Mental imagery is a cognitive approach that enhances motor performance by engaging visual and kinesthetic imagery techniques which activate motor-related brain areas and promote body awareness. This systematic review aimed to evaluate the efficacy of mental imagery interventions in improving physical function among stroke survivors while also exploring psychological factors influencing treatment outcomes. Methodology A comprehensive bibliographic search was conducted from 2014 to 2024 across PubMed, Wiley-Blackwell, and ScienceDirect. Eight studies meeting predefined inclusion criteria including randomized controlled trials and observational studies were reviewed. Results The studies examined various types of mental imagery interventions including motor imagery-based practices and Motor Imagery Training (MIT) consistently demonstrating their effectiveness in enhancing motor function and physical recovery. Furthermore, psychological factors such as motivation and attentional focus were found to significantly enhance engagement and the effectiveness of these interventions. Conclusion This review provides substantial evidence supporting the use of mental imagery interventions as a valuable therapeutic tool in stroke rehabilitation. Future research should focus on optimizing these interventions and further exploring their impact on psychological factors to fully realize their potential in clinical practice.
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