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This trial evaluated the clinical benefit of mental practice with motor imagery compared to these two control conditions.
The results of this study showed no evidence of the benefit of mental practice with motor imagery in stroke.
As such, the finding of the current carefully controlled powered trial, representative of the stroke population, is important in the evaluation of the therapeutic benefit of mental practice.
The aim of this study was to evaluate the therapeutic benefit of mental practice in sub-acute stroke patients with a moderate motor weakness.
This randomized controlled trial evaluated the therapeutic benefit of mental practice with motor imagery in stroke patients with persistent upper limb motor weakness.
However, at the moment, even a motivational account of the positive evidence for a therapeutic benefit of mental practice cannot be dismissed.
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Reported clinical evaluations of mental practice in stroke so far have mostly found at least some evidence to suggest a therapeutic benefit.
These explanations of the potential underlying mechanisms of mental practice would therefore suggest that patients in the stroke rehabilitation population early post-stroke, and those with either limited cognitive resources or a dense weakness may not benefit from mental practice in their motor recovery.
In their mental practice evaluations Page and colleagues (Page, 2000; Page et al., 2001 a, b ; Butler and Page, 2006) reported a clinical benefit for mental practice in a series of small studies and one randomized controlled trial (Page et al., 2007).
Besides looking at the different effects of different types of mental practices, researchers are also exploring individual differences and how certain genes or certain personality traits influence how much you benefit from different practices.
Moreover, the clinical implications of the apparent complex interaction between mental and physical practice would be, that at best, only patients with preserved motor ability stand to benefit from mental practice.
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