Research Article  |   May 2012
Effect of Imagery Perspective on Occupational Performance After Stroke: A Randomized Controlled Trial
Author Affiliations
  • Dawn M. Nilsen, EdD, OTL, is Assistant Professor of Clinical Occupational Therapy, Programs in Occupational Therapy, Columbia University, 710 West 168th Street, 8th Floor, New York, NY 10032; dmn12@columbia.edu
  • Glen Gillen, EdD, OTR, FAOTA, is Associate Professor of Clinical Occupational Therapy and Associate Director, Programs in Occupational Therapy, Columbia University, New York
  • Theresa DiRusso, BS, OTR, is Occupational Therapist, Orange Regional Medical Center, Middletown, NY
  • Andrew M. Gordon, PhD, is Professor, Movement Science and Education, and Program Director, Motor Learning and Control, Teachers College, Columbia University, New York
Article Information
Complementary/Alternative Approaches / Neurologic Conditions / Stroke / Rehabilitation, Disability, and Participation
Research Article   |   May 2012
Effect of Imagery Perspective on Occupational Performance After Stroke: A Randomized Controlled Trial
American Journal of Occupational Therapy, May/June 2012, Vol. 66, 320-329. doi:10.5014/ajot.2012.003475
American Journal of Occupational Therapy, May/June 2012, Vol. 66, 320-329. doi:10.5014/ajot.2012.003475
Abstract

OBJECTIVE. This preliminary study sought to determine whether the imagery perspective used during mental practice (MP) differentially influenced performance outcomes after stroke.

METHOD. Nineteen participants with unilateral subacute stroke (9 men and 10 women, ages 28–77) were randomly allocated to one of three groups. All groups received 30-min occupational therapy sessions 2×/wk for 6 wk. Experimental groups received MP training in functional tasks using either an internal or an external perspective; the control group received relaxation imagery training. Participants were pre- and posttested using the Fugl-Meyer Motor Assessment (FMA), the Jebsen–Taylor Test of Hand Function (JTTHF), and the Canadian Occupational Performance Measure (COPM).

RESULTS. At posttest, the internal and external experimental groups showed statistically similar improvements on the FMA and JTTHF (p < .05). All groups improved on the COPM (p < .05).

CONCLUSION. MP combined with occupational therapy improves upper-extremity recovery after stroke. MP does not appear to enhance self-perception of performance. This preliminary study suggests that imagery perspective may not be an important variable in MP interventions.