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How-to Guide

Delivery protocols, best practices and practical guidance for Action Observation, alternating AO+MI, synchronous AO+MI and Motor Imagery. The delivery wording accommodates different practice settings and populations.

Delivery protocol

Synchronous AO+MI

  1. 1

    Watch First

    After checking that the person can both observe and imagine, demonstrate the selected movement and ask them simply to watch.

  2. 2

    Watch and Do

    Where the person is able and movement is appropriate, repeat the demonstration and ask them to perform the same action in time with it.

  3. 3

    Watch and Imagine

    Demonstrate again. This time, ask the person to remain still and imagine performing the action while watching, keeping their imagined movement in time with the demonstration.

  4. 4

    Reinforce the Feeling and Timing

    Use simple cues: “Imagine the feeling as if you are moving” and “Imagine moving in time with what you see.”

  5. 5

    Repeat and Add Physical Execution

    Repeat until the person understands and engages with the technique. Once established, alternate synchronous AO+MI with physical execution of the task where possible and appropriate.

  6. 6

    Progress the Task

    Introduce gradually more challenging actions while maintaining alignment between the observed and imagined movement.

  7. 7

    Monitor and Adapt

    Check imagery vividness and synchrony. Adjust pacing and cues, or switch between synchronous and alternating AO+MI according to the person’s abilities, preferences and feedback.

Best practices

  • Build Familiarity Gradually

    Introduce watching first, then watching while moving where possible and appropriate, before watching while imagining without movement.

  • Keep Imagery in Time

    Use the demonstration to guide the shape and speed of the imagined action, maintaining synchrony throughout.

  • Emphasise the Feeling of Movement

    Encourage the person to imagine the action as their own, including how the relevant parts of their body would feel while moving.

  • Check Synchrony and Vividness

    Ask about the person’s imagery experience; adjust pacing and cues or switch to alternating AO+MI when needed.

In practice

Live or Recorded Movement

  • Use a live demonstration or video that provides a continuous guide to the action’s shape and speed.

Personalised Videos

  • Record relevant actions for repeat use, selecting a viewing angle that makes the movement easy to follow.

Imagine While Watching

  • Imagine performing the observed action at the same time, without physically moving during this stage.

Match Timing and Feeling

  • Keep the imagined movement in time with the demonstration and focus on how performing it would feel.

Use Watch and Do for Familiarisation

  • Where movement is possible and appropriate, practise moving with the demonstration before introducing watching while imagining.

Alternate with Execution

  • Once the technique is understood, alternate synchronous AO+MI with physical execution of the same task where possible.

Check Alignment

  • Ask whether the person can imagine themselves moving while watching and maintain the demonstration’s timing.

Adjust the Challenge

  • Adapt pacing and cues, increase task complexity gradually, or use alternating AO+MI if maintaining synchrony is difficult.

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