Affiliations: Neurological Therapy Center, Düsseldorf,
Germany | Department of Neurology, University Hospital
Düsseldorf, Düsseldorf, Germany | Biomedical Research Center, Heinrich-Heine-University
Düsseldorf, Düsseldorf, Germany | St. Mauritius Therapy Clinic, Meerbusch,
Germany
Note: [] Corresponding author: Dr. K. Müller, Department of
Neurology, University Hospital Düsseldorf, Moorenstrasse 5,
40225 Düsseldorf, Germany. Tel.: +49 211 81 17889; Fax: +49 211 81 18485;
E-mail: katharina.mueller@uni-duesseldorf.de
Abstract: Purpose: In a multiple baseline design, we tested the hypothesis
that imagery of finger movements is a specific strategy to improve hand
function. Methods: The effect of mental training of sequential finger
movements (n=6) on hand function was compared to the repetitive execution of
the same movements (n=6) and conventional physical therapy (n=5) in 17
patients after their first hemiparetic stroke. The behavioral outcome measures
consisted of peak force of the pinch grip using a force transducer and
manipulation functions of the upper extremity (Jebsen-test). In addition,
activities of daily living (Barthel Index) were aquired to describe the
population. Results: Mental training resulted in an increase in the peak
force of the pinch grip and generalized in a better functionality of the upper
extremity (Jebsen-test). This effect was similar to the repetitive execution of
the movements and superior to conventional physiotherapy. Conclusions: Our results suggest that the control of finger movements benefits from mental
training of sequential finger movements and, thus, may be employed as a
strategy in post-stroke rehabilitation.
