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neuroreha 2011; 3(04): 184-190
DOI: 10.1055/s-0031-1295557
Schwerpunkt Hand-Arm-Aktivität: Aus der Praxis
Georg Thieme Verlag KG Stuttgart · New York

Spiegeltherapie

Christian Dohle
1   MEDIAN Klinik Berlin-Kladow, Kladower Damm 223, 14089 Berlin
,
Nadine Morkisch
1   MEDIAN Klinik Berlin-Kladow, Kladower Damm 223, 14089 Berlin
,
Regina Lommack
1   MEDIAN Klinik Berlin-Kladow, Kladower Damm 223, 14089 Berlin
,
Luise Kadow
1   MEDIAN Klinik Berlin-Kladow, Kladower Damm 223, 14089 Berlin
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
05. Dezember 2011 (online)

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Zusammenfassung

In der Spiegeltherapie beobachtet der Patient eine Illusion. Diese aktiviert betroffene Hirnareale bei Patienten nach Schlaganfall und begünstigt die Regeneration der Motorik und der Oberflächensensibilität. Ebenso beeinflusst sie die Rückbildung eines Neglekts und die Wahrnehmung von Schmerzen positiv. Ein großer Vorteil dieser Therapiemethode ist die einfache Umsetzung. Der vorliegende Artikel gibt einen Einblick in die Grundlagen und in die praktische Durchführung der Spiegeltherapie.

 

  • Literatur

  • 1 Altschuler EL, Wisdom SB, Stone L et al. Rehabilitation of hemiparesis after stroke with a mirror. Lancet 1999; 353: 2035-2036
    CrossrefGoogle Scholar
  • 2 Bioniok A, Govers J, Dohle C. Spiegeltherapie in der Neurorehabilitation. Idstein: Schulz-Kirchner-Verlag; 2009
    Google Scholar
  • 3 Binkofski F, Buccino G, Dohle C et al. Mirror agnosia and mirror ataxia constitute different parietal lobe disorders. Ann Neurol 1999; 46: 51-61
    CrossrefPubMedGoogle Scholar
  • 4 Binkofski F, Butler AJ, Buccino G et al. Mirror apraxia affects the peripersonal mirror space. A combined lesion and cerebral activation study. Exp Brain Res 2003; 153: 210-219
    CrossrefPubMedGoogle Scholar
  • 5 Cacchio A, De Blasis E, De Blasis V et al. Mirror therapy in complex regional pain syndrome type 1 of the upper limb in stroke patients. Neurorehabil Neural Repair 2009; a 23: 792-799
    CrossrefPubMedGoogle Scholar
  • 6 Cacchio A, De Blasis E, Necozione S et al. Mirror therapy for chronic complex regional pain syndrome type 1 and stroke. N Engl J Med 2009; b 361: 634-636
    CrossrefGoogle Scholar
  • 7 Chan B, Witt R, Charrow A et al. Mirror therapy for phantom limb pain. New Engl J Med 2007; 357: 2206-2207
    CrossrefGoogle Scholar
  • 8 Conrad A, Herrmann C. Leitlinie Schmerzhafte Schulter nach Schlaganfall. Neurol Rehabil 2008; 15: 107-138
    Google Scholar
  • 9 Dohle C, Kleiser R, Seitz RJ et al. Body scheme gates visual processing. J Neurophysiol 2004; 91: 2376-2379
    CrossrefGoogle Scholar
  • 10 Dohle C, Puellen J, Nakaten A et al. Mirror therapy promotes recovery from severe hemiparesis: A randomized, controlled trial. Neurorehabil Neural Repair 2009; 23: 209-217
    CrossrefGoogle Scholar
  • 11 Dohle C, Stephan KM, Valvoda JT et al. Representation of virtual arm movements in precuneus. Exp Brain Res 2011; 208: 543-555
    CrossrefGoogle Scholar
  • 12 Fink GR, Marshall JC, Halligan PW et al. The neural consequences of conflict between intention and the senses. Brain 1999; 122: 497-512
    CrossrefGoogle Scholar
  • 13 Fukumura K, Sugawara K, Tanabe S et al. Influence of mirror therapy on human motor cortex. Int J Neurosci 2007; 1117: 1039-1048
    Google Scholar
  • 14 Garry M, Loftus A, Summers J. Mirror, mirror on the wall: viewing a mirror reflection of unilateral hand movements facilitates ipsilateral M1 excitability. Exp Brain Res 2005; 163: 118-122
    CrossrefPubMedGoogle Scholar
  • 15 Matthys K, Smits M, Van der Geest JN et al. Mirror-induced visual illusion of hand movements: a functional magnetic resonance imaging study. Arch Phys Med Rehabil 2009; 90: 675-681
    CrossrefGoogle Scholar
  • 16 McCabe C, Haigh R, Halligan P et al. Simulating sensory-motor incongruence in healthy volunteers: implications for a cortical model of pain. Rheumatology 2005; 44: 509-516
    CrossrefGoogle Scholar
  • 17 Michielsen ME, Smits M, Ribbers GM et al. The neuronal correlates of mirror therapy: an fMRI study on mirror induced visual illusions in stroke patients. J Neurol Neurosurg Psych 2011; a 82: 393-398
    CrossrefGoogle Scholar
  • 18 Michielsen M, Selles R, van der Geest J et al. Motor Recovery and Cortical Reorganization After Mirror Therapy in Chronic Stroke Patients: A Phase II Randomized Controlled Trial. Neurorehabil Neural Repair 2011; b 25: 223-233
    CrossrefGoogle Scholar
  • 19 Moseley GL. Graded motor imagery is effective for long-standing complex regional pain syndrome: a randomised controlled trial. Pain 2004; 108: 192-198
    CrossrefGoogle Scholar
  • 20 Moseley GL. Is successful rehabilitation of complex regional pain syndrome due to sustained attention to the affected limb? A randomised clinical trial.. Pain 2005; 114: 54-61
    CrossrefPubMedGoogle Scholar
  • 21 Moseley G, Wiech K. The effect of tactile discrimination training is enhanced when patients watch the reflected image of their unaffected limb during training. Pain 2009; 144: 314-319
    CrossrefPubMedGoogle Scholar
  • 22 Ramachandran VS. Phantom limbs, neglect syndromes, repressed memories, and Freudian psychology. Int Rev Neurobiol 1994; 37: 291-333
    Google Scholar
  • 23 Ramachandran VS, Rogers-Ramachandran D, Cobb S. Touching the phantom limb. Nature 1995; 377: 489-490
    CrossrefGoogle Scholar
  • 24 Ramachandran VS, Altschuler EL, Hillyer S. Mirror agnosia. Proc Biol Sci 1997; 264: 645-647
    CrossrefGoogle Scholar
  • 25 Rothgangel A, Morton A, van der Hout J et al. Spiegeltherapie in der Neurologischen Rehabilitation: Effektivität in Bezug auf die Arm- und Handfunktion bei chronischen Schlaganfallpatienten. Neurol Rehabil 2007; 13: 271-276
    Google Scholar
  • 26 Rothgangel A, Braun S, Beurskens A et al. The clinical aspects of mirror therapy in rehabilitation: a systematic review of the literature. Int J Rehabil Res 2011; 34: 1-13
    CrossrefGoogle Scholar
  • 27 Stoykov M, Lewis G, Corcos D. Comparison of bilateral and unilateral training for upper extremity hemiparesis in stroke. Neurorehabil Neural Repair 2009; 23: 945-953
    Google Scholar
  • 28 Sütbeyaz S, Yavuzer G, Sezer G et al. Mirror therapy enhances lower-extremity motor recovery and motor functioning after stroke: a randomized controlled trial. Arch Phys Med Rehab 2007; 88: 555-559
    CrossrefGoogle Scholar
  • 29 Taub E, Crago J, Uswatte G. Constraint-induced movement therapy: a new approach to treatment in physical medicine. Rehabil Psychol 1998; 43: 152-170
    CrossrefGoogle Scholar
  • 30 Thieme H, Mehrholz J, Pohl M et al. Mirror therapy for improving motor function after stroke. [protocol]. Cochrane Database Syst Reviews 2010; CD008449
    Google Scholar
  • 31 Thieme H, Mehrholz J, Pohl M et al. Mirror therapy for improving motor function after stroke – a systematic review carried out using Cochrane methodology. European Stroke Conference, Hamburg 2011
    Google Scholar
  • 32 Yavuzer G, Selles R, Sezer G et al. Mirror therapy improves hand function in subacute stroke: A randomized controlled trial. Arch Phys Med Rehab 2008; 89: 393-398
    CrossrefGoogle Scholar