Université de Lyon, Université Claude Bernard Lyon1-CRIS EA 647-Laboratoire de la Performance Motrice, Mentale et du Matériel (P3M) Villeurbanne, France.
Spinal Cord. 2012 Oct;50(10):766-71. doi: 10.1038/sc.2012.41. Epub 2012 Apr 17.
A case study.
The aim was to investigate whether motor imagery (MI) could be successfully incorporated into conventional therapy among individuals with spinal cord injury (SCI) to improve upper limb (UL) function.
The Physical Medicine and Rehabilitation Unit at the Henry Gabrielle Hospital in Lyon, France.
The participant was an individual with a complete C6 SCI. MI content was focused on functional UL movements, to improve hand transport to reach out and grasp with tenodesis. The participant was tested before and after 15 MI training sessions (45 min each, three times a week during 5 consecutive weeks). MI ability and program compliance were used as indicators of feasibility. The Minnesota and Box and Blocks tests, as well as movement time and hand trajectory during targeted movements were the dependent variables, evaluating motor performance before and after MI training.
The participant's ability to generate MI was checked and compliance with the rehabilitation program was confirmed. The time needed to complete the Minnesota test decreased by 1 min 25 s. The Box and Blocks score was improved by three units after MI program. Decreased movement time and enhanced hand trajectory smoothness were still observed 3 months later, despite a slight decrease in performance.
This study supports the feasibility for introducing MI in conventional therapy. Further studies should confirm the potential role of MI in motor recovery with a larger sample.
病例研究。
旨在探究运动想象（MI）是否可成功融入脊髓损伤（SCI）患者的常规治疗中，以改善上肢（UL）功能。
法国里昂亨利·加布里埃尔医院的物理医学与康复科。
参与者为完全性 C6 SCI 患者。MI 内容侧重于 UL 的功能性运动，以改善手的运动以进行伸展和抓握，使用十指固定术。在 15 次 MI 训练（每次 45 分钟，每周三次，连续 5 周）前后对参与者进行测试。MI 能力和计划依从性作为可行性的指标。明尼苏达和 Box and Blocks 测试，以及目标运动期间的运动时间和手部轨迹是评估运动表现的因变量，用于评估 MI 训练前后的运动表现。
参与者产生 MI 的能力得到了检查，并且确认了对康复计划的依从性。完成明尼苏达测试所需的时间减少了 1 分 25 秒。在 MI 计划之后，Box and Blocks 评分提高了三个单位。尽管表现略有下降，但运动时间减少和手部轨迹平滑度提高仍在 3 个月后观察到。
这项研究支持在常规治疗中引入 MI 的可行性。进一步的研究应使用更大的样本量确认 MI 在运动恢复中的潜在作用。
