Título:	The addition of functional task-oriented mental practice to conventional physical therapy improves motor skills in daily functions after stroke
Autor(es):	Paz, Clarissa Cardoso dos Santos Couto Teixeira-Salmela, Luci F. Tierra-Criollo, Carlos Julio
Assunto:	Prática mental Imagem motora Reabilitação Fisioterapia Aprendizagem
Data de publicação:	Dez-2013
Editora:	Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia
Referência:	PAZ, Clarissa Cardoso dos Santos Couto; TEIXEIRA-SALMELA, Luci F.; TIERRA-CRIOLLO, Carlos Julio. The addition of functional task-oriented mental practice to conventional physical therapy improves motor skills in daily functions after stroke. Brazilian Journal of Physical Therapy, São Carlos, v. 17, n. 6, p. 564-571, nov./dez. 2013. DOI: http://dx.doi.org/10.1590/S1413-35552012005000123. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-35552013000600564&lng=en&nrm=iso&tlng=en. Acesso em: 14 ago. 2020.
Abstract:	BACKGROUND: Mental practice (MP) is a cognitive strategy which may improve the acquisition of motor skills and functional performance of athletes and individuals with neurological injuries. OBJECTIVE: To determine whether an individualized, specific functional task-oriented MP, when added to conventional physical therapy (PT), promoted better learning of motor skills in daily functions in individuals with chronic stroke (13±6.5 months post-stroke). METHOD: Nine individuals with stable mild and moderate upper limb impairments participated, by employing an A1-B-A2 single-case design. Phases A1 and A2 included one month of conventional PT, and phase B the addition of MP training to PT. The motor activity log (MAL-Brazil) was used to assess the amount of use (AOU) and quality of movement (QOM) of the paretic upper limb; the revised motor imagery questionnaire (MIQ-RS) to assess the abilities in kinesthetic and visual motor imagery; the Minnesota manual dexterity test to assess manual dexterity; and gait speed to assess mobility. RESULTS: After phase A1, no significant changes were observed for any of the outcome measures. However, after phase B, significant improvements were observed for the MAL, AOU and QOM scores (p<0.0001), and MIQ-RS kinesthetic and visual scores (p=0.003; p=0.007, respectively). The significant gains in manual dexterity (p=0.002) and gait speed (p=0.019) were maintained after phase A2. CONCLUSIONS: Specific functional task-oriented MP, when added to conventional PT, led to improvements in motor imagery abilities combined with increases in the AOU and QOM in daily functions, manual dexterity, and gait speed.
Licença:	Brazilian Journal of Physical Therapy - (CC BY-NC) - This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Fonte: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-35552013000600564&lng=en&nrm=iso&tlng=en. Acesso em: 14 ago. 2020.
DOI:	https://dx.doi.org/10.1590/S1413-35552012005000123
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