Rehabilitation of somatic sensation and related deficit of motor control by Mirror Box Therapy: a case report

Neurocase ◽  
2022 ◽  
pp. 1-6
Author(s):  
Valentina Varalta ◽  
Daniele Munari ◽  
Cristina Fonte ◽  
Elisa Evangelista ◽  
Alessandro Picelli ◽  
...  
2021 ◽  
Vol 34 (1) ◽  
pp. 53-62
Author(s):  
Marianna Papadopoulou ◽  
Efstratios Karavasilis ◽  
Foteini Christidi ◽  
Georgios D. Argyropoulos ◽  
Ioulia Skitsa ◽  
...  

2020 ◽  
Author(s):  
Kim Bullock ◽  
Julie Muccini ◽  
Helen Bronte Stewart ◽  
Jeremy Bailenson ◽  
Margot Paul ◽  
...  

BACKGROUND Virtual reality-assisted physical therapy is a promising treatment for children with cerebral palsy. However, thus far, it has not been used for adult patients. OBJECTIVE The following case report examines the safety and feasibility of customized virtual reality interventions for an adult patient with cerebral palsy who was experiencing right sided pain, weakness, dystonias. METHODS This research included two phases of intervention, which were based on the principles of mirror visual feedback, occasionally termed “mirror box therapy.” The patient used self-report rating scales to monitor anxiety and depression levels, as well as provided verbal feedback regarding pain levels. RESULTS The treatments were well tolerated, and the patient reported improved function in the injured limb. However, the duration of pain relief was only 2–4 days between sessions, causing the patient to require ongoing in office virtual reality treatments. CONCLUSIONS The implications of these findings for the future treatment of such patients are discussed.


1992 ◽  
Vol 161 (3) ◽  
pp. 412-414 ◽  
Author(s):  
L. B. Bartlet ◽  
P. Limsila

A 3 ½-year-old girl was incarcerated in a bamboo cage after it was feared she had contracted rabies. Six years later, when she was released, she had lost almost all motor control, displayed a number of stereotypies, was incontinent of both faeces and urine, and was diagnosed as having grand mal epilepsy. After four years of treatment (aged 13) she had shown considerable improvement and her mental age was seven years.


2019 ◽  
Vol 9 (3) ◽  
pp. 60 ◽  
Author(s):  
Gonzalo Navarro-Fernández ◽  
Lucía de-la-Puente-Ranea ◽  
Marisa Gandía-González ◽  
Alfonso Gil-Martínez

Objective: The aim of this paper is to describe the progressive changes of chronic cluster headaches (CHs) in a patient who is being treated by a multimodal approach, using pharmacology, neurostimulation and physiotherapy. Subject: A male patient, 42 years of age was diagnosed with left-sided refractory chronic CH by a neurologist in November 2009. In June 2014, the patient underwent a surgical intervention in which a bilateral occipital nerve neurostimulator was implanted as a treatment for headache. Methods: Case report. Results: Primary findings included a decreased frequency of CH which lasted up to 2 months and sometimes even without pain. Besides this, there were decreased levels of anxiety, helplessness (PCS subscale) and a decreased impact of headache (HIT-6 scale). Bilateral pressure pain thresholds (PPTs) were improved along with an increase in strength and motor control of the neck muscles. These improvements were present at the conclusion of the treatment and maintained up to 4 months after the treatment. Conclusions: A multimodal approach, including pharmacology, neurostimulation and physiotherapy may be beneficial for patients with chronic CHs. Further studies such as case series and clinical trials are needed to confirm these results.


Cephalalgia ◽  
2018 ◽  
Vol 38 (13) ◽  
pp. 1984-1987 ◽  
Author(s):  
Yuksel Erdal ◽  
Ufuk Emre ◽  
Arife Cimen Atalar ◽  
Taskın Gunes

Background Alien Hand Syndrome (AHS) is an uncontrollable, involuntary, but in appearance, purposeful motor control disorder of the upper extremity. Case report A 42-year-old male patient was admitted to our clinic complaining of involuntary motor activity in his right hand. He had a previous history of migraine with visual aura. The uncontrollable motor control disorder was compatible with Alien Hand Syndrome, which was appearing immediately after the visual aura and before the beginning of headache. Conclusion Alien Hand Syndrome is usually observed with anterior cerebral artery infarction, midline tumors, trauma and several neurodegenerative diseases, but is rarely seen in paroxysmal conditions such as migraine with aura.


2012 ◽  
Vol 92 (1) ◽  
pp. 142-151 ◽  
Author(s):  
Joost van Kordelaar ◽  
Erwin E.H. van Wegen ◽  
Rinske H.M. Nijland ◽  
Jurriaan H. de Groot ◽  
Carel G.M. Meskers ◽  
...  

Background and Purpose It is largely unknown how adaptive motor control of the paretic upper limb contributes to functional recovery after stroke. This paucity of knowledge emphasizes the need for longitudinal 3-dimensional (3D) kinematic studies with frequent measurements to establish changes in coordination after stroke. A portable 3D kinematic setup would facilitate the frequent follow-up of people poststroke. This case report shows how longitudinal kinematic changes of the upper limb can be measured at a patient's home using a portable 3D kinematic system in the first 6 months poststroke. Case Description The outcomes of the upper-limb section of the Fugl-Meyer Motor Assessment (FMA), the Action Research Arm Test (ARAT), and 3D kinematic analyses were obtained from a 41-year-old man with a left hemispheric stroke. Three-dimensional kinematic data of the paretic upper limb were collected during a reach-to-grasp task using a portable motion tracker in 5 measurements during the first 6 months after stroke. Data from an individual who was healthy were used for comparison. Outcomes The FMA and ARAT scores showed nonlinear recovery profiles, accompanied by significant changes in kinematic outcomes over time poststroke. Specifically, elbow extension increased, forward trunk motion decreased, peak hand speed increased, peak hand opening increased, and peak hand opening occurred sooner after peak hand speed. Discussion This case report illustrates the feasibility of frequently repeated, on-site 3D kinematic measurements of the paretic upper limb. Early after stroke, task performance was mainly driven by adaptive motor control, whereas adaptations were mostly reduced at 26 weeks poststroke. The presented approach allows the investigation of what is changing in coordination and how these changes are related to the nonlinear pattern of improvements in body functions and activities after stroke.


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