Development of a Device for Mirror Therapy

Alina-Elena Vér, István Vér
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Abstract

Previous research on the interconnections between brain activity and actions had led to the discovery of mirror neurons, neurons that have two particularly important roles: they mediate the imitation of movements based on visual information, and they underlie the understanding of actions. Mirror therapy is a relatively new, non-invasive therapy based on the use of visual feedback in recovery. Since 1996, it has been introduced in medical rehabilitation programmes, targeting conditions such as: hemiplegia after stroke, gait recovery after stroke, improvement of finger coordination in Parkinson's patients, reduction of phantom limb pain after amputations, and chronic pain from hand osteoarthritis, fibromyalgia, and complex regional pain syndrome. The device that is the subject of the present work presents a new constructive variant of the mirror box, which offers a much more efficient method of applying mirror therapy in various conditions, both at the level of the upper and lower limbs. The results of two assessments on the effectiveness of visual stimulation in recovery, carried out with the help of this device, first on the recovery of the hand functionality in subjects with hemiparesis after ischemic stroke and second assessment in the treatment of chronic pain of subjects with hand osteoarthritis will also be presented. Keywords: mirror therapy, visual feedback, neuroplasticity, kinesthetic memory, stroke, phantom limb pain
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开发用于镜像疗法的设备
此前关于大脑活动与动作之间相互联系的研究发现了镜像神经元,这种神经元有两个特别重要的作用:它们介导基于视觉信息的动作模仿;它们是理解动作的基础。镜像疗法是一种相对较新的非侵入性疗法,其基础是在康复过程中使用视觉反馈。自 1996 年以来,它已被引入医疗康复计划,针对的病症包括:中风后偏瘫、中风后步态恢复、改善帕金森病人的手指协调能力、减少截肢后的幻肢痛、手部骨关节炎、纤维肌痛和复杂区域疼痛综合征引起的慢性疼痛。本研究的主题装置是镜箱的一种新型构造变体,它为在各种情况下应用镜像疗法提供了一种更有效的方法,包括上肢和下肢。此外,还将介绍借助该装置对视觉刺激在康复中的有效性进行的两项评估结果,第一项是对缺血性中风后偏瘫受试者手部功能恢复的评估,第二项是对手部骨关节炎受试者慢性疼痛治疗的评估。
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