Cargando…

A randomized controlled trial of motor imagery combined with structured progressive circuit class therapy on gait in stroke survivors

Structured Progressive Circuit Class Therapy (SPCCT) was developed based on task-oriented therapy, providing benefits to patients’ motivation and motor function. Training with Motor Imagery (MI) alone can improve gait performance in stroke survivors, but a greater effect may be observed when combine...

Descripción completa

Detalles Bibliográficos
Autores principales: Bovonsunthonchai, Sunee, Aung, Nilar, Hiengkaew, Vimonwan, Tretriluxana, Jarugool
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7181781/
https://www.ncbi.nlm.nih.gov/pubmed/32332810
http://dx.doi.org/10.1038/s41598-020-63914-8
_version_ 1783526116978327552
author Bovonsunthonchai, Sunee
Aung, Nilar
Hiengkaew, Vimonwan
Tretriluxana, Jarugool
author_facet Bovonsunthonchai, Sunee
Aung, Nilar
Hiengkaew, Vimonwan
Tretriluxana, Jarugool
author_sort Bovonsunthonchai, Sunee
collection PubMed
description Structured Progressive Circuit Class Therapy (SPCCT) was developed based on task-oriented therapy, providing benefits to patients’ motivation and motor function. Training with Motor Imagery (MI) alone can improve gait performance in stroke survivors, but a greater effect may be observed when combined with SPCCT. Health education (HE) is a basic component of stroke rehabilitation and can reduce depression and emotional distress. Thus, this study aimed to investigate the effect of MI with SPCCT against HE with SPCCT on gait in stroke survivors. Two hundred and ninety stroke survivors from 3 hospitals in Yangon, Myanmar enrolled in the study. Of these, 40 stroke survivors who passed the selection criteria were randomized into an experimental (n = 20) or control (n = 20) group. The experimental group received MI training whereas the control group received HE for 25 minutes prior to having the same 65 minutes SPCCT program, with both groups receiving training 3 times a week over 4 weeks. Temporo-spatial gait variables and lower limb muscle strength of the affected side were assessed at baseline, 2 weeks, and 4 weeks after intervention. After 4 weeks of training, the experimental group showed greater improvement than the control group in all temporospatial gait variables, except for the unaffected step length and step time symmetry which showed no difference. In addition, greater improvements of the affected hip flexor and knee extensor muscle strength were found in the experimental group. In conclusion, a combination of MI with SPCCT provided a greater therapeutic effect on gait and lower limb muscle strengths in stroke survivors.
format Online
Article
Text
id pubmed-7181781
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Nature Publishing Group UK
record_format MEDLINE/PubMed
spelling pubmed-71817812020-04-29 A randomized controlled trial of motor imagery combined with structured progressive circuit class therapy on gait in stroke survivors Bovonsunthonchai, Sunee Aung, Nilar Hiengkaew, Vimonwan Tretriluxana, Jarugool Sci Rep Article Structured Progressive Circuit Class Therapy (SPCCT) was developed based on task-oriented therapy, providing benefits to patients’ motivation and motor function. Training with Motor Imagery (MI) alone can improve gait performance in stroke survivors, but a greater effect may be observed when combined with SPCCT. Health education (HE) is a basic component of stroke rehabilitation and can reduce depression and emotional distress. Thus, this study aimed to investigate the effect of MI with SPCCT against HE with SPCCT on gait in stroke survivors. Two hundred and ninety stroke survivors from 3 hospitals in Yangon, Myanmar enrolled in the study. Of these, 40 stroke survivors who passed the selection criteria were randomized into an experimental (n = 20) or control (n = 20) group. The experimental group received MI training whereas the control group received HE for 25 minutes prior to having the same 65 minutes SPCCT program, with both groups receiving training 3 times a week over 4 weeks. Temporo-spatial gait variables and lower limb muscle strength of the affected side were assessed at baseline, 2 weeks, and 4 weeks after intervention. After 4 weeks of training, the experimental group showed greater improvement than the control group in all temporospatial gait variables, except for the unaffected step length and step time symmetry which showed no difference. In addition, greater improvements of the affected hip flexor and knee extensor muscle strength were found in the experimental group. In conclusion, a combination of MI with SPCCT provided a greater therapeutic effect on gait and lower limb muscle strengths in stroke survivors. Nature Publishing Group UK 2020-04-24 /pmc/articles/PMC7181781/ /pubmed/32332810 http://dx.doi.org/10.1038/s41598-020-63914-8 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Bovonsunthonchai, Sunee
Aung, Nilar
Hiengkaew, Vimonwan
Tretriluxana, Jarugool
A randomized controlled trial of motor imagery combined with structured progressive circuit class therapy on gait in stroke survivors
title A randomized controlled trial of motor imagery combined with structured progressive circuit class therapy on gait in stroke survivors
title_full A randomized controlled trial of motor imagery combined with structured progressive circuit class therapy on gait in stroke survivors
title_fullStr A randomized controlled trial of motor imagery combined with structured progressive circuit class therapy on gait in stroke survivors
title_full_unstemmed A randomized controlled trial of motor imagery combined with structured progressive circuit class therapy on gait in stroke survivors
title_short A randomized controlled trial of motor imagery combined with structured progressive circuit class therapy on gait in stroke survivors
title_sort randomized controlled trial of motor imagery combined with structured progressive circuit class therapy on gait in stroke survivors
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7181781/
https://www.ncbi.nlm.nih.gov/pubmed/32332810
http://dx.doi.org/10.1038/s41598-020-63914-8
work_keys_str_mv AT bovonsunthonchaisunee arandomizedcontrolledtrialofmotorimagerycombinedwithstructuredprogressivecircuitclasstherapyongaitinstrokesurvivors
AT aungnilar arandomizedcontrolledtrialofmotorimagerycombinedwithstructuredprogressivecircuitclasstherapyongaitinstrokesurvivors
AT hiengkaewvimonwan arandomizedcontrolledtrialofmotorimagerycombinedwithstructuredprogressivecircuitclasstherapyongaitinstrokesurvivors
AT tretriluxanajarugool arandomizedcontrolledtrialofmotorimagerycombinedwithstructuredprogressivecircuitclasstherapyongaitinstrokesurvivors
AT bovonsunthonchaisunee randomizedcontrolledtrialofmotorimagerycombinedwithstructuredprogressivecircuitclasstherapyongaitinstrokesurvivors
AT aungnilar randomizedcontrolledtrialofmotorimagerycombinedwithstructuredprogressivecircuitclasstherapyongaitinstrokesurvivors
AT hiengkaewvimonwan randomizedcontrolledtrialofmotorimagerycombinedwithstructuredprogressivecircuitclasstherapyongaitinstrokesurvivors
AT tretriluxanajarugool randomizedcontrolledtrialofmotorimagerycombinedwithstructuredprogressivecircuitclasstherapyongaitinstrokesurvivors