Motor Imagery and Mental Practice in the Subacute and Chronic Phases in Upper Limb Rehabilitation after Stroke: A Systematic Review.

Introduction: Motor imagery and mental practice can be defined as a continuous mechanism in which the subject tries to emulate a movement using cognitive processes, without actually performing the motor action. The objective of this review was to analyse and check the efficacy of motor imagery and/or mental practice as a method of rehabilitating motor function in patients that have suffered a stroke, in both subacute and chronic phases. Material and Methods. We performed a bibliographic search from 2009 to 2021 in the following databases, Medline (PubMed), Scopus, WOS, Cochrane, and OTSeeker. The search focused on randomized clinical trials in which the main subject was rehabilitating motor function of the upper limb in individuals that had suffered a stroke in subacute or chronic phases. Results: We analysed a total of 11 randomized clinical trials, with moderate and high methodological quality according to the PEDro scale. Most of the studies on subacute and chronic stages obtained statistically significant short-term results, between pre- and postintervention, in recovering function of the upper limb. Conclusions: Motor imagery and/or mental practice, combined with conventional therapy and/or with other techniques, can be effective in the short term in recovering upper limb motor function in patients that have suffered a stroke. More studies are needed to analyse the efficacy of this intervention during medium- and long-term follow-up.

Childhood Health Assets in a Spanish Neighborhood: Children and Families' Perception.

The health assets (HA; factors or resources that maintain or improves health) approach has hardly been incorporated in occupational therapy, and even less so in research focused on children's perception. The objective of this study was to provide context-specific empirical evidence regarding children and families' perception of childhood HA, paying special attention to the occupational dimension. We used a mixed methods design including qualitative research with 130 children using various techniques (brainstorming, focus groups, thematic drawing, and individual interview) and a descriptive study based on a questionnaire answered by 58 families. Most children related well-being to play occupations and belonging. We observed the influence of gender roles, ethnicity, and other socioeconomic factors in the identification and access to HA. We recommend delving into the relationship between the HA approach and occupational therapy, considering the children's perspective, interculturality, and gender perspectives.