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The effect of motor imagery training on individuals with unilateral cerebral palsy on motor imagery ability,
Demet Gözaçan Karabulut1, Eylem Tütün Yümin2, Yusuf Öztürk3
1Department of Physiotherapy and Rehabilitation, Gaziantep Islam Science and Technology University Faculty of Health Sciences, Gaziantep, Turkey.
Insights
Motor imagery (MI) training improved MI abilities, functional mobility, and muscle activity in children with unilateral cerebral palsy (UCP). This approach is beneficial for UCP rehabilitation.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Pediatric Physical Therapy
Background:
- Unilateral cerebral palsy (UCP) significantly impacts motor function in children.
- Current rehabilitation strategies for UCP often focus on physical interventions.
- The potential of motor imagery (MI) as a complementary therapeutic tool requires further investigation.
Purpose of the Study:
- To investigate the efficacy of motor imagery (MI) training on MI abilities.
- To assess the impact of MI training on functional mobility in children with UCP.
- To evaluate changes in lower extremity muscle activity following MI training in UCP.
Main Methods:
- A randomized controlled trial involving 34 children with UCP and 17 typically developing children.
- UCP participants were assigned to either an 8-week physiotherapy with MI training group or a physiotherapy-only control group.
- Assessments included the Movement Imagery Questionnaire-For Children (MIQ-C), mental chronometry, functional mobility tests, and lower extremity muscle activation.
Main Results:
- The UCP group receiving MI training demonstrated significant improvements in MIQ-C scores and mental chronometry compared to the control group.
- Significant enhancements in functional mobility were observed in the UCP MI group.
- Resting muscle activation in the lower extremities showed significant positive changes in the UCP MI group.
Conclusions:
- Motor imagery (MI) training is a feasible and beneficial addition to the rehabilitation of children with unilateral cerebral palsy (UCP).
- The findings support the integration of MI training into standard physiotherapy protocols for UCP.
- MI training positively influences cognitive and motor outcomes in pediatric UCP populations.
Aim:
This study aims to examine the effect of motor imagery (MI) training on MI abilities, functional mobility, and lower extremity muscle activity in children with unilateral cerebral palsy (UCP).
Method:
34 UCP and 17 typically developing participants were included. UCP was randomised into 2 groups as UCP MI and UCP control. Participants typically developing were included for baseline comparisons. UCP MI group received 8 weeks of physiotherapy and MI training, the UCP control group 8 weeks of physiotherapy training. The MI abilities, functional mobility, and lower extremity muscle activation were assessed in all groups.
Results:
It was found that MI training made a significant difference in favour of the UCP MI group in terms of Movement Imagery Questionnaire-For Children (MIQ-C), mental chronometry, functional mobility, and resting muscle activation (p < 0.05). There was no such significant change in the UCP control group.
Conclusion:
This current approach in UCP is a feasible method, beneficial to include it in the rehabilitation process.

