gms | German Medical Science

Background: Mental imagery (MI) is the experience of creating images of movements in the mind. It is a cost-effective method used in rehabilitation to promote post-stroke recovery. Findings from randomised clinical trials have suggested that the practice of MI improves functional stroke recovery.

Aim: To explore the use of MI in stroke rehabilitation in Saudi Arabia.

Method: Interviews were conducted with 12 stroke survivors recruited from three healthcare services in Saudi Arabia. Data were thematically analysed, responses were coded by the researcher and themes agreed with team members. Findings were mapped to the Behaviour Change Wheel.

Results/findings:

Three key themes were identified:

1.

Capability for using MI (patient’s knowledge, potential benefits and the importance of having therapists experienced in mental imagery);

2.

Opportunity for MI use (biopsychosocial factors e.g. educational level) and environmental enablers e.g. video and

3.

Motivation (professional’s role in MI training, patient’s belief in the treatment and its effects, personal goals and feedback, optimism that MI will benefit recovery).

Findings suggest these factors should be considered when designing interventions involving MI in stroke rehabilitation.

Discussion and conclusions: Stroke survivors were receptive to the use of MI in stroke rehabilitation. In addition to seeing the value for themselves, they considered it important that professionals using MI were experienced in its use. They advocated the use of video and audio tapes to support skill aquisition. Appreciating the potential benefits of MI to their stroke recovery may motivate stroke survivors, providing an optimum environment for learning and MI implementation.