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Table 3 Overview on training session elements for embedded and added MI

From: Comparison of embedded and added motor imagery training in patients after stroke: results of a randomised controlled pilot trial

 

MI training session element

MI training session elements for embedded MI

MI training session elements for added MI

MITS elements

Integration of MI (embedded, added)

Embedded into physiotherapy session

Added after physiotherapy session

 

Session (group or individual)

Individual session

Individual session

 

Temporal order

MI trials before physical practice trial

MI trials after physiotherapy session

 

Supervision by an instructor

Supervised

Not supervised

 

Directedness with stepwise guidance

Directed

Directed

 

Location of MITS (task-specific, not task-specific)

Task-specific: during physiotherapy on red mat with chair for support

Not task-specific: after physiotherapy session in separate room on a treatment bench

 

Position of the individual during MI (task-specific, not task-specific)

Task-specific: depending on the motor task stage that has to be imagined

Not task-specific: supine lying on a treatment bench

 

Instruction medium (acoustic)

Spoken instructions directly from therapist

Spoken instructions from therapist on tape

 

Instruction type (detailed, keywords, coarse)

Detailed

Detailed

 

Instruction individualisation (standardised, tailored)

Standardised

Standardised

 

Instruction mode (live, pre-recorded)

Live

Pre-recorded

 

Eyes (open, closed)

Closed

Closed

 

Perspective (internal, external)

Internal

Internal

 

Mode (kinaesthetic, visual)

Both: first visual MI, then kinaesthetic MI

Both: first visual MI, then kinaesthetic MI

 

Focus (motor, cognitive, strength)

Motor

Motor

 

Familiarisation with MI before intervention start

None

None

Temporal parameters

Number of MI trials in one MITS

5 to 9 visual,

2 to 4 kinaesthetic

6 to 8 visual,

1 to 3 kinaesthetic

 

Duration of one MITS

embedded into physiotherapy: 15 to 20 min

added after physiotherapy: 15 to 20 min

 

Total MI time within 6 MITS

6× MI training session duration = 90 to 120 min

6× MI training session = 90 to 120 min

  1. Words in bold indicate differences between embedded and added MI training sessions.
  2. MI Motor imagery