Document Type : Research articles

Authors

1 Physiology-Pharmacology Research Center, Research Institute of Basic Medical Sciences, Rafsanjan University of Medical Sciences, Rafsanjan, Iran & Department of Physiology and Pharmacology, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran & Occupational Safety and Health Research Center, NICICO, World Safety Organization and Rafsanjan University of Medical Sciences, Rafsanjan, Iran

2 Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

3 Department of Epidemiology and Biostatistics, Occupational Environmental Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran & Department of Epidemiology and Biostatistics, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran

4 Student Research Committee, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

5 3 Occupational Safety and Health Research Center, NICICO, World Safety Organization and Rafsanjan University of Medical Sciences, Rafsanjan, Iran

Abstract

Background: Gender differences, in favor of males, exist in motor skills and motor imagery (MI) ability in healthy people. The MI ability in multiple sclerosis (MS) patients was altered; however, the reduction rate in the two genders has not been compared. Knowing the gender difference in MI may be used in rehabilitation programs based on MI.
Objectives: Therefore, the present study aimed to investigate whether gender difference in MI is evident in MS patients.
Methods: Forty-nine relapse-remitting MS patients (23 men) and also 51 healthy subjects (21 men) participated in this case-control study. The MI ability can be measured by Kinesthetic and Visual Imagery Questionnaire-20 (KVIQ-20), mental chronometry based on Box and Block test, and hand mental rotation task.
Results: Healthy men performed most MI tasks better than healthy women. Unlike healthy participants, no gender differences were observed in the KVIQ-20 scale (P=0.904), mental chronometry duration (right hand, P=0.199; left hand, P=0.374) and reaction time of hand mental rotation (right-hand stimuli, P=0.057; left-hand stimuli, P=0.059). However, MS men responded to hand stimuli significantly more accurately than MS women (right-hand stimuli, P=0.007; left-hand stimuli, P=0.027).
Conclusion: Our findings showed that MS men exhibit MI abilities similar to MS women. Perhaps motor deficit in MS males was influenced more by neurocognitive impairment. Perhaps in MS men as compared to MS women, MI practice as motor rehabilitation, could better improve their physical performance.

Keywords

  1. O’Shea H. Mapping relational links between motor imagery, action observation, action-related language, and action execution. Front Hum Neurosci. 2022;16:984053. doi: 10.3389/fnhum.2022.984053. [PubMed: 36466617].
  2. Ladda AM, Lebon F, Lotze M. Using motor imagery practice for improving motor performance–a review. Brain Cogn. 2021;150:105705. doi: 10.1016/j.bandc.2021.105705. [PubMed: 33652364].
  3. Gelding RW. Auditory-sensorimotor brain function during mental imagery of musical pitch and rhythm. [Thesis PhD]. Macquarie University; 2022.
  4. Osuagwu BA, Zych M, Vuckovic A. Is implicit motor imagery a reliable strategy for a brain–computer interface?. IEEE Trans Neural Syst Rehabil Eng. 2017;25(12):223948. doi: 10.1109/TNSRE.2017.2712707. [PubMed: 28682260].
  5. Conson M, De Bellis F, Baiano C, Zappullo I, Raimo G, Finelli C, et al. Sex differences in implicit motor imagery: Evidence from the hand laterality task. Acta Psychol (Amst). 2020;203:103010. doi: 10.1016/j.actpsy.2020.103010. [PubMed: 31981826].
  6. Mochizuki H, Takeda K, Sato Y, Nagashima I, Harada Y, Shimoda N. Response time differences between men and women during hand mental rotation. 2019;14(7):e0220414. doi: 10.1371/journal.pone.0220414. [PubMed: 31348807].
  7. Campbell MJ, Toth AJ, Brady N. Illuminating sex differences in mental rotation using pupillometry. Biol Psychol. 2018;138:19-26. doi: 10.1016/j.biopsycho.2018.08.003. [PubMed: 30086332].
  8. Azin M, Zangiabadi N, Tabrizi YM, Iranmanesh F, Baneshi MR. Deficiency in mental rotation of upper and lower-limbs in patients with multiple sclerosis and its relation with cognitive functions. Acta Med Iran. 2016;54(8):510-7. [PubMed: 27701721].
  9. Tabrizi YM, Mazhari S, Nazari MA, Zangiabadi N, Sheibani V, Azarang S. Compromised motor imagery ability in individuals with multiple sclerosis and mild physical disability: an ERP study. Clin Neurol Neurosurg. 2013;115(9):1738-44. doi: 10.1016/j.clineuro.2013.04.002. [PubMed: 23639730].
  10. T Uher, M Vaneckova, J Krasensky, JB Dusankova, E Havrdova, D Horakova. Sex differences in cognitive performance in Multiple Sclerosis (4243). Neurology. 2020;94(15).
  11. Azin M, Zangiabadi N, Iranmanesh F, Baneshi MR, Banihashem S. Effects of intermittent theta burst stimulation on manual dexterity and motor imagery in patients with multiple sclerosis: a quasi-experimental controlled study. Iran Red Crescent Med J. 2016;18(10):e27056. doi: 10.5812/ircmj.27056. [PubMed: 28180015].
  12. Tabrizi YM, Zangiabadi N, Mazhari S, Zolala F. The reliability and validity study of the Kinesthetic and Visual Imagery Questionnaire in individuals with multiple sclerosis. Braz J Phys Ther. 2013;17(6):588-92. doi: 10.1590/S1413-35552012005000124. [PubMed: 24271091].
  13. Rezaeian M, Assadollahi Z, Azin H, Kaeidi A, Azin M. Assessment of reliability and validity of the mental chronometry task based on the box and block test in multiple sclerosis patients. IRCMJ. 2021;23(3). doi: 10.32592/ircmj.2021.23.3.274.
  14. Rezaeinasab M, Estahbanati MF, Chermahini SA, Shamsizadeh A, Assadollahi Z, Hasanshahi A, et al. Effect of tactile stimulation on hand mental rotation among young healthy adults: A randomized controlled trial. Arch Neurosci. 2020;7(2):e99078. doi: 10.5812/ans.99078.
  15. Subirats L, Allali G, Briansoulet M, Salle JY, Perrochon A. Age and gender differences in motor imagery. J Neurol Sci. 2018;391:114-7. doi: 10.1016/j.jns.2018.06.015. [PubMed: 30103958].
  16. Mendes P, Marinho D, Petrica J. Comparison between genders in imagery ability in Portuguese basketball practitioners. JPES. 2015;15(3):391-5. doi: 10.7752/jpes.2015.03058.
  17. Campos A. Gender differences in imagery. Pers Individ Differ. 2014;59:107-11. doi: 10.1016/j.paid.2013.12.010.
  18. Ingalhalikar M, Smith A, Parker D, Satterthwaite TD, Elliott MA, Ruparel K, et al. Sex differences in the structural connectome of the human brain. Proc Natl Acad Sci U S A. 2014;111(2):823-8. doi: 10.1073/pnas.1316909110. [PubMed: 24297904].
  19. Asperholm M, Högman N, Rafi J, Herlitz A. What did you do yesterday? A meta-analysis of sex differences in episodic memory. Psychol Bull. 2019;145(8):785-821. doi: 10.1037/bul0000197. [PubMed: 31180695].
  20. Wang L, Carr M. Working memory and strategy use contribute to gender differences in spatial ability. EdPsychJournal. 2014;49(4):261-82. doi: 10.1080/00461520.2014.960568.
  21. Speck O, Ernst T, Braun J, Koch C, Miller E, Chang L. Gender differences in the functional organization of the brain for working memory. Neuroreport. 2000;11(11):2581-5. doi: 10.1097/00001756-200008030-00046. [PubMed: 10943726].
  22. Golden LC, Voskuhl R. The importance of studying sex differences in disease: The example of multiple sclerosis. J Neurosci Res. 2017;95(1-2):633-43. doi: 10.1002/jnr.23955. [PubMed: 27870415].
  23. Schoonheim MM, Popescu V, Lopes FCR, Wiebenga OT, Vrenken H, Douw L, et al. Subcortical atrophy and cognition: sex effects in multiple sclerosis. Neurology. 2012;79(17):1754-61. doi: 10.1212/WNL.0b013e3182703f46. [PubMed: 23019265].
  24. Savettieri G, Messina D, Andreoli V, Bonavita S, Caltagirone C, Cittadella R, et al. Gender-related effect of clinical and genetic variables on the cognitive impairment in multiple sclerosis. J Neurol. 2004;251(10):1208-14. doi: 10.1007/s00415-004-0508-y. [PubMed: 15503099].