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Am J Occup Ther. 2012 May-Jun;66(3):320-9. doi: 10.5014/ajot.2012.003475.

Effect of imagery perspective on occupational performance after stroke: a randomized controlled trial.

Author information

1
Programs in Occupational Therapy, Columbia University, 710 West 168th Street, 8th Floor, New York, NY 10032, USA. dmn12@columbia.edu

Abstract

OBJECTIVE:

This preliminary study sought to determine whether the imagery perspective used during mental practice (MP) differentially influenced performance outcomes after stroke.

METHOD:

Nineteen participants with unilateral subacute stroke (9 men and 10 women, ages 28-77) were randomly allocated to one of three groups. All groups received 30-min occupational therapy sessions 2×/wk for 6 wk. Experimental groups received MP training in functional tasks using either an internal or an external perspective; the control group received relaxation imagery training. Participants were pre- and posttested using the Fugl-Meyer Motor Assessment (FMA), the Jebsen-Taylor Test of Hand Function (JTTHF), and the Canadian Occupational Performance Measure (COPM).

RESULTS:

At posttest, the internal and external experimental groups showed statistically similar improvements on the FMA and JTTHF (p < .05). All groups improved on the COPM (p < .05).

CONCLUSION:

MP combined with occupational therapy improves upper-extremity recovery after stroke. MP does not appear to enhance self-perception of performance. This preliminary study suggests that imagery perspective may not be an important variable in MP interventions.

PMID:
22549597
DOI:
10.5014/ajot.2012.003475
[Indexed for MEDLINE]

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