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| Research article summary (published 30 Mar 2009): |
Effects of motor imagery on hand function during immobilization after flexor tendon repair.
Full Abstract
OBJECTIVE: To determine whether motor imagery during the immobilization period after flexor tendon injury results in a faster recovery of central mechanisms of hand function. DESIGN: Randomized controlled trial. SETTING: Tertiary referral hospital. PARTICIPANTS: Patients (N=28) after surgical flexor tendon repair were assigned to either an intervention group or a control group. INTERVENTION: Kinesthetic motor imagery of finger flexion movements during the postoperative dynamic splinting period. MAIN OUTCOME MEASURES: The central aspects of hand function were measured with a preparation time test of finger flexion in which subjects pressed buttons as fast as possible following a visual stimulus. Additionally, the following hand function modalities were recorded: Michigan Hand Questionnaire, visual analog scale for hand function, kinematic analysis of drawing, active total motion, and strength. RESULTS: After the immobilization period, the motor imagery group demonstrated significantly less increase of preparation time than the control group (P=.024). There was no significant influence of motor imagery on the other tested hand function (P>.05). All tests except kinematic analysis (P=.570) showed a significant improvement across time after the splinting period (P=.001). CONCLUSIONS: Motor imagery significantly improves central aspects of hand function, namely movement preparation time, while other modalities of hand function appear to be unaffected.
Author information
Author/s: Stenekes, Martin W (MW); Geertzen, Jan H (JH); Nicolai, Jean-Philippe A (JP); De Jong, Bauke M (BM); Mulder, Theo (T);
Affiliation: Department of Plastic Surgery, University Medical Center Groningen, Groningen, The Netherlands.
Journal and publication information
Publication Type: Journal Article; Randomized Controlled Trial
Journal: Archives of physical medicine and rehabilitation (Arch Phys Med Rehabil), published in United States. (Language: eng)
Reference: 2009-Apr; vol 90 (issue 4) : pp 553-9
Dates: Created 2009/04/06; Completed 2009/04/14; Revised 2009/08/04;
PMID: 19345768, status: MEDLINE (last retrieval date: 8/21/2009, IMS Date: 21 Aug 2009 00:00:00)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
Comments and Corrections
CommentIn: Arch Phys Med Rehabil. 2009 Aug;90(8):1443; author reply 1443-4. (PMID: 19651284)
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