Arch Phys Med Rehabil, 2014 · DOI: 10.1016/j.apmr.2013.11.016 · Published: April 1, 2014
This study investigates whether combining mental practice (MP) with overground training (OT) improves gait velocity in people with chronic, incomplete spinal cord injury (SCI). The researchers compared a group receiving OT only to a group receiving OT plus MP. Volunteers were recruited from rehabilitation clinics and SCI support groups. Participants were assessed on gait velocity, mobility, independence, and life satisfaction at multiple points during the study. The study found that overground training improved gait velocity. However, adding mental practice to overground training did not result in further improvements in gait velocity or other measures.
Overground training should be considered as a primary intervention to increase gait velocity in individuals with chronic, incomplete SCI.
The study questions the added value of mental practice as an adjunctive therapy to overground training for improving gait velocity in this population.
Further research is needed to investigate whether higher durations or frequencies of mental practice could yield different results or if other populations might benefit more from the combination of mental practice and overground training.