Dynamic Neuro-Cognitive Imagery Improves Mental Imagery Ability, Disease Severity, and Motor and Cognitive Functions in People with Parkinson’s Disease

Author:

Abraham Amit12ORCID,Hart Ariel1,Andrade Isaac3,Hackney Madeleine E.14

Affiliation:

1. Division of General Medicine and Geriatrics, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA

2. Department of Kinesiology, University of Georgia, Athens, GA, USA

3. Emory University College of Arts and Sciences, Atlanta, GA, USA

4. Atlanta Department of Veterans Affairs Center for Visual and Neurocognitive Rehabilitation, Atlanta, GA, USA

Abstract

People with Parkinson’s disease (PD) experience kinesthetic deficits, which affect motor and nonmotor functions, including mental imagery. Imagery training is a recommended, yet underresearched, approach in PD rehabilitation. Dynamic Neuro-Cognitive Imagery (DNI™) is a codified method for imagery training. Twenty subjects with idiopathic PD (Hoehn and Yahr stages I–III) were randomly allocated into DNI training (experimental;n=10) or in-home learning and exercise program (control;n=10). Both groups completed at least 16 hours of training within two weeks. DNI training focused on anatomical embodiment and kinesthetic awareness. Imagery abilities, disease severity, and motor and nonmotor functions were assessed pre- and postintervention. The DNI participants improved (p<.05) in mental imagery abilities, disease severity, and motor and spatial cognitive functions. Participants also reported improvements in balance, walking, mood, and coordination, and they were more physically active. Both groups strongly agreed they enjoyed their program and were more mentally active. DNI training is a promising rehabilitation method for improving imagery ability, disease severity, and motor and nonmotor functions in people with PD. This training might serve as a complementary PD therapeutic approach. Future studies should explore the effect of DNI on motor learning and control strategies.

Funder

The Emory Center for Health in Aging

Publisher

Hindawi Limited

Subject

Clinical Neurology,Neurology

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