Mirror therapy for patients with severe arm paresis after stroke – a randomized controlled trial

Abstract

This study showed no effect on sensorimotor function of the arm, activities of daily living and quality of life of mirror therapy compared to a control intervention after stroke. However, a positive effect on visuospatial neglect was indicated.

Efeitos da terapia espelho na recuperação motora e funcional do membro superior com paresia pós-AVC: uma revisão sistemática

“…Two of these studies 16,21 did not present significant results, when compared to the control therapy. However, in the study by Medeiros et al 21 the absence of effects can be attributed to the small sample of only six patients, not being thus possible to generalize their results, and to the fact that these researchers compared two groups that used different MT protocols.…”

“…However, in the study by Medeiros et al 21 the absence of effects can be attributed to the small sample of only six patients, not being thus possible to generalize their results, and to the fact that these researchers compared two groups that used different MT protocols. On the other hand, the study by Thieme et al 16 used relatively low frequency and intensity, with less than 10 total hours of MT.…”

“…As an exception, the study by Thieme et al 16 evaluated patients in the acute phase, with the Barthel Index (BI), but showed no significant result. On the other hand, Invernizzi et al 17 assessed functional independence with FIM and showed statistically significant results in the acute phase.…”

Veidrodžio terapijos reikšmė motorinei bei sensorinei funkcijai, skausminiam sindromui bei asocijuotos galvos smegenų žievės reorganizacijai po persirgto insulto

“…Žinomi du VT veikimo mechanizmai: pirminės motorinės žievės (MŽ) ir veidrodinių neuronų (VN) sistemos aktyvinimas [2]. Judinant neą galūnę, veidrodyje sukuriamas priešingas atspindys, kuris sukuria neparalyžiuotos galūnės vizualinę iliuziją, stiprinančią os galūnės gebėjimą judėti [3]. Šis procesas suaktyvina propriocepciją ir MŽ smegenų dalį, kuri apima paralyžiuotos galūnės normalų judėjimą [4].…”

Spiegeltherapie zur Behandlung chronischer Schmerzen

“…Gemäß den Autoren kann sie eine effiziente Alternative zur Einzeltherapie darstellen. Eine kürzlich erschienene Studie mit einer Spiegeltherapiegruppe konnte ebenso wie die Einzeltherapie eine deutliche Steigerung der Motorik bei den untersuchten Patienten nachweisen [11]. Allerdings muss berücksichtigt werden, dass erhöhte Anforderungen an die Konzentrationsfähigkeit gestellt werden und daher eine Gruppengröße von mehr als vier Patienten nicht für sinnvoll erachtet wird.…”