| Abstract [eng] |
The Impact of Different Motor Imagery Exercises to Limbs Motor Skills and Psychoemotional Status in Stroke Patients The aim of research work: to determine the impact of motor imagery exercises on psychoemotional status of patients’ after stroke Tasks of work: 1. To determine the effect of different motor imagery exercises on motor skills and combined movements of upper and lower limbs 2. To determine the effect of different motor imagery exercises on patients’ motivation, depression and anxiety 3. To determine correlations between different motor imagery exercises and patients’ motivation, depression and anxiety Materials and methods: the research was conducted on 24 patients who suffered from stroke. The patients were divided into two experimental groups. The first group performed kinesthetic ideomotor exercises (imagined to perform movements while listening to directions of the physiotherapist) in addition to traditional physiotherapy procedures. The second group watched a video of somebody else doing the movements and imagined to be performing them themselves in addition to traditional physiotherapy procedures. 30 procedures of ideomotor exercises were performed in total. The research was carried out in 2015 – 2016 at Rehabilitation, physical and sports medicine center of Vilnius University Santariškių clinics, in I and II sections of inpatient rehabilitation. Research evaluated the Fugl-Meyers scores of patients‘ both upper and lower limbs, also patients‘ motivation, depression, anxiety and combined movements were evaluated with a MAS test. The patients were evaluated twice. Data analysis was implemented by using the Excel 2007 statistical analysis program with a an installed „XLSTAT“ statistical software. Results: for both groups the motor skills values and combined movements of upper and lower limbs have increased statistically significantly (p<0,05), a substantial decrease of depression and anxiety scores in the kinesthetic ideomotor exercises performing group was observed (p<0,05). High levels of motivation were determined at the beginning of the research, which further increased during the research. Conclusions: 1. The impact of visual ideomotorics is more effective in the case of training the active knee flexion up to 90°, whereas in the kinesthetic exercises‘ group a statistical significance was detected in the case of knee flexion when the hip is in a 0° position (p<0,05). Visual and kinesthetic imagery exercises are equally effective in improving upper limb motorics and combined movements (p<0,05). 2. Kinesthetic exercises are more effective in reducing the symptoms of anxiety than visual imagery exercises, kinesthetic exercises also increase the patients’ motivation (p>0,05). 3. A weak correlation between depression and wrist flexion – extension in the kinesthetic exercises’ group was observed (p<0,05). In the kinethetic exercises‘ group was detected weak but statistically significant correlation between hip flexion and motivation as well as between ankle flexion and motivation (p<0,05). |
