RESUMO
Introducción y objetivos La imaginería motora es una técnica ampliamente utilizada en la rehabilitación neurológica. Su utilidad y resultados vienen condicionados por la habilidad de imaginar el movimiento, que puede ser evaluada por diversos instrumentos. Este estudio pretende evaluar las propiedades psicométricas de un instrumento de reciente creación dedicado, en concreto, a la mano/miembro superior: Cuestionario de evocación mental de imágenes, movimientos y actividades. Materiales y métodos Fueron evaluados 29 sujetos (41% varones y 59% mujeres), con un promedio de 45 años de edad. A todos ellos se les administró, en un primer encuentro, el «Cuestionario de evocación mental de imágenes, movimientos y actividades» y el «Movement Imagery Questionnaire-Revised» en su versión española. En un segundo encuentro se les realizó el retest del Cuestionario de evocación mental de imágenes, movimientos y actividades. Se calcularon: estadísticos descriptivos, consistencia interna, fiabilidad test-retest, reproducibilidad y validez concurrente entre ambos instrumentos. Resultados Fiabilidad/consistencia interna: se hallaron buenos índices de consistencia interna de la prueba tanto para la escala global como para sus 2 subescalas: evocación y sensación. Fiabilidad/test-retest: no se hallaron diferencias significativas en el intervalo de una semana. Reproducibilidad: se halló un excelente coeficiente de correlación intraclase. Validez concurrente: el Cuestionario de evocación mental de imágenes, movimientos y actividades tiene una fuerte correlación con el Movement Imagery Questionnaire-Revised. Conclusiones El Cuestionario de evocación mental de imágenes, movimientos y actividades es un instrumento psicométricamente sólido que puede ser utilizado para medir la habilidad para formar mentalmente imágenes visuales y cinestésicas de la mano/miembro superior, a la vez que proporciona información del proceso de imaginación por el que pasa la persona que está siendo evaluada (AU)
Introduction and objectives Motor imaging is a widely used technique in neurological rehabilitation. Its utility and results are influenced by the ability to imagine a movement, which can be evaluated by various instruments. This study aimed to assess the psychometric properties of a recently-designed instrument for assessment of the hand and arm: the Mental Evocation of Images, Movements and Activities Questionnaire. Materials and methods We assessed 29 patients (41% men and 59% women) with a mean age of 45 years. At a first visit, all were administered the Mental Evocation of Images, Movements and Activities Questionnaire and the Spanish version of the Movement Imagery Questionnaire-Revised. At a second visit, the patients underwent a retest of the Mental Evocation of Images, Movements and Activities Questionnaire. We calculated descriptive statistics, internal consistency, test-retest reliability, reproducibility and concurrent validity between the two instruments. Results Reliability/internal consistency: we found good indexes of internal consistency both for the global scale and for its two subscales: evocation and sensation. Reliability/test-retest: we found no significant differences in a 1-week interval. Reproducibility: we found an excellent intraclass correlation coefficient. Concurrent validity: the Mental Evocation of Images, Movements and Activities Questionnaire showed a strong correlation with the Movement Imagery Questionnaire-Revised. Conclusions The Mental Evocation of Images, Movements and Activities Questionnaire is a psychometrically robust instrument that can be used to measure the ability to form visual and kinesthetic mental images of the hand/arm. The instrument also provides information on the imaging process in the person under evaluation (AU)
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Inquéritos e Questionários , Imaginação , Movimento , Cinestesia , Reprodutibilidade dos Testes , Projetos Piloto , PsicometriaRESUMO
INTRODUCTION AND OBJECTIVES: Motor imaging is a widely used technique in neurological rehabilitation. Its utility and results are influenced by the ability to imagine a movement, which can be evaluated by various instruments. This study aimed to assess the psychometric properties of a recently-designed instrument for assessment of the hand and arm: the Mental Evocation of Images, Movements and Activities Questionnaire. MATERIALS AND METHODS: We assessed 29 patients (41% men and 59% women) with a mean age of 45 years. At a first visit, all were administered the Mental Evocation of Images, Movements and Activities Questionnaire and the Spanish version of the Movement Imagery Questionnaire-Revised. At a second visit, the patients underwent a retest of the Mental Evocation of Images, Movements and Activities Questionnaire. We calculated descriptive statistics, internal consistency, test-retest reliability, reproducibility and concurrent validity between the two instruments. RESULTS: Reliability/internal consistency: we found good indexes of internal consistency both for the global scale and for its two subscales: evocation and sensation. Reliability/test-retest: we found no significant differences in a 1-week interval. Reproducibility: we found an excellent intraclass correlation coefficient. Concurrent validity: the Mental Evocation of Images, Movements and Activities Questionnaire showed a strong correlation with the Movement Imagery Questionnaire-Revised. CONCLUSIONS: The Mental Evocation of Images, Movements and Activities Questionnaire is a psychometrically robust instrument that can be used to measure the ability to form visual and kinesthetic mental images of the hand/arm. The instrument also provides information on the imaging process in the person under evaluation.
Assuntos
Cinestesia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Psicometria , Reprodutibilidade dos Testes , Inquéritos e QuestionáriosRESUMO
Objective To investigate the effects of mirror therapy supplemented with motor imaging training on the upper extremity functions of hemiplegic stroke patients and on their ability in the activities of daily living (ADL).Methods Forty-four stroke patients were divided into a control group and an experimental group with 22 patients in each.All were given routine rehabilitation treatment.In addition,the experimental group was given 30 minutes of mirror therapy daily supplemented with 15 minutes of motor imaging training.The control group was given routine occupational therapy.All the patients were assessed with Brunnstrom staging,the functional test for the hemiplegic upper extremity-Hong Kong (FTHUE-HK) and the Barthel index (BI) scale before therapy and after 6 weeks.Results After 6 weeks of treatment,both groups showed significant improvements in upper limb function,hand function,and ADL ability.There were significant intra-group differences and significant differences between the experimental and control groups in terms of Brunnstrom staging,FTHUE-HK scores and BI scores.Conclusions Mirror therapy supplemented with motor imaging training can benefit patients suffering hemiplegia in improving their upper limb functioning and their ADL ability.
