  Motor processes in mental rotation , 1998, Cognition.

[18]  S. Page,et al.  Mental Practice in Chronic Stroke: Results of a Randomized, Placebo-Controlled Trial , 2007, Stroke.

[19]  H. C. Dijkerman,et al.  Does motor imagery training improve hand function in chronic stroke patients? A pilot study , 2004, Clinical rehabilitation.

[20]  Chiang-shan Ray Li,et al.  Impairment of motor imagery in putamen lesions in humans , 2000, Neuroscience Letters.

[21]  G. G. Stokes "J." , 1890, The New Yale Book of Quotations.

[22]  M. Jeannerod,et al.  Mentally simulated movements in virtual reality: does Fitt's law hold in motor imagery? , 1995, Behavioural Brain Research.

[23]  C. Richards,et al.  Potential role of mental practice using motor imagery in neurologic rehabilitation. , 2001, Archives of physical medicine and rehabilitation.

[24]  M. Jeannerod,et al.  Possible involvement of primary motor cortex in mentally simulated movement: a functional magnetic resonance imaging study. , 1996, Neuroreport.

[25]  S. Page,et al.  A randomized efficacy and feasibility study of imagery in acute stroke , 2001, Clinical rehabilitation.

[26]  J. Mazziotta,et al.  Mapping motor representations with positron emission tomography , 1994, Nature.

[27]  D. C. Howell,et al.  Comparing an Individual's Test Score Against Norms Derived from Small Samples , 1998 .

[28]  Julien Doyon,et al.  Bilateral slowing of mentally simulated actions after stroke , 2004, Neuroreport.

[29]  J. A. Stevens,et al.  Using motor imagery in the rehabilitation of hemiparesis. , 2003, Archives of physical medicine and rehabilitation.

[30]  S. Kosslyn,et al.  Imagining rotation by endogenous versus exogenous forces: Distinct neural mechanisms , 2001, Neuroreport.

[31]  L. Parsons,et al.  Integrating cognitive psychology, neurology and neuroimaging. , 2001, Acta psychologica.

[32]  L. Parsons Temporal and kinematic properties of motor behavior reflected in mentally simulated action. , 1994, Journal of experimental psychology. Human perception and performance.

[33]  Scott H. Johnson,et al.  Imagining the impossible: intact motor representations in hemiplegics , 2000, Neuroreport.

[34]  Raffaella Ida Rumiati,et al.  Selective deficit of motor imagery as tapped by a left–right decision of visually presented hands , 2003, Brain and Cognition.

[35]  Kevin Barraclough,et al.  I and i , 2001, BMJ : British Medical Journal.

[36]  Steven C Cramer,et al.  Cortical Plasticity Following Motor Skill Learning During Mental Practice in Stroke , 2009, Neurorehabilitation and neural repair.

[37]  J. Decety Do imagined and executed actions share the same neural substrate? , 1996, Brain research. Cognitive brain research.

[38]  S. Page,et al.  Mental practice combined with physical practice for upper-limb motor deficit in subacute stroke. , 2001, Physical therapy.

[39]  M. Jeannerod Neural Simulation of Action: A Unifying Mechanism for Motor Cognition , 2001, NeuroImage.

[40]  Stephen K. Reed Integrating cognitive psychology. , 1976 .

[41]  L. Parsons,et al.  Use of implicit motor imagery for visual shape discrimination as revealed by PET , 1995, Nature.

[42]  Scott H. Johnson-Frey Stimulation through simulation? Motor imagery and functional reorganization in hemiplegic stroke patients , 2004, Brain and Cognition.

[43]  A. Sirigu,et al.  Motor and Visual Imagery as Two Complementary but Neurally Dissociable Mental Processes , 2001, Journal of Cognitive Neuroscience.

[44]  Y Agid,et al.  Congruent unilateral impairments for real and imagined hand movements , 1995, Neuroreport.

[45]  C. Richards,et al.  Working memory and mental practice outcomes after stroke. , 2004, Archives of physical medicine and rehabilitation.

[46]  J Hochstenbach,et al.  Neuropsychology and the relearning of motor skills following stroke. , 1999, International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation.

[47]  T. A. Carpenter,et al.  Motor Imagery After Subcortical Stroke: A Functional Magnetic Resonance Imaging Study , 2009, Stroke.

[48]  Scott T. Grafton,et al.  Localization of grasp representations in humans by positron emission tomography , 1996, Experimental Brain Research.

[49]  E. Naito,et al.  Internally Simulated Movement Sensations during Motor Imagery Activate Cortical Motor Areas and the Cerebellum , 2002, The Journal of Neuroscience.

[50]  Julien Doyon,et al.  Training Mobility Tasks after Stroke with Combined Mental and Physical Practice: A Feasibility Study , 2004, Neurorehabilitation and neural repair.