A different point of view: the evaluation of motor imagery perspectives in patients with sensorimotor impairments in a longitudinal study
Abstract Background Motor imagery (MI) has been successfully applied in neurological rehabilitation. Little is known about the spontaneous selection of the MI perspectives in patients with sensorimotor impairments. What perspective is selected: internal (first-person view), or external (third-person...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-07-01
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| Series: | BMC Neurology |
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| Online Access: | https://doi.org/10.1186/s12883-021-02266-w |
| _version_ | 1818690510328430592 |
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| author | Szabina Gäumann Rahel Sarah Gerber Zorica Suica Jasmin Wandel Corina Schuster-Amft |
| author_facet | Szabina Gäumann Rahel Sarah Gerber Zorica Suica Jasmin Wandel Corina Schuster-Amft |
| author_sort | Szabina Gäumann |
| collection | DOAJ |
| description | Abstract Background Motor imagery (MI) has been successfully applied in neurological rehabilitation. Little is known about the spontaneous selection of the MI perspectives in patients with sensorimotor impairments. What perspective is selected: internal (first-person view), or external (third-person view)? The aim was to evaluate the MI perspective preference in patients with sensorimotor impairments. Methods In a longitudinal study including four measurement sessions, 55 patients (25 stroke, 25 multiple sclerosis, 5 Parkinson’s disease; 25 females; mean age 58 ± 14 years) were included. MI ability and perspective preference in both visual and kinaesthetic imagery modalities were assessed using the Kinaesthetic and Visual Imagery Questionnaire-20 (KVIQ-20), the body rotation task (BRT), and mental chronometry (MC). Additionally, patients’ activity level was assessed. Descriptive analyses were performed regarding different age- (< 45, 45–64, > 64), activity levels (inactive, partially active, active), and KVIQ-20 movement classifications (axial, proximal, distal, upper and lower limb). A mixed-effects model was used to investiage the relationship between the primary outcome (MI perspective: internal, external) with the explanatory variables age, MI modality (visual, kinaesthetic), movement type (axial, proximal, distal), activity levels and the different assessments (KVIQ-20, BRT, MC). Results Imagery modality was not a significant predictor of perspective preference. Over the four measurement sessions, patients tended to become more consistent in their perspective selection, however, time point was not a significant predictor. Movement type was a significant predictor: imagination of distal vs. axial and proximal vs. axial movements were both associated with preference for external perspective. Patients with increased physical activity level tend to use internal imagery, however, this effect was borderline not statistically significant. Age was neither a significant precictor. Regarding the MI assessments, the KVIQ- 20 score was a significant predictor. The patients with higher test scores tend to use the external perspective. Conclusion It is recommended to evaluate the spontaneous MI perspective selection to design patient-specific MI training interventions. Distal movements (foot, finger) may be an indicator when evaluating the consistency of the MI perspective in patients with sensorimotor impairments. |
| first_indexed | 2024-12-17T12:27:09Z |
| format | Article |
| id | doaj.art-895471ffb6d640109f364cb735eb6f98 |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-12-17T12:27:09Z |
| publishDate | 2021-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-895471ffb6d640109f364cb735eb6f982022-12-21T21:48:42ZengBMCBMC Neurology1471-23772021-07-0121111710.1186/s12883-021-02266-wA different point of view: the evaluation of motor imagery perspectives in patients with sensorimotor impairments in a longitudinal studySzabina Gäumann0Rahel Sarah Gerber1Zorica Suica2Jasmin Wandel3Corina Schuster-Amft4Institute of Physiotherapy, School of Health Professions, Zurich University of Applied SciencesInstitute of Physiotherapy, School of Health Professions, Zurich University of Applied SciencesResearch Department, Reha RheinfeldenInstitute for Optimisation and Data Analysis, Bern University of Applied SciencesResearch Department, Reha RheinfeldenAbstract Background Motor imagery (MI) has been successfully applied in neurological rehabilitation. Little is known about the spontaneous selection of the MI perspectives in patients with sensorimotor impairments. What perspective is selected: internal (first-person view), or external (third-person view)? The aim was to evaluate the MI perspective preference in patients with sensorimotor impairments. Methods In a longitudinal study including four measurement sessions, 55 patients (25 stroke, 25 multiple sclerosis, 5 Parkinson’s disease; 25 females; mean age 58 ± 14 years) were included. MI ability and perspective preference in both visual and kinaesthetic imagery modalities were assessed using the Kinaesthetic and Visual Imagery Questionnaire-20 (KVIQ-20), the body rotation task (BRT), and mental chronometry (MC). Additionally, patients’ activity level was assessed. Descriptive analyses were performed regarding different age- (< 45, 45–64, > 64), activity levels (inactive, partially active, active), and KVIQ-20 movement classifications (axial, proximal, distal, upper and lower limb). A mixed-effects model was used to investiage the relationship between the primary outcome (MI perspective: internal, external) with the explanatory variables age, MI modality (visual, kinaesthetic), movement type (axial, proximal, distal), activity levels and the different assessments (KVIQ-20, BRT, MC). Results Imagery modality was not a significant predictor of perspective preference. Over the four measurement sessions, patients tended to become more consistent in their perspective selection, however, time point was not a significant predictor. Movement type was a significant predictor: imagination of distal vs. axial and proximal vs. axial movements were both associated with preference for external perspective. Patients with increased physical activity level tend to use internal imagery, however, this effect was borderline not statistically significant. Age was neither a significant precictor. Regarding the MI assessments, the KVIQ- 20 score was a significant predictor. The patients with higher test scores tend to use the external perspective. Conclusion It is recommended to evaluate the spontaneous MI perspective selection to design patient-specific MI training interventions. Distal movements (foot, finger) may be an indicator when evaluating the consistency of the MI perspective in patients with sensorimotor impairments.https://doi.org/10.1186/s12883-021-02266-wMotor imageryMotor imagery perspectiveNeurorehabilitationSensorimotor impairment |
| spellingShingle | Szabina Gäumann Rahel Sarah Gerber Zorica Suica Jasmin Wandel Corina Schuster-Amft A different point of view: the evaluation of motor imagery perspectives in patients with sensorimotor impairments in a longitudinal study BMC Neurology Motor imagery Motor imagery perspective Neurorehabilitation Sensorimotor impairment |
| title | A different point of view: the evaluation of motor imagery perspectives in patients with sensorimotor impairments in a longitudinal study |
| title_full | A different point of view: the evaluation of motor imagery perspectives in patients with sensorimotor impairments in a longitudinal study |
| title_fullStr | A different point of view: the evaluation of motor imagery perspectives in patients with sensorimotor impairments in a longitudinal study |
| title_full_unstemmed | A different point of view: the evaluation of motor imagery perspectives in patients with sensorimotor impairments in a longitudinal study |
| title_short | A different point of view: the evaluation of motor imagery perspectives in patients with sensorimotor impairments in a longitudinal study |
| title_sort | different point of view the evaluation of motor imagery perspectives in patients with sensorimotor impairments in a longitudinal study |
| topic | Motor imagery Motor imagery perspective Neurorehabilitation Sensorimotor impairment |
| url | https://doi.org/10.1186/s12883-021-02266-w |
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