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Movement Retraining using Real-time Feedback of Performance
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Mental practice for relearning locomotor skills.

Francine Malouin1, Carol L Richards

  • 1Department of Rehabilitation, Faculty of Medicine, Laval University, and Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Rehabilitation Institute of Quebec, 525 Blvd Wilfrid-Hamel Est, Quebec City, Quebec, Canada. Francine.Malouin@rea.ulaval.ca

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|December 22, 2009
PubMed
Summary

Motor imagery, or mental practice, shows promise for retraining lower-limb function and gait in individuals with physical disabilities. This review examines evidence supporting its use for improving motor function and discusses assessment strategies.

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Motor Control

Background:

  • Motor imagery and mental practice have been explored for motor function retraining in physical disabilities.
  • Clinical focus has often been on upper-extremity tasks, with less attention to lower-limb and gait retraining.

Purpose of the Study:

  • To review evidence on motor imagery for retraining gait and lower-limb movements.
  • To examine the effects of various conditions on motor imagery ability.
  • To discuss clinical assessment and training strategies for motor imagery.

Main Methods:

  • Review of physiological and behavioral studies in healthy individuals.
  • Examination of effects of stroke, spinal cord injury, amputation, and immobilization on motor imagery.
  • Review of studies on brain reorganization and effects of mental practice on gait and coordinated movements.

Main Results:

  • Evidence supports motor imagery's capacity for imagining walking and coordinated movements.
  • Conditions like stroke and spinal cord injury can affect motor imagery ability.
  • Mental practice has shown positive effects on gait and movement in specific patient populations.

Conclusions:

  • Motor imagery is a viable tool for retraining gait and lower-limb function in rehabilitation.
  • Further research is needed on clinical assessment and optimized training strategies.
  • Motor imagery holds significant potential for improving motor recovery in diverse physical disabilities.