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Descriptive pilot study of vividness and temporal equivalence during moto imagery training after quadriplegia

MATEO S; REILLY KT; COLLET C; RODE G
ANN PHYS REHABIL MED , 2018, vol. 61, n° 5, p. 300-308
Doc n°: 188640
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.rehab.2018.06.003
Descripteurs : AE2 - PARAPLEGIE-TETRAPLEGIE

Motor imagery (MI) training is often used to improve physical
practice (PP), and the functional equivalence between imagined and practiced
movements is widely considered essential for positive training outcomes.
OBJECTIVE: We previously showed that a 5-week MI training program improved
tenodesis grasp in individuals with C6-C7 quadriplegia. Here we investigated
whether functional equivalence changed during the course of this training
program. METHODS: In this descriptive pilot study, we retrospectively analyzed
data for 6 individuals with C6-C7 quadriplegia (spinal cord injured [SCI]) and 6
healthy age-matched controls who trained for 5 weeks in visual and kinesthetic
motor imagery or visualization of geometric shapes (controls). Before training,
we assessed MI ability by using the Kinesthetic and Visual Imagery Questionnaire
(KVIQ). We analyzed functional equivalence by vividness measured on a visual
analog scale (0-100) and MI/PP time ratios computed from imagined and physically
practiced movement durations measured during MI training. These analyses were
re-run considering that half of the participants with quadriplegia were good
imagers and the other half were poor imagers based on KVIQ scores. To investigate
generalization of training effects, we analyzed MI/PP ratios for an untrained
pointing task before (3 baseline measures), immediately after, and 2 months after
training. RESULTS: During MI training, imagery vividness increased significantly.
Only the good imagers evolved toward temporal equivalence during training. Good
imagers were also the only participants who showed changes in temporal
equivalence on the untrained pointing task. CONCLUSION: This is the first study
reporting improvement in functional equivalence during an MI training program
that improved tenodesis grasp in individuals with C6-C7 quadriplegia. We
recommend that clinical MI programs focus primarily on vividness and suggest that
feedback about movement duration could potentially improve temporal equivalence,
which could in turn lead to further improvement in PP.
CI - Copyright (c) 2018 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS

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