Efficacy of motor imagery and neurofeedback for motor control and functional rehabilitation in cases of brain injury: a literature review
DOI:
https://doi.org/10.62827/fb.v25i5.1027Keywords:
Rehabilitation; brain injury; motor imagery; neural plasticity; functional independence.Abstract
Introduction: The rehabilitation of patients with brain injury is challenging, with various treatment protocols being proposed to promote patient autonomy, including Motor Imagery (MI). Objective: To analyze, through a bibliographic review, the use of MI and neurofeedback as rehabilitation tools, identifying national and international scientific evidence on their efficacy to promote autonomy in the daily activities of patients with brain injury. Methods: A literature review was conducted with searches in the PubMed, SciELO, and BVS databases. Articles in Portuguese and English published in the last 10 years, focusing on clinical studies, were filtered. The search keywords used were: stroke, rehabilitation, postural balance, physical therapy specialty, virtual reality, cerebral palsy, neurological, game therapy, Wii therapy, neuroimaging, virtual reality exposure therapy, neurological rehabilitation, motor imagery, kinesthetic imagery, visual imagery, and mental practice. Inclusion criteria encompassed original articles, clinical trials, case-control studies, and case series published in the last 10 years, focusing on the use of MI in patients with brain injury. Results: A total of 193 articles on the topic were found. After reading titles, abstracts, and full texts, 9 articles were selected for this review. The analyzed articles demonstrated the use of MI in the recovery of motor control and functional independence in cases of brain injury. The technique activates specific areas of the brain and promotes neural plasticity, essential for motor recovery, contributing to the improvement of motor coordination, postural control, and functional independence even in severe lesions. Conclusion: The analyzed studies indicate that MI has the potential to assist in the rehabilitation of brain injury cases, favoring neural plasticity, motor recovery, and functional independence, especially in severe cases of paresis, justifying its adoption alongside traditional methods. Future research is needed to optimize its usage strategies.
References
Medeiros CSP, Fernandes SGG, Souza DE, Guedes DT, Cacho EWA, Cacho RO. Comprometimento motor e risco de quedas em pacientes pós-acidente vascular encefálico. R bras Ci Mov. 2019;27(1):42-49.
Louis ED, Mayer SA, Rowland LP. Merritt tratado neurologia. 13ª ed. Rio de Janeiro: Guanabara Koogan; 2018.
Godoi BB, Galvão EL, Santos DF. Mortalidade por acidente vascular cerebral no Vale do Jequitinhonha e correlação com o índice de desenvolvimento humano: um estudo ecológico entre 1996 e 2016. Rev Saúde Col UEFS [Internet]. 2020 [citado 2024 set 9];10(1):23-30. Disponível em: https://periodicos.uefs.br/index.php/saudecoletiva/article/view/4831
Diener HC, Hankey GJ. Primary and secondary prevention of ischemic stroke and cerebral hemorrhage: JACC focus seminar. J Am Coll Cardiol. 2020;75(15):1804-18. doi: 10.1016/j.jacc.2019.12.072
Sociedade Brasileira de Doenças Cerebrovasculares. Comitê executivo da sociedade brasileira de doenças cerebrovasculares e departamento científico de doenças cerebrovasculares da academia brasileira de neurologia. Diretrizes. 2018.
Pereira RA, Dos Santos EB, Fhon JR, Marques S, Rodrigues RA. Sobrecarga dos cuidadores de idosos com acidente vascular cerebral. Rev Esc Enferm USP. 2013;47(1):185-92. doi: 10.1590/s0080-62342013000100023
Hamano YH, Sugawara SK, Yoshimoto T, Sadato N. The motor engram as a dynamic change of the cortical network during early sequence learning: an fMRI study. Neurosci Res. 2020;153:27-39. doi: 10.1016/j.neures.2019.03.004
Dupont-Hadwen J, Bestmann S, Stagg CJ. Motor training modulates intracortical inhibitory dynamics in motor cortex during movement preparation. Brain Stimul. 2019;12(2):300-8. doi: 10.1016/j.brs.2018.11.002
García Carrasco D, Aboitiz Cantalapiedra J. Effectiveness of motor imagery or mental practice in functional recovery after stroke: a systematic review. Neurologia. 2016;31(1):43-52. doi: 10.1016/j.nrl.2013.02.003
Mizuguchi N, Kanosue K. Changes in brain activity during action observation and motor imagery: their relationship with motor learning. Prog Brain Res. 2017;234:189-204. doi: 10.1016/bs.pbr.2017.08.008
Ramos JM, Silva SS. Exercício físico e a neuroplasticidade encefálica em paciente pós-doença vascular cerebral isquêmico: um estudo de caso. Rev Assoc Bras Ativ Mot Adapt. 2023;23:211-32.
Zilli F, Lima ECBA, Kobler MC. Neuroplasticity in the rehabilitation of patients affected by spastic stroke. Rev Ter Ocup Univ São Paulo. 2014;25(3):317-22. doi: 10.11606/issn.2238-6149.v25i3p317-322
Takashima A, Wagensveld B, Van Turennout M, et al. Training-induced neural plasticity in visual-word decoding and the role of syllables. Neuropsychologia. 2014;61:299-314. doi: 10.1016/j.neuropsychologia.2014.06.017
Jiang F, Jiang Y, Zhi H, et al. Artificial intelligence in healthcare: past, present and future. Stroke Vasc Neurol. 2017;2(4):230-43. doi: 10.1136/svn-2017-000101
Vučković A, Wallace L, Allan DB. Hybrid brain-computer interface and functional electrical stimulation for sensorimotor training in participants with tetraplegia: a proof-of-concept study. J Neurol Phys Ther. 2015;39(1):3-14. doi: 10.1097/NPT.0000000000000063
Guillot A, Collet C, Nguyen VA, et al. Brain activity during visual versus kinesthetic imagery: an fMRI study. Hum Brain Mapp. 2009;30(7):2157-72. doi: 10.1002/hbm.20658
Bastos AF, Souza G, Pinto T. Simulação mental de movimentos: da teoria à aplicação na reabilitação motora. Rev Neurociências. 2014;21(4):604-19. doi: 10.4181/RNC.2013.21.895.16p
Kong KH, Loh YJ, Thia E, et al. Efficacy of a virtual reality commercial gaming device in upper limb recovery after stroke: a randomized, controlled study. Top Stroke Rehabil. 2016;23(5):333-40. doi: 10.1080/10749357.2016.1139796
Nam JS, Yi TI, Moon HI. Effects of adjuvant mental practice using inverse video of the unaffected upper limb in subacute stroke: a pilot randomized controlled study. Int J Rehabil Res. 2019;42:337-43. doi: 10.1097/MRR.0000000000000368
Cho DR, Lee SH. Effects of virtual reality immersive training with computerized cognitive training on cognitive function and activities of daily living performance in patients with acute stage stroke: a preliminary randomized controlled trial. Medicine (Baltimore). 2019;98(11). doi: 10.1097/MD.0000000000014752
Gerig N, Mayo J, Baur K, et al. Missing depth cues in virtual reality limit performance and quality of three-dimensional reaching movements. PLoS ONE. 2018;13(1). doi: 10.1371/journal.pone.0189275
Gomes TT, Schujmann DS, Fu C. Rehabilitation through virtual reality: physical activity of patients admitted to the intensive care unit. Rev Bras Ter Intensiva. 2019;31(4):456-63. doi: 10.5935/0103-507X.20190078
Adams RJ, Lichter MD, Krepkovich ET, et al. Assessing upper extremity motor function in practice of virtual activities of daily living. IEEE Trans Neural Syst Rehabil Eng. 2015;23(2):287-96. doi: 10.1109/TNSRE.2014.2360149
Tanaka K, Parker J, Barody G, et al. A comparison of exergaming interfaces for use in rehabilitation programs and research. J Can Game Stud Assoc. 2014;6(9):69-81.
Manuel Murie. Virtual rehab melhora patologias neurodegenerativas, neuromusculares e cerebrovasculares. Soc Esp Neurol. 2014.
Jackson PL, Lafleur MF, Malouin F, et al. Potential role of mental practice using motor imagery in neurologic rehabilitation. Arch Phys Med Rehabil. 2001;82(8):1133-41. doi: 10.1053/apmr.2001.24286
Sharma N, Pomeroy VM, Baron JC. Motor imagery: a backdoor to the motor system after stroke? Stroke. 2006;37(7):1941-52. doi: 10.1161/01.STR.0000226902.43357.fc
Villa-Berges E, Laborda Soriano AA, et al. Imagens motoras e prática mental nas fases subaguda e crônica na reabilitação de membros superiores após AVC: uma revisão sistemática. Occup Ther Int. 2023:3752889. doi: 10.1155/2023/3752889
Kho AY, Liu KP, Chung RC. Meta-analysis on the effect of mental imagery on motor recovery of the hemiplegic upper extremity function. Aust Occup Ther J. 2014;61:38-48. doi: 10.1111/1440-1630.12084
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Beatriz da Rocha Gonçalves Marchini, Victoria Maria da Silva Marques, Yasmin de Sousa Silva Evangelista, Fábio Augusto D'Alegria Tuza , Marilia Salete Tavares, José Gabriel Euzebio Werneck (Autor)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Autores que publicam nesta revista concordam com os seguintes termos:
Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution 4.0 que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
Autores têm autorização para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
