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Case Reports |
SJ Page, PhD, is Clinical Research Scientist, Kessler Medical Rehabilitation Research and Education Corporation, and Assistant Professor of Physical Medicine and Rehabilitation, The University of Medicine and Dentistry/New Jersey Medical School, Newark, NJ.
P Levine, BA, PTA, is Research Assistant, Kessler Medical Rehabilitation Research and Education Corporation
SA Sisto, PT, PhD, is Director, Human Performance and Movement Analysis Laboratory, Kessler Medical Rehabilitation Research and Education Corporation, and Assistant Professor of Physical Medicine and Rehabilitation, The University of Medicine and Dentistry/New Jersey Medical School
MV Johnston, PhD, is Director, Outcomes Research Department, Kessler Medical Rehabilitation Research and Education Corporation, and Associate Professor of Physical Medicine and Rehabilitation, The University of Medicine and Dentistry/New Jersey Medical School
Dr Page and Dr Sisto provided concept/project design and writing. Dr Page and Mr Levine provided data collection and project management. Dr Page provided fund procurement. Mr Levine provided subjects. Dr Sisto and Dr Johnston provided facilities/equipment and institutional liaisons
Address all correspondence to Dr Page at: Outcomes Research Department, Kessler Medical Rehabilitation Research and Education Corporation, 1199 Pleasant Valley Way, West Orange, NJ 07052 (USA) (spage{at}kmrrec.org)
Background and Purpose. This case report describes a patient with upper-limb hemiparesis (ULH) who received a program combining physical therapy for the affected side with mental practice. Case Description. The patient was a 56-year-old man with stable motor deficits, including ULH, on his dominant side resulting from a right parietal infarct that occurred 5 months previously. He received physical therapy for an hour 3 times a week for 6 weeks. In addition, 2 times a week the patient listened to an audiotape instructing him to imagine himself functionally using the affected limb. The patient also listened to the audiotape at home 2 times a week. Pretreatment and posttreatment measures were the upper-extremity scale of the Fugl-Meyer Assessment of Sensorimotor Impairment (Fugl-Meyer Scale), the Action Research Arm Test (ARA), and the Stroke Rehabilitation Assessment of Movement (STREAM). Outcomes. The patient exhibited reduction in impairment (Fugl-Meyer Scale) and improvement in arm function, as measured by the ARA and STREAM. Discussion. Mental practice may complement physical therapy to improve motor function after stroke.
Key Words: Imagery • Impairment • Mental practice • Outcomes • Stroke • Upper limb
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Physical Therapy 2002 82: 93-94.
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