Mental practice refers to use of visuo-motor imagery with the purpose of improving motor behavior. Visuo-motor imagery requires the use of one's
imagination to simulate an action, without physical movement. It has come to the fore due to the relevance of imagery in enhancing sports and surgical performance. Physical practice generates the physical feedback necessary to improve, while mental practice creates a cognitive process physical practice cannot easily replicate.
Medicine When surgeons and other medical practitioners mentally rehearse procedures along with their physical practice, it produces the same results as physical rehearsal, but costs much less. But unlike its use in sports, to improve a skill, mental practice is used in medicine as a form of stress reduction before operations. This is because mental practice causes neuron growth that mirrors growth caused by physical practice. And there is precedent:
Vladimir Horowitz and
Arthur Rubinstein, among others, supplemented their physical practice with mental rehearsal.
Motor deficits Mental practice has been used to rehabilitate motor deficits in a variety of neurological disorders. Mental practice of action seems to improve balance in individuals with
multiple sclerosis and in elderly women. For instance, mental practice has been used with success in combination with actual practice to rehabilitate motor deficits in a patient with sub-acute stroke. Several studies have also shown improvement in strength, function, and use of both upper and lower extremities in chronic stroke. Some studies evaluated the effect of MI in gait rehabilitation after stroke however there was very low‐certainty evidence that motor imagery is more beneficial for improving gait (walking speed), motor function and functional mobility compared to other therapies, placebo or no intervention. Additionally, there was insufficient scientific evidence to assess the influence of MI on the dependence on personal assistance and walking endurance. ==Functional equivalence to motor preparation==