To assess the effect of motor imagery, as a rehabilitation method in stroke, on F-wave parameters that undergo changes during upper motor neuron involvement.
Methods
Twenty-one fully conscious hemiparetic stroke survivors with a completely plegic hand (power 0/5) and a minimum interval of 72 hours since stroke were recruited into this study. The mean F-wave latency, amplitude, and persistence in the median and ulnar nerves were measured in both the affected and non-affected sides at rest and in the paretic hand during a mental task. Comparison was made between data from the affected hand and the non-affected hand as well as between data from the affected hand at baseline and during motor imagery.
Results
Patients had significantly different F-wave persistence between the affected and non-affected sides (paired t-test, p<0.001). Motor imagery could improve F-wave persistence in both the investigated nerves (paired t-test, p=0.01 for ulnar nerve and p<0.001 for median nerve) and F-response amplitude in the median nerve (paired t-test, p=0.01) of the affected limb.
Conclusion
The amplitude and persistence of F-wave were improved during motor imagery, representing F-wave facilitation. This result suggests that motor imagery can restore motor neuron excitability, which is depressed after stroke.
Citations
Citations to this article as recorded by
Using mechanistic knowledge to appraise contemporary approaches to the rehabilitation of upper limb function following stroke Richard G. Carson, Kathryn S. Hayward The Journal of Physiology.2025; 603(3): 635. CrossRef
Influence of combined action observation and motor imagery of walking on lower limb reflex modulation in patients after stroke–preliminary results Frank Behrendt, Monika Le-Minh, Corina Schuster-Amft BMC Research Notes.2022;[Epub] CrossRef
Strengthened structure–function relationships of the corticospinal tract by free water correction after stroke Stephanie Guder, Ofer Pasternak, Christian Gerloff, Robert Schulz Brain Communications.2021;[Epub] CrossRef
Evaluation of Motor Neuron Injury in ALS by Different Parameters of Diffusion Tensor Imaging Yong Sang, Jingfeng Xu IEEE Access.2020; 8: 72381. CrossRef
Change in Reciprocal Inhibition of the Forearm with Motor Imagery among Patients with Chronic Stroke Michiyuki Kawakami, Kohei Okuyama, Yoko Takahashi, Miho Hiramoto, Atsuko Nishimura, Junichi Ushiba, Toshiyuki Fujiwara, Meigen Liu Neural Plasticity.2018; 2018: 1. CrossRef
Effect of the combination of motor imagery and electrical stimulation on upper extremity motor function in patients with chronic stroke: preliminary results Kohei Okuyama, Miho Ogura, Michiyuki Kawakami, Kengo Tsujimoto, Kohsuke Okada, Kazuma Miwa, Yoko Takahashi, Kaoru Abe, Shigeo Tanabe, Tomofumi Yamaguchi, Meigen Liu Therapeutic Advances in Neurological Disorders.2018;[Epub] CrossRef