Recovery of Hand Function Through Mental Practice.
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|ClinicalTrials.gov Identifier: NCT00355836|
Recruitment Status : Completed
First Posted : July 25, 2006
Last Update Posted : November 5, 2015
|Condition or disease||Intervention/treatment||Phase|
|Stroke||Behavioral: Mental Imagery||Not Applicable|
Stroke is a common and highly debilitating illness. Many patients (41-45%) experience chronic motor impairments (Dijkerman et al., 1996) and limitations in activities of daily living (Wade & Langton Hewer, 1987) even after extensive neurological rehabilitation. They often result in long-term dependence at a considerable cost to the carers and the health service. It is therefore crucial to optimise motor recovery after stroke. This study investigates the therapeutic benefits of motor imagery training in stroke patients with a motor weakness.
Evidence for the idea that motor imagery training could enhance the recovery of hand function comes from several separate bases of evidence: the sports literature; neurophysiological evidence; evidence from health psychology research; as well as preliminary findings using motor imagery techniques in stroke patients.
There is evidence to suggest that mental rehearsal of movement can produce effects normally attributed to practising the actual movements. Imagining hand movements could stimulate the redistribution of brain activity, which accompanies recovery of hand function, thus resulting in a reduced motor deficit. Patients are assessed before and after a four-week evaluation period. In this randomised controlled trial 45 patients daily mentally rehearse movements with their affected hand under close supervision. Their recovery is compared to 45 patients who perform closely supervised non-motor mental rehearsal, and 45 patients who are not engaged in a training program.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||135 participants|
|Intervention Model:||Factorial Assignment|
|Official Title:||Can Motor Imagery Enhance Recovery of Hand Function After Stroke? Evaluation of Motor Imagery Training.|
|Study Start Date :||November 2004|
|Actual Primary Completion Date :||February 2007|
|Actual Study Completion Date :||February 2007|
- Action Research Arm Test (ARAT) (Lyle, 1981)
- Grip strength (dynamometer; Heller et al., 1987),
- Nine hole pegboard task (Mathiowetz et al., 1985, Wade [ref]),
- Function Limitation Profile
- Barthel Index
- Recovery Locus of Control
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00355836
|University of Aberdeen|
|Aberdeen, United Kingdom, AB24 3FX|
|Dundee, United Kingdom|
|Principal Investigator:||Marie Johnston, Prof||University of Aberdeen|