de Vries Sjoerd, Tepper Marga, Otten Bert, Mulder Theo
Centre for Human Movement Sciences, University Medical Centre Groningen, University of Groningen, P.O. Box 196, 9700 AD Groningen, The Netherlands.
Rehabil Res Pract. 2011;2011:283840. doi: 10.1155/2011/283840. Epub 2011 Apr 5.
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.
目的。研究中风患者的运动想象能力是否恢复,以及不同类型的想象与中风后运动功能之间的关系。方法。对12名单侧中风患者在中风后3周和6周进行了3项心理意象任务测试。使用乌得勒支手臂-手部任务和布伦斯特伦 Fugl-迈耶量表评估手臂-手部功能。纳入年龄匹配的健康个体(N = 10)作为对照。结果。与中风后3周相比,隐性运动想象能力和视觉运动想象能力在6周时显著提高。结论。我们的研究表明,中风后的最初几周内运动想象能力可以恢复。这表明,一组最初可能未被选入心理训练的患者,在康复过程后期仍可参与心理训练项目。此外,我们的研究表明,个体患者的心理意象模式可能随时间受到不同影响。