Mental Practice in Stroke Rehabilitatio

Conditions: Stroke, Rehabilitation, Autonomy, Mental Practice, Movement ImageryCVA, Revalidatie, Autonomie, mentale training (voorstellingsvermogen)

Registration Number: NL-OMON26337

Lead Sponsor: Dr. A. Beurskens, Hogeschool Zuyd, lector kenniskring Autonomie & Participatie, Nieuw Eyckholt 300, 6400 AN Heerlen, Nederland, tel: 045-4006295 (s.beurskens@hszuyd.nl) Prof. Derick T. Wade, iRv, Zandbergsweg 111, 6432CC Hoensbroek, The Netherlands (d.wade@irv.nl)

Brief Summary: Braun SM, Beurskens AJHM, Borm PJA, Schack T & Wade DT (2006). The effects of mental practice in stroke rehabilitation: a systematic review. Arch Phys Med Rehabil, 66, 842-852. Braun SM, Schack T, Marcellis RG, Oti KC, Schols JM, Wade DT & Beurskens AJHM. (2007, in press). Is it possible to use the SDA-M to investigate representations of motor actions in stroke patients? Clinical Rehabilitation Braun SM, Beurskens AJHM, van Kroonenburgh S, Demarteau J, Schols JM, Wade DT (submitted). Effects of Mental Practice embedded in daily therapy compared to therapy as usual in adult stroke patients in Dutch Nursing Homes: Design of a randomised controlled trial. Braun SM, Schack T, Beurskens AJHM, Wade DT (in progress). Guidelines for using mental practice in stroke rehabilitation: a tool-box for professionals. Crüts B, Braun SM, Beurskens AJHM, Wade DT, Borm PJ. EEG mu wave activity during mental practice in stroke. 2007 (in progress)

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: Not specified

Target Recruitment: 70

Inclusion Criteria

1.Clinically diagnosed adult stroke patient; there is no evidence that MP only works in first ever strokes. (Moreover, it is not certain whether a clinically diagnosed first stroke is indeed the first.);
2. Sufficient cognitive level and communication skills to engage in mental practice; this is a clinical judgement. Patients need to be able to follow simple instructions.

Exclusion Criteria

1. Severe additional impairments prior to stroke.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
It is hypothesised that MP has the most effects on the movement that is actually mentally rehearsed. Improvement of these activities should therefore be assessed. To measure if MP improves the performance of activities in the experimental group more than in the control group an 11-point Likert scale will be used:<br>11 point Likert scale assesses changes in the performance of the activities 'drinking' and 'walking' ranging from 10 ('excellent') to 0 ('poor') as perceived by the patient and the therapist.<br>

Secondary Outcome Measures