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Updated: Jul 6, 2026
Cognitive Function and Upper Limb Rehabilitation Training Post-Stroke Using a Digital Occupational Training System
Published on: December 29, 2023
Mental practice improves hand function after hemiparetic stroke
Katharina Müller1, C M Bütefisch, Rüdiger J Seitz
1Neurological Therapy Center, Department of Neurology, University Hospital Düsseldorf, Düsseldorf, Germany. katharina.mueller@uni-duesseldorf.de
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 acquired 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.
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