DEVELOPMENT OF A DEVICE FOR MIRROR THERAPY
DOI:
https://doi.org/10.24193/subbeag.68(4).32Keywords:
mirror therapy, visual feedback, neuroplasticity, kinesthetic memory, stroke, phantom limb painAbstract
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.
Dezvoltarea unui dispozitiv pentru terapia oglindă. Cercetările anterioare privind interconexiunile dintre activitatea cerebrală și acțiuni au dus la descoperirea neuronilor oglindă, neuroni care au două roluri deosebit de importante: mediază imitarea mișcărilor pe baza informațiilor vizuale și stau la baza înțelegerii acțiunilor. Terapia prin oglindire este o terapie relative nouă, neinvazivă, bazată pe utilizarea feedback-ului vizual în recuperare. Din 1996, a fost introdusă în programele de reabilitare medicală, vizând afecțiuni precum: hemiplegia după un accident vascular cerebral, recuperarea mersului după un accident vascular cerebral, îmbunătățirea coordonării degetelor la pacienții cu Parkinson, reducerea durerii membrelor fantomă după amputații și durerea cronică cauzată de osteoartrita mâinilor, fibromialgia și sindromul durerii regionale complexe. Dispozitivul care face obiectul lucrării de față prezintă o nouă variantă constructivă a cutiei cu oglinzi, care oferă o metodă mult mai eficientă de aplicare a terapiei prin oglindire în diverse afecțiuni, atât la nivelul membrelor superioare, cât și al celor inferioare. De asemenea, vor fi prezentate rezultatele a două evaluări privind deficiența stimulării vizuale în recuperare, realizate cu ajutorul acestui dispozitiv, prima privind recuperarea funcționalității mâinii la subiecții cu hemipareză după un accident vascular cerebral ischemic și a doua evaluare în tratamentul durerii cronice a subiecților cu osteoartrită a mâinii.
Cuvinte-cheie: terapie prin oglindire, feedback vizual, neuroplasticitate, memorie kinestezică, accident vascular cerebral, durerea membrului fantomă
Received 2024 January 25; Revised 2024 February 18; Accepted 2024 February 19;
Available online 2024 March 15; Available print 2024 March 15.
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