Welage Nandana, Bissett Michelle, Coxon Kristy, Fong Kenneth N K, Liu Karen P Y
School of Health Sciences, Western Sydney University, Penrith, NSW, 2751, Australia.
Present address: Department of Disability Studies, University of Kelaniya, Ragama, Sri Lanka.
Pilot Feasibility Stud. 2023 Mar 3;9(1):33. doi: 10.1186/s40814-023-01263-9.
Impairment of arm movement occurs in up to 85% of people post-stroke, affecting daily living activities, and quality of life. Mental imagery effectively enhances hand and daily function in people with stroke. Imagery can be performed when people imagine themselves completing the movement or imagine another person doing it. However, there is no report on the specific use of first-person and third-person imagery in stroke rehabilitation.
To develop and assess the feasibility of the First-Person Mental Imagery (FPMI) and the Third-Person Mental Imagery (TPMI) programs to address the hand function of people with stroke living in the community.
This study comprises phase 1-development of the FPMI and TPMI programs, and phase 2-pilot-testing of the intervention programs. The two programs were developed from existing literature and reviewed by an expert panel. Six participants with stroke, living in the community, participated in the pilot-testing of the FPMI and TPMI programs for 2 weeks. Feedback collected included the suitability of the eligibility criteria, therapist's and participant's adherence to intervention and instructions, appropriateness of the outcome measures, and completion of the intervention sessions within the specified time.
The FPMI and TPMI programs were developed based on previously established programs and included 12 hand tasks. The participants completed four 45-min sessions in 2 weeks. The treating therapist adhered to the program protocol and completed all the steps within the specified time frame. All hand tasks were suitable for adults with stroke. Participants followed the instructions given and engaged in imagery. The outcome measures selected were appropriate for the participants. Both programs showed a positive trend towards improvement in participants' upper extremity and hand function and self-perceived performance in activities of daily living.
The study provides preliminary evidence that these programs and outcome measures are feasible for implementation with adults with stroke living in the community. This study outlines a realistic plan for future trials in relation to participant recruitment, training of therapists on the intervention delivery, and the use of outcome measures.
Title: Effectiveness of first-person and third-person motor imagery in relearning daily hand tasks for people with chronic stroke: a randomised controlled trial.
SLCTR/2017/031. Date registered: 22nd September 2017.
高达85%的中风患者会出现手臂运动障碍，影响日常生活活动和生活质量。心理意象能有效增强中风患者的手部及日常功能。当人们想象自己完成动作或想象他人完成动作时，即可进行意象训练。然而，关于第一人称和第三人称意象在中风康复中的具体应用尚无报道。
开发并评估第一人称心理意象（FPMI）和第三人称心理意象（TPMI）训练方案对社区中风患者手部功能的影响及可行性。
本研究包括两个阶段，第一阶段为FPMI和TPMI训练方案的开发，第二阶段为干预方案的试点测试。这两个方案基于现有文献制定，并经专家小组审核。6名居住在社区的中风患者参与了FPMI和TPMI训练方案的试点测试，为期2周。收集的反馈包括入选标准的适用性、治疗师和参与者对干预及指导的依从性、结局指标的适当性，以及在规定时间内完成干预课程的情况。
FPMI和TPMI训练方案基于先前制定的方案开发，包括12项手部任务。参与者在2周内完成了4次45分钟的训练课程。治疗师遵守了训练方案，在规定时间内完成了所有步骤。所有手部任务均适用于成年中风患者。参与者听从了给予的指导并进行了意象训练。所选的结局指标适合参与者。两个训练方案均显示出参与者上肢和手部功能以及日常生活活动自我感知表现改善的积极趋势。
该研究提供了初步证据，表明这些训练方案和结局指标对于社区成年中风患者的实施是可行的。本研究概述了未来试验在参与者招募、治疗师干预实施培训以及结局指标使用方面的实际计划。
标题：第一人称和第三人称运动意象对慢性中风患者重新学习日常手部任务的有效性：一项随机对照试验。
SLCTR/2017/031。注册日期：2017年9月22日。
