Research Article  |   September 2010
Use of Mental Practice to Improve Upper-Limb Recovery After Stroke: A Systematic Review
Author Affiliations
  • Dawn M. Nilsen, EdM, OT/L, is Doctoral Candidate, Motor Learning and Control, Teachers College, Columbia University, Box 199, 525 West 120th Street, New York, NY 10027-6696; dmn12@columbia.edu
  • Glen Gillen, EdD, OTR, FAOTA, is Associate Professor of Clinical Occupational Therapy, Columbia University, New York
  • Andrew M. Gordon, PhD, is Professor of Movement Science and Neuroscience and Education, Teachers College, Columbia University, New York
Article Information
Complementary/Alternative Approaches / Evidence-Based Practice / Neurologic Conditions / Stroke / Rehabilitation, Participation, and Disability
Research Article   |   September 2010
Use of Mental Practice to Improve Upper-Limb Recovery After Stroke: A Systematic Review
American Journal of Occupational Therapy, September/October 2010, Vol. 64, 695-708. doi:10.5014/ajot.2010.09034
American Journal of Occupational Therapy, September/October 2010, Vol. 64, 695-708. doi:10.5014/ajot.2010.09034
Abstract

OBJECTIVE. We sought to determine whether mental practice is an effective intervention to improve upper-limb recovery after stroke.

METHOD. We conducted a systematic review of the literature, searching electronic databases for the years 1985 to February 2009. We selected studies according to specified criteria, rated each study for level of evidence, and summarized study elements.

RESULTS. Studies differed with respect to design, patient characteristics, intervention protocols, and outcome measures. All studies used imagery of tasks involving movement of the impaired limb. The length of the interventions and number of practice hours varied. Results suggest that mental practice combined with physical practice improves upper-limb recovery.

CONCLUSION. When added to physical practice, mental practice is an effective intervention. However, generalizations are difficult to make. Further research is warranted to determine who will benefit from training, the dosing needed, the most effective protocols, whether improvements are retained, and whether mental practice affects perceived occupational performance.