scholarly journals MIRROR THERAPY IN STROKE REHABILITATION

2014 ◽  
Vol 6 (2) ◽  
Author(s):  
Lidwina S. Sengkey ◽  
Paola Pandeiroth

Abstract: Paralysis in stroke is mainly caused by damage of any kind in internal capsule. Recovering of these damages require neuroplasticity which involves parts of the brain survivors. One kind of therapies that has some beneficial effects on neuroplasticity is mirror therapy. This therapy is used to improve motor function after stroke. Mirror therapy is easy to set up and requires very little training without taxing the patient. Data obtained from several studies show that besides it is simple and cheap, this mirror therapy might have a significant effect on motor function and improve activities of daily living as an adjunct to the rehabilitation for stroke patients. This review aims to demonstrate the benefits of mirror therapy in stroke rehabilitation. Keywords: exercise therapy, mirror therapy, rehabilitation, stroke   Abstrak: Paralisis pada stroke terutama terjadi karena kerusakan di kapsula interna. Kerusakan ini memerlukan neuroplastisitas yang melibatkan sejumlah bagian otak yang selamat untuk memulihkannya. Salah satu terapi yang bermanfaat terhadap neuroplastisitas yaitu terapi cermin. Terapi ini digunakan untuk memperbaiki fungsi motorik pasca stroke. Terapi cermin mudah dilakukan dan hanya membutuhkan latihan yang sangat singkat tanpa membebani pasien. Data yang diperoleh dari beberapa penelitian memperlihatkan bahwa terapi cermin merupakan terapi yang sederhana, murah, dan efektif dalam memperbaiki fungsi motorik (baik ekstremitas atas maupun bawah) dan aktivitas kehidupan sehari-hari, sebagai tambahan untuk rehabilitasi yang umumnya dilakukan pada pasien dengan stroke. Telaah ini bertujuan untuk menunjukkan keuntungan terapi cermin pada rehabilitasi stroke. Kata kunci: terapi latihan, terapi cermin, rehabilitasi, stroke

2021 ◽  
Vol 11 (7) ◽  
pp. 2987
Author(s):  
Takumi Okumura ◽  
Yuichi Kurita

Image therapy, which creates illusions with a mirror and a head mount display, assists movement relearning in stroke patients. Mirror therapy presents the movement of the unaffected limb in a mirror, creating the illusion of movement of the affected limb. As the visual information of images cannot create a fully immersive experience, we propose a cross-modal strategy that supplements the image with sensual information. By interacting with the stimuli received from multiple sensory organs, the brain complements missing senses, and the patient experiences a different sense of motion. Our system generates the sense of stair-climbing in a subject walking on a level floor. The force sensation is presented by a pneumatic gel muscle (PGM). Based on motion analysis in a human lower-limb model and the characteristics of the force exerted by the PGM, we set the appropriate air pressure of the PGM. The effectiveness of the proposed system was evaluated by surface electromyography and a questionnaire. The experimental results showed that by synchronizing the force sensation with visual information, we could match the motor and perceived sensations at the muscle-activity level, enhancing the sense of stair-climbing. The experimental results showed that the visual condition significantly improved the illusion intensity during stair-climbing.


2014 ◽  
Vol 29 (5) ◽  
pp. 721-724
Author(s):  
Atsushi SATO ◽  
Takaaki FUJITA ◽  
Yuichi YAMAMOTO ◽  
Taizo SHIOMI

Author(s):  
Humera Ambreen ◽  
Hina Tariq ◽  
Imran Amjad

Abstract Objective: This experimental study on 24 stroke patients aimed at evaluating and comparing the effects of bilateral arm training on upper extremity (UE) motor function between right and left hemispheric chronic stroke patients. Methods: Both groups received the same intervention involving 5 functional tasks for 1 hour, 3 days per week, for a total of 6 weeks. Fugl-Meyer Assessment-Upper Extremity and Wolf-Motor Function Test were applied as outcome measures at baseline and after 6 weeks of training to assess the recovery of function in the affected area. Results: Intra-group analysis showed no significant improvement in the wrist and hand function in the left hemispheric stroke (LHS) (p>0.05), while right hemispheric stroke (RHS) patients did not improve significantly in the coordination/speed domain (p>0.05). Inter-group analysis showed no significant difference between right and left hemispheric stroke patients (p>0.05). Conclusion: Bilateral arm training showed beneficial effects in improving UE function in both RHS and LHS patients. Distal UE function in LHS and coordination and speed of movement in RHS patients did not show any significant improvement. Key Words: Stroke, Upper extremity, Recovery of function, Bilateral arm training. Continuous...


2018 ◽  
Vol 61 (2) ◽  
pp. 78-84 ◽  
Author(s):  
Mohamed Tarri ◽  
Nabila Brihmat ◽  
David Gasq ◽  
Benoît Lepage ◽  
Isabelle Loubinoux ◽  
...  

Author(s):  
R Kh Lyukmanov ◽  
O A Mokienko ◽  
G A Aziatskaya ◽  
N A Suponeva ◽  
M A Piradov

Motor function deficit due to stroke is one of the leading causes for disability among working-age population. The most effective evidence-based treatment strategies are task oriented exercise approaches including constrained-induced movement therapy. Robot-assisted training provides high amount of repetitions and feedback to patient. Adjuvant therapies such as mirror therapy and motor imagery show their effectiveness if used in combination with basic neurorehabilitation methods and are treatment of choice for patients with severe motor impairment. Brain-computer interfaces allow to control motor imagery as a process by giving different type of feedback (e.g. kinesthetic via exoskeleton) during training sessions. It is poorly known if kinesthetic motor imagery is more effective comparing to robot-assisted training as a part of post-stroke rehabilitation. Materials and methods: 55 patients with arm paresis >1 month after stroke were enrolled in the current study. Screening and randomization were performed. Participants underwent rehabilitation treatment where BCI controlled motor imagery training in main group and robot-assisted training in control group were included. Motor function of the paretic arm was assessed using Action Research Arm Test (ARAT) and Fugl-Meyer Assessment (FMA) before and after intervention. Results: Recovery of upper extremity motor function did not correlate with time since stroke and age of participants neither in main group, nor in control group. Correlations between change in motor scales scores and initial severity of motor deficit was shown in both groups (p


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