
Is mental practice effective for treating upper extremity deficits in individuals with hemiparesis after stroke? A cochrane review summary with commentary
Author(s) -
Francesca Gimigliano
Publication year - 2021
Publication title -
neurorehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.611
H-Index - 65
eISSN - 1878-6448
pISSN - 1053-8135
DOI - 10.3233/nre-218005
Subject(s) - hemiparesis , stroke (engine) , rehabilitation , physical medicine and rehabilitation , medicine , physical therapy , systematic review , medline , psychology , psychiatry , mechanical engineering , lesion , engineering , political science , law
BACKGROUND: Mental practice, which is proposed for the rehabilitation of people post-stroke, is a training method based on the repetition of the internal representation of a movement or a task with the aim of improving the performance. OBJECTIVE: The aim of this commentary is to discuss Cochrane evidence on the efficacy of mental practice in improving upper extremity functioning in people with hemiparesis after stroke. METHODS: To summarize and discuss from a rehabilitation perspective the published Cochrane Review “Mental practice for treating upper extremity deficits in individuals with hemiparesis after stroke” by Barclay et al. RESULTS: This Cochrane Review included 25 studies involving 676 people with hemiparesis after stroke. The authors analysed the following two comparisons: mental practice versus conventional therapy and mental practice in addition to other treatment versus other treatment (±placebo). CONCLUSIONS: Mental practice in addition to other treatment, compared with other treatment, probably improves upper extremity activity and function in people with hemiparesis after stroke.