Incorporating motor imagery into massage education in physiotherapy students.
Abstract
Objective: This study aimed to investigate the effects of integrating motor imagery (MI) practice into traditional teaching methods on the motor imagery skills and motor learning performance of physiotherapy students. Methods: Twenty-four students were randomly assigned to two groups: the Motor Imagery Group (MIG; 21.15 ± 1.46 years) and the Control Group (CG; 21.91 ± 1.58 years). Both groups initially received traditional instruction on infantile colic massage. Following a familiarization session, the MIG additionally engaged in MI practice twice a week for two weeks. Outcome measures included the Motor Imagery Questionnaire-3 (MIQ-3) and mental chronometry tests. At the end of the intervention, qualitative feedback regarding the learning experience was also obtained from the MIG participants. Results: Baseline values did not differ significantly between groups (p > 0.05) except for the MIQ-3 Kinesthetic score (p = 0.003). Within-group analysis revealed a significant improvement in the MIG’s MIQ-3 Kinesthetic score from pre- to post-assessment (p = 0.003), while other parameters remained unchanged. Mental chronometry results showed a significant reduction in real-time performance duration in the MIG (p = 0.025). Qualitative findings indicated that most participants perceived MI as a useful and motivating strategy for enhancing self-learning and memory retention. Conclusion: Incorporating MI practice into traditional teaching improved students’ kinesthetic imagery ability and performance efficiency in learning infantile colic massage. MI may serve as an effective, low-cost, and student-centered pedagogical tool to support psychomotor skill acquisition in physiotherapy and rehabilitation education.
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References
Lotze M, Cohen LG. Volition and imagery in neurorehabilitation. Cogn Behav Neurol. 2006, 19(3), 135-40. https://doi.org/10.1097/01.wnn.0000209875.56060.06
Hall CR. Imagery in sport and exercise p. 529-549. In Singer RN, Hausenblas HA, Janelle CM editors. Handbook of Sport Psychology (2nd ed.). New York: John Wiley & Sons, 2001.
Akbar M, Akhtar M, Riaz MA, Adeel I, Batool K, Waqar S. Impact of sports anxiety and sports imagery on performance among athletes. JESS. 2022, 3(2), 137-42. https://doi.org/10.52223/jess.20223209
Jacobson E. Electrical measurements of neuromuscular states during mental activities: V. Variation of specific muscles contracting during imagination. Am J Physiol legacy. 1931, 96(1), 115-21. https://psycnet.apa.org/record/1931-01832-001
Fleming MK, Stinear CM, Byblow WD. Bilateral parietal cortex function during motor imagery. Exp Brain Res. 2010, 201(3):499-508. https://doi.org/10.1007/s00221-009-2062-4
Dickstein R, Deutsch JE. Motor imagery in physical therapist practice. Phys Ther. 2007, 87(7), 942-53. https://doi.org/10.2522/ptj.20060331
Behrendt F, Zumbrunnen V, Brem L, Suica Z, Gaeumann S, Ziller C, Gerth U, Schuster-Amft C. Effect of motor imagery training on motor learning in children and adolescents: A systematic review and meta-analysis. Int J Environ Res Public Health. 2021, 18(18), 9467. https://doi.org/10.3390/ijerph18189467
Kotov SV, Turbina LG, Biryukova EV, Frolov AA, Kondur AA, Zaitseva EV, Bobrov PD. Rehabilitation potential of post-stroke patients training for kinesthetic movement imagination: motor and cognitive aspects. Hum Physiol. 2017, 43(5), 532-41. https://doi.org/10.1134/S0362119717050097
Schuster C, Hilfiker R, Amft O, Scheidhauer A, Andrews B, Butler J, Kischka U, Ettlin T. Best practice for motor imagery: a systematic literature review on motor imagery training elements in five different disciplines. BMC Med. 2011, 9(1), 75. https://doi.org/10.1186/1741-7015-9-75
Collet C, Hajj ME, Chaker R, Bui-Xuan B, Lehot JJ, Hoyek N. Effect of motor imagery and actual practice on learning professional medical skills. BMC Med Educ. 2021, 21(1), 59. https://doi.org/10.1186/s12909-020-02424-7
Eldred-Evans D, Grange P, Cheang A, Yamamoto H, Ayis S, Mulla M, Immenroth M, Sharma D, Reedy G. Using the mind as a simulator: a randomized controlled trial of mental training. J Surg Educ. 2013, 70(4), 544-51. https://doi.org/10.1016/j.jsurg.2013.04.003
Sanders CW, Sadoski M, Bramson R, Wiprud R, Van Walsum K. Comparing the effects of physical practice and mental imagery rehearsal on learning basic surgical skills by medical students. Am J Obstet Gynecol. 2004, 191(5), 1811-4. https://doi.org/10.1016/j.ajog.2004.07.075
Speck BJ. The effect of guided imagery upon first semester nursing students performing their first injections. J Nurs Educ. 1990, 29(8), 346-50. https://doi.org/10.3928/0148-4834-19901001-06
Jiang LH, Zhao LJ, Liu Y, Zhang H, Qi R. Effectiveness of motor imagery training for lower extremity motor function in patients with stroke: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2021, 102(10), e111-2. https://doi.org/10.1016/j.apmr.2021.07.453
Wessel MA, Cobb JC, Jackson EB, Harris Jr GS, Detwiler AC. Paroxysmal fussing in infancy, sometimes called" colic". Pediatr. 1954, 14(5), 421-35. https://doi.org/10.1542/peds.14.5.421
Ellwood J, Draper-Rodi J, Carnes D. Comparison of common interventions for the treatment of infantile colic: a systematic review of reviews and guidelines. BMJ open. 2020, 10(2), e035405. https://doi.org/10.1136/bmjopen-2019-035405
Lemos BCD. The effectiveness of massage in relieving colic in infants. A systematic review of the literature (Doctoral dissertation). 2018. http://hdl.handle.net/10400.26/21843
Suica Z, Behrendt F, Gäumann S, Gerth U, Schmidt-Trucksäss A, Ettlin T, Schuster-Amft C. Imagery ability assessments: a cross-disciplinary systematic review and quality evaluation of psychometric properties. BMC med. 2022, 20(1), 166. https://doi.org/10.1186/s12916-022-02295-3
Williams SE, Cumming J, Ntoumanis N, Nordin-Bates SM, Ramsey R, Hall C. Further validation and development of the movement imagery questionnaire. JSEP. 2012, 34(5), 621-46. https://doi.org/10.1123/jsep.34.5.621
Saeidikia AZ, Vagharseyyedin S, Danaie ZA, Tabiei SH. Impact of PETTLEP-based mental imagery on nursing and midwifery students’ skill of nasogastric tube insertion and self-efficacy. Int J Psychosoc Rehabil. 2021, 24(10), 4373-87. ISSN: 1475-7192
Lindsay RS, Chow JY, Larkin P, Spittle M. Creating adaptable skills: a nonlinear pedagogy approach to mental imagery. J Sport Psychol Acti. 2023, 14(3), 170-80 https://doi.org/10.1080/21520704.2022.2155741
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