Exploring cued and non-cued motor imagery interventions in people with multiple sclerosis: a randomised feasibility trial and reliability study.
Identifieur interne : 000819 ( Main/Exploration ); précédent : 000818; suivant : 000820Exploring cued and non-cued motor imagery interventions in people with multiple sclerosis: a randomised feasibility trial and reliability study.
Auteurs : Barbara Seebacher ; Raija Kuisma ; Angela Glynn ; Thomas Berger [Autriche]Source :
- Archives of physiotherapy [ 2057-0082 ] ; 2018.
Abstract
Background
Motor imagery (MI) is increasingly used in neurorehabilitation to facilitate motor performance. Our previous study results demonstrated significantly improved walking after rhythmic-cued MI in people with multiple sclerosis (pwMS). The present feasibility study was aimed to obtain preliminary information of changes in walking, fatigue, quality of life (QoL) and MI ability following cued and non-cued MI in pwMS. The study further investigated the feasibility of a larger study and examined the reliability of a two-dimensional gait analysis system.
Methods
At the MS-Clinic, Department of Neurology, Medical University of Innsbruck, Austria, 15 adult pwMS (1.5-4.5 on the Expanded Disability Status Scale, 13 females) were randomised to one of three groups: 24 sessions of 17 min of MI with music and verbal cueing (MVMI), with music alone (MMI), or non-cued (MI). Descriptive statistics were reported for all outcomes. Primary outcomes were walking speed (Timed 25-Foot Walk) and walking distance (6-Minute Walk Test). Secondary outcomes were recruitment rate, retention, adherence, acceptability, adverse events, MI ability (Kinaesthetic and Visual Imagery Questionnaire, Time-Dependent MI test), fatigue (Modified Fatigue Impact Scale) and QoL (Multiple Sclerosis Impact Scale-29). The reliability of a gait analysis system used to assess gait synchronisation with music beat was tested.
Results
Participants showed adequate MI abilities. Post-intervention, improvements in walking speed, walking distance, fatigue, QoL and MI ability were observed in all groups. Success of the feasibility criteria was demonstrated by recruitment and retention rates of 8.6% (95% confidence interval, CI 5.2, 13.8%) and 100% (95% CI 76.4, 100%), which exceeded the target rates of 5.7% and 80%. Additionally, the 83% (95% CI 0.42, 0.99) adherence rate surpassed the 67% target rate. Intra-rater reliability analysis of the gait measurement instruments demonstrated excellent Intra-Class Correlation coefficients for step length of 0.978 (95% CI 0.973, 0.982) and step time of 0.880 (95% CI 0.855, 0.902).
Conclusion
Results from our study suggest that cued and non-cued MI are valuable interventions in pwMS who were able to imagine movements. A larger study appears feasible, however, substantial improvements to the methods are required such as stratified randomisation using a computer-generated sequence and blinding of the assessors.
Trial registration
ISRCTN ISRCTN92351899. Registered 10 December 2015.
DOI: 10.1186/s40945-018-0045-0
PubMed: 29507773
PubMed Central: PMC5833073
Affiliations:
Links toward previous steps (curation, corpus...)
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sortKey="Glynn, Angela" sort="Glynn, Angela" uniqKey="Glynn A" first="Angela" last="Glynn">Angela Glynn</name><affiliation><nlm:affiliation>1School of Health Sciences, University of Brighton, Robert Dodd Building, 49 Darley Road, Eastbourne, BN20 7UR UK.</nlm:affiliation><wicri:noCountry code="subField">BN20 7UR UK</wicri:noCountry></affiliation></author><author><name sortKey="Berger, Thomas" sort="Berger, Thomas" uniqKey="Berger T" first="Thomas" last="Berger">Thomas Berger</name><affiliation wicri:level="4"><nlm:affiliation>2Clinical Department of Neurology, Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>2Clinical Department of Neurology, Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck</wicri:regionArea><orgName type="university">Université de médecine d'Innsbruck</orgName><placeName><settlement type="city">Innsbruck</settlement><region nuts="2" type="region">Tyrol 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last="Seebacher">Barbara Seebacher</name><affiliation><nlm:affiliation>1School of Health Sciences, University of Brighton, Robert Dodd Building, 49 Darley Road, Eastbourne, BN20 7UR UK.</nlm:affiliation><wicri:noCountry code="subField">BN20 7UR UK</wicri:noCountry></affiliation></author><author><name sortKey="Kuisma, Raija" sort="Kuisma, Raija" uniqKey="Kuisma R" first="Raija" last="Kuisma">Raija Kuisma</name><affiliation><nlm:affiliation>1School of Health Sciences, University of Brighton, Robert Dodd Building, 49 Darley Road, Eastbourne, BN20 7UR UK.</nlm:affiliation><wicri:noCountry code="subField">BN20 7UR UK</wicri:noCountry></affiliation></author><author><name sortKey="Glynn, Angela" sort="Glynn, Angela" uniqKey="Glynn A" first="Angela" last="Glynn">Angela Glynn</name><affiliation><nlm:affiliation>1School of Health Sciences, University of Brighton, Robert Dodd Building, 49 Darley Road, Eastbourne, BN20 7UR UK.</nlm:affiliation><wicri:noCountry code="subField">BN20 7UR UK</wicri:noCountry></affiliation></author><author><name sortKey="Berger, Thomas" sort="Berger, Thomas" uniqKey="Berger T" first="Thomas" last="Berger">Thomas Berger</name><affiliation wicri:level="4"><nlm:affiliation>2Clinical Department of Neurology, Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>2Clinical Department of Neurology, Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck</wicri:regionArea><orgName type="university">Université de médecine d'Innsbruck</orgName><placeName><settlement type="city">Innsbruck</settlement><region nuts="2" type="region">Tyrol (Land)</region></placeName></affiliation></author></analytic><series><title level="j">Archives of physiotherapy</title><idno type="eISSN">2057-0082</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Background</b></p><p>Motor imagery (MI) is increasingly used in neurorehabilitation to facilitate motor performance. Our previous study results demonstrated significantly improved walking after rhythmic-cued MI in people with multiple sclerosis (pwMS). The present feasibility study was aimed to obtain preliminary information of changes in walking, fatigue, quality of life (QoL) and MI ability following cued and non-cued MI in pwMS. The study further investigated the feasibility of a larger study and examined the reliability of a two-dimensional gait analysis system.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>At the MS-Clinic, Department of Neurology, Medical University of Innsbruck, Austria, 15 adult pwMS (1.5-4.5 on the Expanded Disability Status Scale, 13 females) were randomised to one of three groups: 24 sessions of 17 min of MI with music and verbal cueing (MVMI), with music alone (MMI), or non-cued (MI). Descriptive statistics were reported for all outcomes. Primary outcomes were walking speed (Timed 25-Foot Walk) and walking distance (6-Minute Walk Test). Secondary outcomes were recruitment rate, retention, adherence, acceptability, adverse events, MI ability (Kinaesthetic and Visual Imagery Questionnaire, Time-Dependent MI test), fatigue (Modified Fatigue Impact Scale) and QoL (Multiple Sclerosis Impact Scale-29). The reliability of a gait analysis system used to assess gait synchronisation with music beat was tested.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>Participants showed adequate MI abilities. Post-intervention, improvements in walking speed, walking distance, fatigue, QoL and MI ability were observed in all groups. Success of the feasibility criteria was demonstrated by recruitment and retention rates of 8.6% (95% confidence interval, CI 5.2, 13.8%) and 100% (95% CI 76.4, 100%), which exceeded the target rates of 5.7% and 80%. Additionally, the 83% (95% CI 0.42, 0.99) adherence rate surpassed the 67% target rate. Intra-rater reliability analysis of the gait measurement instruments demonstrated excellent Intra-Class Correlation coefficients for step length of 0.978 (95% CI 0.973, 0.982) and step time of 0.880 (95% CI 0.855, 0.902).</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>Results from our study suggest that cued and non-cued MI are valuable interventions in pwMS who were able to imagine movements. A larger study appears feasible, however, substantial improvements to the methods are required such as stratified randomisation using a computer-generated sequence and blinding of the assessors.</p></div><div type="abstract" xml:lang="en"><p><b>Trial registration</b></p><p>ISRCTN ISRCTN92351899. Registered 10 December 2015.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">29507773</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>28</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">2057-0082</ISSN><JournalIssue CitedMedium="Internet"><Volume>8</Volume><PubDate><Year>2018</Year></PubDate></JournalIssue><Title>Archives of physiotherapy</Title><ISOAbbreviation>Arch Physiother</ISOAbbreviation></Journal><ArticleTitle>Exploring cued and non-cued motor imagery interventions in people with multiple sclerosis: a randomised feasibility trial and reliability study.</ArticleTitle><Pagination><MedlinePgn>6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s40945-018-0045-0</ELocationID><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">Motor imagery (MI) is increasingly used in neurorehabilitation to facilitate motor performance. Our previous study results demonstrated significantly improved walking after rhythmic-cued MI in people with multiple sclerosis (pwMS). The present feasibility study was aimed to obtain preliminary information of changes in walking, fatigue, quality of life (QoL) and MI ability following cued and non-cued MI in pwMS. The study further investigated the feasibility of a larger study and examined the reliability of a two-dimensional gait analysis system.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">At the MS-Clinic, Department of Neurology, Medical University of Innsbruck, Austria, 15 adult pwMS (1.5-4.5 on the Expanded Disability Status Scale, 13 females) were randomised to one of three groups: 24 sessions of 17 min of MI with music and verbal cueing (MVMI), with music alone (MMI), or non-cued (MI). Descriptive statistics were reported for all outcomes. Primary outcomes were walking speed (Timed 25-Foot Walk) and walking distance (6-Minute Walk Test). Secondary outcomes were recruitment rate, retention, adherence, acceptability, adverse events, MI ability (Kinaesthetic and Visual Imagery Questionnaire, Time-Dependent MI test), fatigue (Modified Fatigue Impact Scale) and QoL (Multiple Sclerosis Impact Scale-29). The reliability of a gait analysis system used to assess gait synchronisation with music beat was tested.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">Participants showed adequate MI abilities. Post-intervention, improvements in walking speed, walking distance, fatigue, QoL and MI ability were observed in all groups. Success of the feasibility criteria was demonstrated by recruitment and retention rates of 8.6% (95% confidence interval, CI 5.2, 13.8%) and 100% (95% CI 76.4, 100%), which exceeded the target rates of 5.7% and 80%. Additionally, the 83% (95% CI 0.42, 0.99) adherence rate surpassed the 67% target rate. Intra-rater reliability analysis of the gait measurement instruments demonstrated excellent Intra-Class Correlation coefficients for step length of 0.978 (95% CI 0.973, 0.982) and step time of 0.880 (95% CI 0.855, 0.902).</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">Results from our study suggest that cued and non-cued MI are valuable interventions in pwMS who were able to imagine movements. A larger study appears feasible, however, substantial improvements to the methods are required such as stratified randomisation using a computer-generated sequence and blinding of the assessors.</AbstractText><AbstractText Label="Trial registration" NlmCategory="UNASSIGNED">ISRCTN ISRCTN92351899. Registered 10 December 2015.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Seebacher</LastName><ForeName>Barbara</ForeName><Initials>B</Initials><Identifier Source="ORCID">0000-0001-5699-9077</Identifier><AffiliationInfo><Affiliation>1School of Health Sciences, University of Brighton, Robert Dodd Building, 49 Darley Road, Eastbourne, BN20 7UR UK.</Affiliation><Identifier Source="ISNI">0000000121073784</Identifier><Identifier Source="GRID">grid.12477.37</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kuisma</LastName><ForeName>Raija</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>1School of Health Sciences, University of Brighton, Robert Dodd Building, 49 Darley Road, Eastbourne, BN20 7UR UK.</Affiliation><Identifier Source="ISNI">0000000121073784</Identifier><Identifier Source="GRID">grid.12477.37</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Glynn</LastName><ForeName>Angela</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>1School of Health Sciences, University of Brighton, Robert Dodd Building, 49 Darley Road, Eastbourne, BN20 7UR UK.</Affiliation><Identifier Source="ISNI">0000000121073784</Identifier><Identifier Source="GRID">grid.12477.37</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Berger</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>2Clinical Department of Neurology, Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria.</Affiliation><Identifier Source="ISNI">0000 0000 8853 2677</Identifier><Identifier Source="GRID">grid.5361.1</Identifier></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>03</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Arch Physiother</MedlineTA><NlmUniqueID>101688712</NlmUniqueID><ISSNLinking>2057-0082</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Neurophysiol. 2019 Feb 1;121(2):347-349</RefSource><PMID Version="1">30207860</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Fatigue</Keyword><Keyword MajorTopicYN="N">Feasibility</Keyword><Keyword MajorTopicYN="N">Motor imagery</Keyword><Keyword MajorTopicYN="N">Motor imagery ability</Keyword><Keyword MajorTopicYN="N">Multiple sclerosis</Keyword><Keyword MajorTopicYN="N">Physiotherapy</Keyword><Keyword MajorTopicYN="N">Quality of life</Keyword><Keyword MajorTopicYN="N">Reliability two-dimensional gait analysis</Keyword><Keyword MajorTopicYN="N">Rhythmic cueing</Keyword><Keyword MajorTopicYN="N">Walking</Keyword></KeywordList><CoiStatement>This study was approved by the Tier 2 College Research Ethics Committee (CREC) of the University of Brighton on 17 December 2015 (no reference number) and the Ethics Committee of the Medical University of Innsbruck on 26 February 2016 (reference number AN2014–0052 334/4.14358/5.13 (3743a)). All participants provided written informed consent to the participant consent form and were reimbursed for travel expenses only.Not applicable.The authors declare that they have no competing interests. As this is part of a PhD study, all intellectual property related to this study belongs to the University of Brighton, according to the University of Brighton’s Doctoral College (2012) research code of practice.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>06</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>01</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>3</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>3</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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last="Seebacher">Barbara Seebacher</name></noCountry><country name="Autriche"><region name="Tyrol (Land)"><name sortKey="Berger, Thomas" sort="Berger, Thomas" uniqKey="Berger T" first="Thomas" last="Berger">Thomas Berger</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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