| ObjectiveTo evaluate whether a home-based mental imagery(MI)training program leaded to motor recovery of upper extremity for people with chronic hemiparetic stroke in China.MethodsIt was an randomized controlled study(RCT).Fifty-six stroke survivors were randomized to an intervention group or a control group.All the patients got the conventional nursing,rehabilitation booklets and the video tapes which contain physical therapy and occupational therapy.Furthermore,the patients in the experimental group received 6 weeks motor imagery(MI)therapy through an instant messaging client(Tencent QQ),three times a week,30mins per time.The outcomes were measured before discharge(TO),immediately after the intervention(T1),and 6 weeks(T2)after the intervention using the lower extremity part of Fugl-Meyer Motor Assessment Scale(FMA-LE),Berg Balance Scale(BBS),Barthel Index(BI).Results1.At baseline,the scores of FMA-LE,BBS,BI in the intervention group were(15.12±4.19),(24.50±2.72),(54.04±17.44),while in the intervention group was(14.23±3.67),(23.92±2.82),(49.46±15.09),There were no differences on any scale between the two groups at baseline(t=0.810?0.750?1.012,P>0.05).2.At 6 weeks,the scores of FMA-LE,BBS,BI in the control group were(14.81±3.50),(29.31±2.43),(50.77±14.47),and were significantly lower than that in the MI group(17.38±4.10),(37.38±4.30),(74.62±11.22)(t=2.438,8.326,6.641,<0.05).3.At 12 weeks,significant differences were also presented between the MI group and those in the control group(t=2.858,10.189,8.233,P<0.01).A main effect of intervention(F=4.158,63.716,30.379,P<0.05)and an interactive effect of time and intervention(F=47.941,61.029,29.685,P=0.000)were observed in the model of FMA-LE,BBS,BI using ANOVA of repeated measures.The factors were compared with each other and the difference was statistically significant(P=0.000).Conclusions1.The home-based MI training can improve the lower extremity motor function,balance ability and activities of daily living(ADL)in patients with stroke.2.This article further confirmed the feasibility and practicality of the implementing MI remotely.3.Delivering MI in the home makes it easy for patients to overcome specific difficulties that interfere with goal attainment. |
PDF Full Text Request