Startseite The Effectiveness of Mental Practice Interventions on Psychological Health in Stroke Patients: A Systematic Review
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

The Effectiveness of Mental Practice Interventions on Psychological Health in Stroke Patients: A Systematic Review

  • Vera Storm EMAIL logo und Till Utesch
Veröffentlicht/Copyright: 12. Dezember 2019

Abstract

Objective

Motor impairments after stroke can lead to limitations in functional performance and mental health. Previous systematic reviews and meta-analyses have mainly assessed randomized clinical trials of mental practice interventions (MPI) among stroke patients, focusing on physical outcomes. However, mentally rehearsing a motor movement might increase a patient’s self-confidence within the recovery process and thus also lead to positive effects on psychological outcomes. Therefore, we aim to investigate the effectiveness of MPI on psychological health outcomes.

Methods

We performed a systematic review of RCTs according to PRISMA guidelines. 16.125 records were identified through PubMed, Web of Science, Science Direct, and Cochrane resulting in 8.573 documents after duplicates were removed. After excluding 8.507 documents during title and abstract screening, 64 could be full-text screened. All clinical and randomized controlled trials designed to investigate the effects of mental practice on psychological health in adult patients after stroke were considered eligible.

Results

Six studies met the eligibility criteria and were included in the qualitative analysis. The six included studies partly showed positive effects of MPI on psychological health such as quality of life, stroke-specific quality of life, fall-related self-efficacy, positive and negative affect but not on anxiety and depression. Overall, the methodological power is lacking. The included studies differ substantially regarding study design, sample size, intervention protocol and psychological health operationalization.

Conclusions

The results show inconsistent effects of MPI on psychological health. More systematic research is needed to investigate the effects of MPI on psychological health and give several recommendations for future research.

References

Bartoli, F., Lillia, N., Lax, A., Crocamo, C., Mantero, V., Carrà, G., … Clerici, M. (2013). Depression after stroke and risk of mortality: A systematic review and meta-analysis. Stroke Research and Treatment, 2013. doi:10.1155/2013/862978Suche in Google Scholar PubMed PubMed Central

Brown, D. J., & Fletcher, D. (2017). Effects of psychological and psychosocial interventions on sport performance: A meta-analysis. Sports Medicine, 47(1), 77–99. doi:10.1007/s40279-016-0552-7Suche in Google Scholar PubMed

Camicia, M., Wang, H., DiVita, M., Mix, J., & Niewczyk, P. (2016). Length of stay at inpatient rehabilitation facility and stroke patient outcomes. Rehabilitation Nursing : The Official Journal of the Association of Rehabilitation Nurses, 41(2), 78–90. doi:10.1002/rnj.218Suche in Google Scholar PubMed

Carod-Artal, F. J., & Egido, J. A. (2009). Quality of life after stroke: The importance of a good recovery. Cerebrovascular Diseases, 27(Suppl. 1), 204–214.10.1159/000200461Suche in Google Scholar PubMed

Chinthammit, C., Coull, B. M., Nimworapan, M., & Bhattacharjee, S. (2017). Co-occurring chronic conditions and economic burden among stroke survivors in the United States: A propensity score-matched analysis. Journal of Stroke and Cerebrovascular Diseases, 26(2), 393–402. doi:10.1016/j.jstrokecerebrovasdis.2016.09.040Suche in Google Scholar PubMed

Cocks, M., Moulton, C. A., Luu, S., & Cil, T. (2014). What surgeons can learn from athletes: Mental practice in sports and surgery. Journal of Surgical Education, 71(2), 262–269. doi:10.1016/j.jsurg.2013.07.002Suche in Google Scholar PubMed

Conroy, D., & Hagger, M. S. (2018). Imagery interventions in health behavior: A meta-analysis. Health Psychology, 37(7), 668–679.10.1037/hea0000625Suche in Google Scholar PubMed

Dickstein, R., Deutsch, J., Yoeli, Y., Kafri, M., Falasch, F., Dunsky, A., & Alexander, N. (2013). Effects of integrated motor imagery practice on gait of individuals with chronic stroke: A half-crossover randomized study. Archives of Physical Medicine and Rehabilitation, 94, 2119–2125.10.1016/j.apmr.2013.06.031Suche in Google Scholar PubMed

Dickstein, R., Levy, S., Shefi, S., Holtzman, S., Peleg, S., & Vatine, -J.-J. (2014). Motor imagery group practice for gait rehabilitation in individuals with post-stroke hemiparesis: a pilot study. NeuroRehabilitation, 34(2), 267–276. doi:10.3233/NRE-131035Suche in Google Scholar PubMed

Dijkerman, H. C., Ietswaart, M., Johnston, M., & MacWalter, R. S. (2004). Does motor imagery training improve hand function in chronic stroke patients? A pilot study. Clinical Rehabilitation, 18(5), 538–549. doi:10.1191/0269215504cr769oaSuche in Google Scholar PubMed

Dobkin, B., & Dorsch, A. (2013). New evidence for therapies in stroke rehabilitation. [Review]. Current Atherosclerosis Reports, 15(6), 331. doi:10.1007/s11883-013-0331-y.NewSuche in Google Scholar PubMed

Dunsky, A., Dickstein R., Marcovitz, E., Levy, S., & Deutsch, J. (2008). Home-based motor imagery training for gait rehabilitation of people with chronic poststroke hemiparesis. Archives of Physical Medicine and Rehabilitation, 89(8), 1580–1588.10.1016/j.apmr.2007.12.039Suche in Google Scholar PubMed

Ekstrand, E., Lexell, J., & Brogårdh, C. (2016). Grip strength is a representative measure of muscle weakness in the upper extremity after stroke. Topics in Stroke Rehabilitation, 2(February), 1–6. doi:10.1080/10749357.2016.1168591Suche in Google Scholar PubMed

Evans, L., Hare, R., & Mullen, R. (2006). Imagery use during rehabilitation from injury. Journal of Imagery Research in Sport and Physical Activity, 1(1), 1–19. doi:10.2202/1932-0191.1000Suche in Google Scholar

Faiz, K. W., Labberton, A. S., Thommessen, B., Rønning, O. M., Dahl, F. A., & Barra, M. (2018). The burden of stroke mimics: Present and future projections. Journal of Stroke and Cerebrovascular Diseases, 27(5), 1288–1295. doi:10.1016/j.jstrokecerebrovasdis.2017.12.011Suche in Google Scholar PubMed

Féry, A.-Y. (2003). Differentiating visual and kinesthetic imagery in mental practice. Canadian Journal of Experimental Psychology, 57(1), 1–10.10.1037/h0087408Suche in Google Scholar PubMed

Gaggioli, A., Morganti, F., Meneghini, A., Pozzato, I., Greggio, G., Pigatto, M., & Riva, G. (2009). Computer-guided mental practice in neurorehabilitation. In Andrea Gaggioli, Emily A. Keshner, Patrice L. (Tamar) Weiss, Giuseppe Riva (Eds.), Studies in Health Technology and Informatics (Vol. 145, pp. 195–208).Suche in Google Scholar PubMed

García Carrasco, D., & Aboitiz Cantalapiedra, J. (2016). Effectiveness of motor imagery or mental practice in functional recovery after stroke: A systematic review. Neurología (English Edition), 31(1), 43–52. doi:10.1016/j.nrleng.2013.02.008Suche in Google Scholar

Gillespie, D. C., Bowen, A., Chung, C. S., Cockburn, J., Knapp, P., & Pollock, A. (2015). Rehabilitation for post-stroke cognitive impairment: An overview of recommendations arising from systematic reviews of current evidence. Clinical Rehabilitation, 29(2), 120–128. doi:10.1177/0269215514538982Suche in Google Scholar PubMed

Guerra, Z. F., Lucchetti, A. L. G., & Lucchetti, G. (2017). Motor imagery training after stroke: A systematic review and meta-analysis of randomized controlled trials. Journal of Neurologic Physical Therapy : JNPT, 41(4), 205–214. doi:10.1097/NPT.0000000000000200Suche in Google Scholar PubMed

Hackett, M. L., & Pickles, K. (2014). Part I: Frequency of depression after stroke: An updated systematic review and meta-analysis of observational studies. International Journal of Stroke, 9(8), 1017–1025. doi:10.1111/ijs.12357Suche in Google Scholar PubMed

Hallett, M. (2001). Plasticity of the human motor cortex and recovery from stroke. Brain Research. Brain Research Reviews, 36(2–3), 169–174. doi:10.1016/S0165-0173(01)00092-3Suche in Google Scholar PubMed

Hilari, K., Northcott, S., Roy, P., Marshall, J., Wiggins, R. D., Chataway, J., & Ames, D. (2010). Psychological distress after stroke and aphasia: The first six months. Clinical Rehabilitation, 24(2), 181–190. doi:10.1177/0269215509346090Suche in Google Scholar PubMed

Hwang, S., Jeon, H.-S., Yi, C.-H., Kwon, O.-Y., Cho, S.-H., & You, S.-H. (2010). Locomotor imagery training improves gait performance in people with chronic hemiparetic stroke: A controlled clinical trial. Clinical Rehabilitation, 24(6), 514–522. doi:10.1177/0269215509360640Suche in Google Scholar PubMed

Ietswaart, M., Butler, A. J., Jackson, P. L., & Edwards, M. G. (2015). Mental practice: clinical and experimental research in imagery and action observation. Frontiers in Human Neuroscience, 9, 573, 1–4.10.3389/978-2-88919-839-9Suche in Google Scholar

Johnson, S. H. (2000). Imagining the impossible: intact motor representations in hemiplegics. NeuroReport, 11(4), 729–32.10.1097/00001756-200003200-00015Suche in Google Scholar PubMed

Jones, F., & Riazi, A. (2011). Self-efficacy and self-management after stroke: A systematic review. Disability and Rehabilitation, 33(10), 797–810. doi:10.3109/09638288.2010.511415Suche in Google Scholar PubMed

Kang, N., & Cauraugh, J. H. (2015). Force control in chronic stroke. Neuroscience and Biobehavioral Reviews, 52, 38–48. doi:10.1016/j.neubiorev.2015.02.005Suche in Google Scholar PubMed

Kim, J. S., Oh, D. W., Kim, S. Y., & Choi, J. D. (2011). Visual and kinesthetic locomotor imagery training integrated with auditory step rhythm for walking performance of patients with chronic stroke. Clinical Rehabilitation, 25(2), 134–145. doi:10.1177/0269215510380822Suche in Google Scholar PubMed

Korpershoek, C., van der Bijl, J., & Hafsteinsdóttir, T. B. (2011). Self-efficacy and its influence on recovery of patients with stroke: A systematic review. Journal of Advanced Nursing, 67(9), 1876–1894. doi:10.1111/j.1365-2648.2011.05659.xSuche in Google Scholar PubMed

Kwok, T., Lo, R. S., Wong, E., Wai-Kwong, T., Mok, V., & Kai-Sing, W. (2006). Quality of life of stroke survivors: a 1-year follow-up study. Archives of Physical Medicine and Rehabilitation, 87(9), 1177–1182; quiz 1287. doi:10.1016/j.apmr.2006.05.015.Suche in Google Scholar PubMed

Lacourse, M. G., Turner, J. A., Randolph-Orr, E., Schandler, S. L., & Cohen, M. J. (2004). Cerebral and cerebellar sensorimotor plasticity following motor imagery-based mental practice of a sequential movement. Journal of Rehabilitation Research and Development, 41(4), 505–524.10.1682/JRRD.2004.04.0505Suche in Google Scholar PubMed

Langhorne, P., Coupar, F., & Pollock, A. (2009). Motor recovery after stroke: A systematic review. The Lancet Neurology, 8(8), 741–754. doi:10.1016/S1474-4422(09)70150-4Suche in Google Scholar PubMed

Law, B., Driediger, M., Hall, C., & Forwell, L. (2006). Imagery use, perceived pain, limb functioning and satisfaction in athletic injury rehabilitation. New Zealand Journal of Physiotherapy, 34(1), 10–16.Suche in Google Scholar

Li, R.-Q., Li, Z.-M., Tan, J.-Y., Chen, G.-L., & Lin, W.-Y. (2017). Effects of motor imagery on walking function and balance in patients after stroke: A quantitative synthesis of randomized controlled trials. Complementary Therapies in Clinical Practice, 28, 75–84. doi:10.1016/j.ctcp.2017.05.009Suche in Google Scholar PubMed

Liu, H., Song, L., & Zhang, T. (2014). Changes in brain activation in stroke patients after mental practice and physical exercise: A functional MRI study. Neural Regeneration Research, 9(15), 1474–1484. doi:10.4103/1673-5374.139465Suche in Google Scholar PubMed PubMed Central

Ma, V. Y., Chan, L., & Carruthers, K. J. (2014). Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the united states: Stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pa. Archives of Physical Medicine and Rehabilitation, 95(5), 986–995.e1. doi:10.1016/j.apmr.2013.10.032Suche in Google Scholar PubMed PubMed Central

Machado, S., Lattari, E., De Sá, A. S., Rocha, N. B. F., Yuan, T.-F., Paes, F., … Arias-Carrión, O. (2015). Is mental practice an effective adjunct therapeutic strategy for upper limb motor restoration after stroke? A systematic review and meta-analysis. CNS and Neurological Disorders - Drug Targets, 14(5), 567–575. doi:10.2174/1871527314666150429112702Suche in Google Scholar PubMed

Malouin, F., Richards, C. L., Durand, A., & Doyon, J. (2009). Added value of mental practice combined with a small amount of physical practice on the relearning of rising and sitting post-stroke: a pilot study. Journal of Neurologic Physical Therapy : JNPT, 33(4), 195–202. doi:10.1097/NPT.0b013e3181c2112bSuche in Google Scholar PubMed

McCormick, S. A., & Holmes, P. S. (2016). See, Imagine, Move - Upper Limb Action Therapy (SIMULATe): iPad-based Mental and Physical Motor (re)Learning for Stroke Recovery.10.1161/str.47.suppl_1.tp157Suche in Google Scholar

Middleton, A., Braun, C. H., Lewek, M. D., & Fritz, S. L. (2017). Balance impairment limits ability to increase walking speed in individuals with chronic stroke. Disability and Rehabilitation, 39(5), 497–502. doi:10.3109/09638288.2016.1152603Suche in Google Scholar PubMed PubMed Central

Milne, M., Hall, C., & Forwell, L. (2005). Self-efficacy, imagery use, and adherence to rehabilitation by injured athletes. Journal of Sport Rehabilitation, 14(2), 150–167. doi:10.1123/jsr.14.2.150Suche in Google Scholar

Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Academia and clinic annals of internal medicine preferred reporting items for systematic reviews and meta-analyses. Annals of Internal Medicine, 151(4), 264–269.10.7326/0003-4819-151-4-200908180-00135Suche in Google Scholar PubMed

Monsma, E., Mensch, J., & Farroll, J. (2009). Keeping your head in the game: Sport-specific imagery and anxiety among injured athletes. Journal of Athletic Training, 44(4), 410–417. doi:10.4085/1062-6050-44.4.410Suche in Google Scholar PubMed PubMed Central

Müller, K., Bütefisch, C. M., Seitz, R. J., & Hömberg, V. (2007). Mental practice improves hand function after hemiparetic stroke. Restorative Neurology and Neuroscience, 25(5–6), 501–511.Suche in Google Scholar PubMed

Nudo, R. J. (2011). Neural bases of recovery after brain injury. Journal of Communication Disorders, 44(5), 515–520. doi:10.1016/j.jcomdis.2011.04.004Suche in Google Scholar PubMed PubMed Central

Page, S. J., Levine, P., & Hill, V. (2015). Mental practice–triggered electrical stimulation in chronic, moderate, upper-extremity hemiparesis after stroke. The American Journal of Occupational Therapy, 69(1), 1–8.10.5014/ajot.2015.014902Suche in Google Scholar PubMed PubMed Central

Park, J. (2017). The influences of the mental practice on the quality of life of the stroke patients. Journal of Physical Therapy Science, 29(9), 1617–1619. doi:10.1589/jpts.29.1617Suche in Google Scholar PubMed PubMed Central

Patterson, S. L., Forrester, L. W., Rodgers, M. M., Ryan, A. S., Ivey, F. M., Sorkin, J. D., & Macko, R. F. (2007). Determinants of walking function after stroke: Differences by deficit severity. Archives of Physical Medicine and Rehabilitation, 88(1), 115–119. doi:10.1016/j.apmr.2006.10.025Suche in Google Scholar PubMed

Riccio, I., Iolascon, G., Barillari, M. R., Gimigliano, R., & Gimigliano, F. (2010). Mental practice is effective in upper limb recovery after stroke: A randomized single-blind cross-over study. European Journal of Physical and Rehabilitation Medicine, 46(1), 19–25.Suche in Google Scholar PubMed

Richardson, A. (1967). Mental practice: A review and discussion Part I. Research Quarterly. American Association for health, Physical Education and Recreation, 38(1), 95–107. doi:10.1080/10671188.1967.10614808Suche in Google Scholar

Sacco, R. L., Kasner, S. E., Broderick, J. P., Caplan, L. R., Connors, J. J., Culebras, A., … Vinters, H. V. (2013). An updated definition of stroke for the 21st century: A statement for healthcare professionals from the American heart association/American stroke association. Stroke, 44(7), 2064–2089. doi:10.1161/STR.0b013e318296aecaSuche in Google Scholar PubMed

Shaikh, T., Goussev, V., Feldman, A. G., & Levin, M. F. (2014). Arm-trunk coordination for beyond-the-reach movements in adults with stroke. Neurorehabilitation and Neural Repair, 28(4), 355–366. doi:10.1177/1545968313510973Suche in Google Scholar PubMed

West, R., Hill, K., Hewison, J., Knapp, P., & House, A. (2010). Psychological disorders after stroke are an important influence on functional outcomes: A prospective cohort study. Stroke, 41(8), 1723–1727. doi:10.1161/STROKEAHA.110.583351Suche in Google Scholar PubMed

Winstein, C. J., Stein, J., Arena, R., Bates, B., Cherney, L. R., Cramer, S. C., … Zorowitz, R. D. (2016). Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. Stroke (Vol. 47). https://doi.org/10.1161/STR.000000000000009810.1161/STR.0000000000000098Suche in Google Scholar PubMed

World Health Organization. (2016). Global Health Estimates 2015: Disease burden by Cause, Age, Sex, by Country and by Region, 2000-2015. Geneva.Suche in Google Scholar

Zach, S., Dobersek, U., Filho, E., Inglis, V., & Tenenbaum, G. (2018). A meta-analysis of mental imagery effects on post-injury functional mobility, perceived pain, and self-efficacy. Psychology of Sport and Exercise, 34, 79–87. doi:10.1016/j.psychsport.2017.09.011Suche in Google Scholar

Zulkifly, M. F., Ghazali, S. E., Che Din, N., Desa, A., & Raymond, A. A. (2015). The ability of recovery locus of control scale (RLOC) and post-traumatic stress symptoms (PTSS) to predict the physical functioning of stroke patients. Malaysian Journal of Medical Sciences, 22(5), 31–41.Suche in Google Scholar


Supplementary Material

The online version of this article offers supplementary material (https://doi.org/10.1515/jirspa-2019-0009).


Published Online: 2019-12-12

© 2019 Walter de Gruyter GmbH, Berlin/Boston

Heruntergeladen am 29.11.2025 von https://www.degruyterbrill.com/document/doi/10.1515/jirspa-2019-0009/html?lang=de
Button zum nach oben scrollen