IJPR.2020.131

Type of Article:  Original Research

Volume 8; Issue 3 (June 2020)

Page No.: 3471-3477

DOI: https://dx.doi.org/10.16965/ijpr.2020.131

EFFECT OF TWO SEQUENCING COMBINATIONS OF PHYSICAL PRACTICE AND MENTAL PRACTICE ON BALANCE IN STROKE PATIENTS

Neha Ramchandra Tambe *1, Shamla Wamanrao Pazare 2.

*1 MPT (Neurosciences) Physiotherapist, Pune, Maharashtra, India.

2 Professor, CMF’s College of Physiotherapy, Chinchwad, Pune, Maharashtra, India.

Address for Correspondence: Dr. Neha Ramchandra Tambe, MPT (Neurosciences) Physiotherapist, Pune, Maharashtra, India. E-Mail: nehatambe14@gmail.com

ABSTRACT

Aim & Objective: To study and compare the effect of two sequencing combinations of Physical Practice and Mental Practice in improving Balance in stroke patients using Balance evaluation system test and Activities specific balance confidence scale.

Method: The experimental study was conducted on 30 subjects with strokes in the age group of 45-60 years, including both genders, with duration of stroke 1-6 months, and patients with the scoring of berg balance scale in between 21-40.All the subjects were assessed for the outcome measures at baseline using BESTest scale and ABC scale. Both the groups received treatment for 3 times/ week for 4 weeks. Re-assessment of all the outcome measures post 4-week intervention was done.Both the groups received conventional therapy and sequencing combinations of Mental practice and Physical practice.

Results: A significant improvement was seen in both the groups of sequencing combinations in improving balance in stroke patients.

Conclusion: The present study concludes that both the sequences of combinations of Mental Practice and Physical Practice are equally effective in improving balance in stroke patients.

Key words: Motor imagery, Mental practice, Physical practice, Stroke, Balance, Sequencing. BESTest, ABC score.

REFERENCES

  1. Susan B. O’Sullivan, Thomas J. Schmitz, Physical Rehabilitation, FifthEdition.
  2. Belgan B, Beninato M, Sullivan PE, Narielwalla K: The association of balance capacity and falla self efffecacy with history of falling in community-dwelling people with chronic stroke. Arch Physc Med Rehabil. 2006;87(4):554-561.
  3. Corriveau H, Hebert R, Raiche M, Prince F. Evaluation of postural stability in the elderly with stroke. Arch Phys Med Rehabil. 2004;85:1095–1101.
  4. De Haart M, Geurts A, Huidekoper S, et al. Recovery of standing balance in post-acute stroke patients: a rehabilitation cohort study. Arch Phys Med Rehabil. 2004;85:886–895.
  5. Lamontagne A, Paquet N, Fung J. Postural adjustments to voluntary head motions during standing are modified following stroke. Clin Biomech. 2003; 18: 832– 842.
  6. Ikai T, Kamikubo T, Takehara I, et al. Dynamic postural control of patients with hemiparesis. Am J Phys Med Rehabil. 2003;82:463– 469.
  7. Mizrahi J, Solzi R, Ring H, Nisell R. Postural stability in stroke patients: vectorial expression of asymmetry, sway, activity and relative sequence of reactive forces. Med Biol Eng Comput. 1989;27:181–190.
  8. Sarah F Tyson, Marie Hanley et al, Balance Disability After Stroke, Physical Therapy, 2006;86(1).
  9. Liu H, Song L, Zhang T: Changes in brain activation in stroke patients after mental practice and physical exercise: a functional MRI study. Neural Regen Res, 2014;9: 1474–1484.
  10. Oostra KM, Oomen A, Vanderstraeten G, et al. Influence of motor imagery training on gait rehabilitation in sub-acute stroke: a randomized controlled trial. J Rehabil Med, 2015, 47: 204–209.
  11. Cho HY, Kim JS, and Lee GC: Effects of motor imagery training on balance and gait abilities in post-stroke patients: a randomized controlled trial. Clin Rehabil, 2013, 27: 675–680.
  12. Feltz, D.L. and Landers, D.M., The effects of mental practice on motor skill learning and performance: meta-analysis, J. Sport Psychol, (1983) 25-57
  13. Cicinelli P, Marconi B, Zaccagnini M, Pasqualetti P, Filippi MM, Rossini PM. Imagery-induced cortical excitability changes in stroke: a transcranial magnetic stimulation study. Cereb Cortex 2006;16:247-53.
  14. Kosslyn SM, Ganis G, Thompson WL. Neural foundations of imagery. Nat Rev Neurosci 2001;2:635-42.
  15. Lafleur MF, Jackson PL, Malouin F, Richards CL, Evans AC, Doyon J. Motor learning produces parallel dynamic functional changes during the execution and imagination of sequential footmovements. Neuroimage 2002;16:142-57.
  16. 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;87:842-52.
  17. Dickstein R, Deutsch JE. Motor imagery in physical therapist practice. Phys Ther 2007;87:942-53.
  18. Page SJ, Levine P, Leonard A. Mental practice in chronic stroke: results of a randomized, placebo-controlled trial. Stroke 2007;38: 1293-7.
  19. Sharma N, Pomeroy VM, Baron JC. Motor imagery: a backdoor to the motor system after stroke? Stroke 2006;37:1941-52.
  20. Ehrsson HH, Geyer S, Naito E. Imagery of voluntary movement of fingers, toes, and tongue activates corresponding body-partspecific motor representations. J Neurophysiol 2003;90:3304-16.
  21. Jeannerod M, Decety J. Mental motor imagery: a window into the representational stages of action. Curr Opin Neurobiol 1995;5: 727-32.
  22. Jeannerod M, Frak V. Mental imaging of motor activity in humans. Curr Opin Neurobiol 1999;9:735-9.
  23. Mulder T, de Vries S, Zijlstra S. Observation, imagination and execution of an effortful movement: more evidence for a central explanation of motor imagery. Exp Brain Res 2005; 163: 344-51.
  24. Johnson-Frey SH. Stimulation through simulation? Motor imagery and functional reorganization in hemiplegic stroke patients. Brain Cogn 2004; 55: 328-31.
  25. Jagun Tomar et. al. Comparative Study of Mental Imagery, Embedded Mental Imagery and Balance Training in Improving Balance Control Ability in Geriatric Population, European Academic Research 2014;II(9).
  26. Vianney Rozand et.al, Prolonged motor imagery sessions alter imagined and actual movement durations: potential implications for neuro-rehabilitation, Behavioural Brain Research September 2015.
  27. Gentili R, et al. Motor learning without doing: trial-by-trial improvement in motor performance during mental training. Neurophysiology 2010.
  28. Jin Ho Chon et al, Effects of Mental training on the balance control ability of healthy subjects, Department of Physical Therapy, Ganhneung Yeongdong College, J. Physc. Ther. Sci. 2010.
  29. Wolpert D, Ghahramani Z. Computational principles of movement neuroscience. Nat Neurosci. 2000; 3 (suppl): 1212-1217.
  30. Sjoerd de Vries and Theo Mulder, Motor Imagery And Stroke Rehabilitation: A Critical Discussion, Centre for Human Movement Sciences, University Medical Centre Groningen, University of Groningen, Groningen and Royal Netherlands Academy of Arts and Sciences, Amsterdam, The Netherlands, J Rehabil Med 2007;39:5–13.
  31. Rizzolatti G. The mirror neuron system and imitation. In: Hurley S, Chater N, eds. Perspectives on imitation: from cognitive neuroscience to social science. Cambridge, MA: MIT Press; 2005, p. 55-77.
  32. Rizzolatti G, Gentilucci M, Fogassi L, Luppino G, Matelli M, Ponzoni- Maggi S. Neurons related to goal- directed motor acts in inferior area 6 of the macaque monkey. Exp Brain Res 1987;67: 220-224.
  33. Gallese V. Embodied simulation; from neurons to phenomenal experience. Phenomenal Cognitive Sci 2005; 4: 23-48.

Cite this article: Neha Ramchandra Tambe, Shamla Wamanrao Pazare. EFFECT OF TWO SEQUENCING COMBINATIONS OF PHYSICAL PRACTICE AND MENTAL PRACTICE ON BALANCE IN STROKE PATIENTS. Int J Physiother Res 2020;8(3):3471-3477. DOI: 10.16965/ijpr.2020.131