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| L'imagerie motrice dans la reeducation de la marche des amputes trans-tibiaux d'origine vasculaire (Motor imaging in walking rehabilitation after transtibial amputation for vascular causes) [French; with consumer summary] |
| Vanmairis J |
| Kinesitherapie La Revue 2018 Feb;18(194):2-12 |
| clinical trial |
| 6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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OBJECTIVE: The purpose of this study was to examine the feasibility of associating motor imaging to physical practice to improve gait strategies in patients with transtibial amputation for vascular causes. METHODS: This was a single-center prospective longitudinal randomized controlled feasibility study. The feasibility of using motor imaging in amputee patients was assessed on the MIQ-RS questionnaire. Gait parameters were assessed by laboratory kinetic analysis, and risk of falling by the Timed Up-and-Go test (TUG). Two groups were formed: the experimental group (n = 4) received physical practice of walking associated to motor imaging sessions, and the control group (n = 4) received physical practice of walking only. RESULTS: There was no statistically significant impact of mental practice on walking velocity (experimental versus control 0.48 +/- 0.43 m/s versus 0.60 +/- 0.26 m/s) or other endpoints: step-length symmetry, limb-loading symmetry or TUG result. CONCLUSION: The present study showed that motor imaging is feasible in patients with transtibial amputation for vascular causes. However, no significant improvement in walking or reduction in risk of falling was found. LEVEL OF EVIDENCE: III.
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