Hi! haven’t been posting for a month! My apologies for the long delay partly due to computer problems and busy with other things! This is a continuation of my earlier post Bilateral Isokinematic Therapy (BIT) and today I would like to introduce the use of Motor Imagery in stroke-rehab.
Motor imagery (MI) is the mental representation of movement without any body movement. Abundant evidence on the positive effects of motor imagery practice on motor performance and learning in athletes, people who are healthy, and people with neurological conditions (eg, stroke, spinal cord injury, Parkinson disease) has been published.
An advantage of MI is that patients can practice it independently during the regeneration phase between two physical therapy sessions. MI can also be practiced in all stages of stroke recovery. In an early stage of recovery, MI allows patients to mentally practice a task which they cannot yet carry out physically due to motor impairment. However, it has not been determined yet, when it is best to start with MI.
The Video Links given below are the routine MI and BIT exercises that Rock goes through daily! The use of the mirror is to create the artificial impression to her brain that her affected hand is moving in tandem with her good hand! In a way this is also considered Bilateral Isokinematic in a sense. There are in total 8 Videos of different exercises involved and you may watch each specific exercise to get a better understanding of how it is done. These Videos were recorded at the University Hospital Stroke Rehab Clinic with the kind permission of Puan Noorieni the Chief Physiotherapist there. Hope these Videos are helpful to other caregivers who want to use them at home but you need to purchase or make those accessories yourself. Thank-you.
Exercises that Rock did since 2005 … 3 times a day with each exercise lasting an hour or more.
- Motor Imagery – Wrist Rotation Exercise.
- Motor Imagery – Wrist Up-down Exercise.
- Motor Imagery – Wrist Open-close Exercise.
- Weight Bearing Exercise.
- Bilateral Isokinematic – Elbow Exercise.
- Bilateral Isokinematic – Fingers Exercise.
- Bilateral Isokinematic – Wrist Up-down Exercise.
- Bilateral Isokinematic Relaxation Procedures.