Evidence map›Paper›PMID 22269834›Full record

Trial reportTrials2012

Comparison of embedded and added motor imagery training in patients after stroke: results of a randomised controlled pilot trial.

Corina Schuster, Jenny Butler, Brian Andrews, Udo Kischka, Thierry Ettlin

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00858910 (Comparison of Embedded and Added Motor Imagery Training to Improve a Motor Skill in Patients After Stroke), which is not on this map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00858910 phase2completednot on this map

Comparison of Embedded and Added Motor Imagery Training to Improve a Motor Skill in Patients After Stroke: a Pilot Randomised Controlled Trial Using a Mixed Methods Approach

TypeinterventionalSponsorReha RheinfeldenRan2009 to 2010Enrolled90ConditionsStrokeArmsMotor imagery (MI) training, Control intervention
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Motor imagery for gait rehabilitation after stroke.The Cochrane database of systematic reviews · 2020
    Pooled it
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  5. Trial
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  8. Article
  9. Study Paradigms and Principles Investigated in Motor Learning Research After Stroke: A Scoping Review.Archives of rehabilitation research and clinical translation · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Corina SchusterReha Rheinfelden, Salinenstrasse 98, 4310 Rheinfelden, Switzerland. c.schuster@reha-rhf.ch
Jenny Butler
Brian Andrews
Udo Kischka
Thierry Ettlin

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMotor imagery (MI) when combined with physiotherapy can offer functional benefits after stroke. Two MI integration strategies exist: added and embedded MI. Both approaches were compared when learning a complex motor task (MT): 'Going down, laying on the floor, and getting up again'.

methodsOutpatients after first stroke participated in a single-blinded, randomised controlled trial with MI embedded into physiotherapy (EG1), MI added to physiotherapy (EG2), and a control group (CG). All groups participated in six physiotherapy sessions. Primary study outcome was time (sec) to perform the motor task at pre and post-intervention. SECONDARY OUTCOMES: level of help needed, stages of MT-completion, independence, balance, fear of falling (FOF), MI ability. Data were collected four times: twice during one week baseline phase (BL, T0), following the two week intervention (T1), after a two week follow-up (FU). Analysis of variance was performed.

resultsThirty nine outpatients were included (12 females, age: 63.4 ± 10 years; time since stroke: 3.5 ± 2 years; 29 with an ischemic event). All were able to complete the motor task using the standardised 7-step procedure and reduced FOF at T0, T1, and FU. Times to perform the MT at baseline were 44.2 ± 22s, 64.6 ± 50s, and 118.3 ± 93s for EG1 (N = 13), EG2 (N = 12), and CG (N = 14). All groups showed significant improvement in time to complete the MT (p < 0.001) and degree of help needed to perform the task: minimal assistance to supervision (CG) and independent performance (EG1+2). No between group differences were found. Only EG1 demonstrated changes in MI ability over time with the visual indicator increasing from T0 to T1 and decreasing from T1 to FU. The kinaesthetic indicator increased from T1 to FU. Patients indicated to value the MI training and continued using MI for other difficult-to-perform tasks.

conclusionsEmbedded or added MI training combined with physiotherapy seem to be feasible and benefi-cial to learn the MT with emphasis on getting up independently. Based on their baseline level CG had the highest potential to improve outcomes. A patient study with 35 patients per group could give a conclusive answer of a superior MI integration strategy.

trial registrationClinicalTrials.gov: NCT00858910.

Indexed as

Motor ActivityPhysical Therapy ModalitiesStroke RehabilitationAgedAmbulatory CareAnalysis of VarianceCombined Modality TherapyFeasibility StudiesFemaleHumansImagery, PsychotherapyLearningMaleMiddle AgedNeuropsychological TestsObserver Variation

Identifiers

PMID22269834
PMCPMC3316146

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.