Effectiveness of Action Observation and Motor Imagery on Relearning Upper Extremity Function After Stroke: A Systematic Review and Meta-analysis

Nandana Welage; Michelle Bissett; Kenneth N.N. Fong; Paul Fahey; Kristy Coxon; Karen P. Y. Liu

doi:10.34172/icnj.2022.05

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Effectiveness of Action Observation and Motor Imagery on Relearning Upper Extremity Function After Stroke: A Systematic Review and Meta-analysis

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Effectiveness of Action Observation and Motor Imagery on Relearning Upper Extremity Function After Stroke: A Systematic Review and Meta-analysis

Nandana Welage, Michelle Bissett, Kenneth N.N. Fong, Paul Fahey, Kristy Coxon and Karen P. Y. Liu

International Clinical Neuroscience Journal, Vol.9, e5

20/02/2022

DOI: https://doi.org/10.34172/icnj.2022.05

Appears in Recent Faculty of Health Publications

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Abstract

motor imagery

action observation

stroke

systematic review

meta-analysis

The effectiveness of action observation (AO) and motor imagery (MI) in high-quality studies with less risk of bias is rarely reported together. This systematic review evaluates the effectiveness of AO and MI on improving upper extremity function among people after stroke by combining evidence of studies with high methodological quality. Randomised controlled trials, with a score of 6 or above in the PEDro Scale, that examined the effects of AO or MI for people with stroke were selected. A narrative analysis and meta-analysis were conducted using the PRISMA guidelines. Ten randomised controlled trials from 11 articles met the inclusion criteria. The results of meta-analysis showed that AO had a small to moderate statistically significant effect on improving upper extremity motor function (standardized mean difference, SMD = 0.34; confidence interval, CI = 0.08, 0.59; P = 0.35; I2 = 0.00%) and no significant effect on MI (SMD = 0.08; CI = -0.26, 0.42; P = 0.65; I2 = 0.00%) when compared with the control intervention. Evidence was found in support of AO and it is recommended for people with acute or sub-acute stroke.

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Title: Effectiveness of Action Observation and Motor Imagery on Relearning Upper Extremity Function After Stroke: A Systematic Review and Meta-analysis
Creators: Nandana Welage - Western Sydney University
Michelle Bissett - Griffith University
Kenneth N.N. Fong - Hong Kong Polytechnic University, Hung Hom, Hong Kong
Paul Fahey - Western Sydney University
Kristy Coxon - Western Sydney University
Karen P. Y. Liu - University of Sydney
Publication Details: International Clinical Neuroscience Journal, Vol.9, e5
Publisher: Shahid Beheshti University of Medical Sciences * Research Centre for Neurosurgery and Functional Nerves
Identifiers: 991013087506902368
Academic Unit: Faculty of Health
Language: English
Resource Type: Journal article

Effectiveness of Action Observation and Motor Imagery on Relearning Upper Extremity Function After Stroke: A Systematic Review and Meta-analysis

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