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借助镜像进行:一种新型神经康复方法的案例研究

Doing it with mirrors: a case study of a novel approach to neurorehabilitation.

作者信息

Sathian K, Greenspan A I, Wolf S L

机构信息

Department of Neurology, Emory University School of Medicine, 1639 Pierce Drive, WMRB-6000, Atlanta, GA 30322, USA.

出版信息

Neurorehabil Neural Repair. 2000;14(1):73-6. doi: 10.1177/154596830001400109.

DOI:10.1177/154596830001400109
PMID:11228952
Abstract

Arm amputees can experience the perception of movement of a phantom limb while looking at a mirror reflection of the moving, intact arm superimposed on the perceived phantom. Such use of a mirror to provide illusory visual feedback of movement can be useful in rehabilitation of hemiparetic patients. In this case report, we describe the successful application of "mirror therapy" to the post-stroke rehabilitation of a patient with poor functional use of an upper extremity, due mainly to somatosensory deficits. Mirror therapy facilitated employment of a motor copy strategy (bimanual movements) and later progression to "forced use" of the affected arm. The end result was increased functional use of the affected upper limb.

摘要

手臂截肢者在看着叠加在感知到的幻肢上的活动健全手臂的镜像时,可能会体验到幻肢的运动感知。利用镜子提供运动的虚幻视觉反馈,这在偏瘫患者的康复中可能会有所帮助。在本病例报告中,我们描述了 “镜像疗法” 在一名上肢功能使用不佳(主要由于体感缺陷)的中风后患者康复中的成功应用。镜像疗法促进了运动复制策略(双手运动)的运用,以及随后向患侧手臂 “强制使用” 的进展。最终结果是患侧上肢的功能使用增加。

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