Journal
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
Volume 97, Issue 3, Pages 478-489Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.apmr.2015.07.012
Keywords
Imagery (psychotherapy); Nervous system diseases; Parkinson disease; Rehabilitation; Stroke
Categories
Funding
- Canadian Stroke Network
- Heart and Stroke Foundation of Canada
Ask authors/readers for more resources
Objective: To determine which neurologic disorders/lesions impair or restrict motor imagery (MI) ability. Data Sources: CINAHL, Cochrane, Embase, MEDLINE, Web of Science, PsychINFO, Physiotherapy Evidence Database, and Grey Literature were searched between May 8 and May 14, 2014. Keywords and Medical Subject Headings from 2 concepts (MI and lesion) were exploded to include related search terms (eg, mental practice/mental imagery, neurologic damage/lesion). Study Selection: Two independent reviewers assessed the 3861 studies that resulted from the database search. The studies were assessed for relevancy using the following inclusion criteria: use of explicit kinesthetic MI; neurologic lesion location identified; and use of an MI ability assessment tool. Data Extraction: Twenty-three studies encompassing 196 participants were included. The 23 studies used 8 different methods for assessing MI ability. MI assessment scores were then normalized to facilitate comparison across studies. Data Synthesis: Lesion locations comprised many brain areas, including cortical (eg, parietal and frontal lobes), subcortical (eg, basal ganglia, thalamus), and cerebellum. Lesion etiology primarily was comprised of stroke and Parkinson disease. Several participants presented with lesions resulting from other pathologies. Subjects with parietal lobe damage were most impaired on their ability to perform MI. Subjects with frontal lobe and basal ganglia damage also consistently showed impairment in MI ability. Conclusions: Subjects with damage to specific brain structures, including the parietal and frontal lobes, showed impaired MI ability. As such, MI based neurorehabilitation may not be efficacious in all patient populations. Therefore, decisions related to the use of MI in neurorehabilitation should, in part, be based on the patient's underlying pathophysiology. (C) 2016 by the American Congress of Rehabilitation Medicine
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available