Department of Rehabilitation and Physical Medicine, Kagoshima University, Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
Kirishima Rehabilitation Center, Kagoshima University Hospitalm, Kagoshima, Japan.
Eur J Phys Rehabil Med. 2017 Dec;53(6):968-971. doi: 10.23736/S1973-9087.17.04627-5. Epub 2017 May 12.
Some stroke survivors suffer from involuntary movement, which often disturbs upper-limb function, but there are few effective modality options.
A 70-year-old man presented with persisting right-upper-limb hemiballism due to left thalamic hemorrhage ten years before. We provided inpatient rehabilitation, including repetitive-facilitative exercise and task-related training, and prescribed clonazepam from day 5 after admission. However, the affected upper limb showed no significant change and remained nonfunctional. When we introduced mirror therapy (MT) to the rehabilitation program on day 14, hemiballism immediately decreased during the MT session, so we added daily MT sessions of 20 min/day. At discharge on day 42, he was able to use his right hand for eating meals and folding laundry.
This shows that MT may have the potential to be a novel therapeutic method for treating involuntary movement. Further research is needed to elucidate mechanisms by which MT may reduce hemiballism.
一些中风幸存者会出现不由自主的运动，这常常会干扰上肢功能，但目前有效的治疗方法选择很少。
一名 70 岁男性，十年前因左丘脑出血导致右侧上肢偏瘫，遗留持续性右上肢舞动。我们提供了住院康复治疗，包括重复促进性运动和任务相关训练，并在入院后第 5 天开始服用氯硝西泮。然而，受影响的上肢没有明显改善，仍然无法正常使用。当我们在第 14 天的康复计划中引入镜像疗法（MT）时，患者在 MT 治疗过程中立即出现了舞动减少的现象，因此我们增加了每天 20 分钟的 MT 治疗。在第 42 天出院时，他能够用右手吃饭和叠衣服。
这表明镜像疗法可能有潜力成为治疗不自主运动的一种新的治疗方法。需要进一步的研究来阐明 MT 可能减少偏瘫的机制。
