Motor Imagery Practice in Neurological Rehabilitation

Stroke Clinical Trial

Official title:

An Integrated Motor Imagery Program in Rehabilitation - a RCT

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00618085
• Other study ID #: 07/H0605/84NOC
• Secondary ID: 07/H0605/84
• Status: Completed
• Phase: Phase 2
• First received: February 5, 2008
• Last updated: May 1, 2009
• Start date: February 2008
• Est. completion date: April 2009

Study information

• Verified date: May 2009
• Source: Nuffield Orthopaedic Centre NHS Trust
• Contact: n/a
• Is FDA regulated: No
• Health authority: United Kingdom: Research Ethics Committee
• Study type: Interventional

Clinical Trial Summary

Motor imagery is a technique widely used in learning skills. Its effectiveness has been proven in various sports and in musicians. A recent review (Braun et al. 2006) suggested that this technique may also be effective in rehabilitation of patients with neurological disease or damage, but that further research was needed.

The main purpose of this research is to discover whether motor imagery practice is beneficial in the rehabilitation of skills in patients who have some disability due to neurological disease or damage. The principal research question is: are physiotherapy and occupational therapy given incorporating motor imagery more effective than standard care (i.e., the same therapies but without integrated motor imagery) in re-training task specific performance for patients with neurological disease or damage?

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50
• Est. completion date: April 2009
• Est. primary completion date: April 2009
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Participating in a rehabilitation program for problems arising secondary to disease or damage affecting the central nervous system (usually stroke, brain injury, multiple sclerosis)

• Over 18 years of age

• Have sufficient language and memory skills to undertake the intervention (i.e. score positive on the first three items of the Sheffield screening test)

Exclusion Criteria:

• Any co-morbidity that would interfere with the ability to perform imagery as judged by the clinician or from the medical notes (e.g., schizophrenia)

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Brain Injury
• Multiple Sclerosis
• Stroke

Intervention

Behavioral:
• Motor imagery practice
During motor imagery practice a person imagines performing a skill or movement with all its sensory consequences without actually moving. In this study the therapists follow a motor imagery guideline designed for rehabilitation of skills and movement performance in subjects with neurological disease or damage. The guideline offers therapists structure and a strategy to deliver subject-specific imagery. The guideline is based on three major frameworks, namely; principles of motor learning, phased process of human movement and a training guide for sports coaches and performers from the National Coaching Foundation.

Other:
• Standard physiotherapy and occupational therapy
Patients with neurological disease or damage will receive standard physiotherapy and occupational therapy.

Locations

Country	Name	City	State
United Kingdom	Oxford Centre for Enablement	Oxford

Sponsors (2)

Lead Sponsor	Collaborator
Nuffield Orthopaedic Centre NHS Trust	Oxford Brookes University

Country where clinical trial is conducted

United Kingdom, 

References & Publications (1)

Braun SM, Beurskens AJ, Borm PJ, Schack T, Wade DT. The effects of mental practice in stroke rehabilitation: a systematic review. Arch Phys Med Rehabil. 2006 Jun;87(6):842-52. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Goal Attainment Scaling		After 6 and 12 weeks	No
Secondary	Motor imagery questionnaire		Baseline, 6 weeks, 12 weeks	No
Secondary	Timed up and go		Baseline, 6 weeks, 12 weeks	No
Secondary	Action research arm test		Baseline, 6 weeks, 12 weeks	No