Spiegeltherapie

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
• 2 Bioniok A, Govers J, Dohle C. Spiegeltherapie in der Neurorehabilitation. Idstein: Schulz-Kirchner-Verlag; 2009
• 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
• 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
• 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
• 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
• 7 Chan B, Witt R, Charrow A et al. Mirror therapy for phantom limb pain. New Engl J Med 2007; 357: 2206-2207
• 8 Conrad A, Herrmann C. Leitlinie Schmerzhafte Schulter nach Schlaganfall. Neurol Rehabil 2008; 15: 107-138
• 9 Dohle C, Kleiser R, Seitz RJ et al. Body scheme gates visual processing. J Neurophysiol 2004; 91: 2376-2379
• 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
• 11 Dohle C, Stephan KM, Valvoda JT et al. Representation of virtual arm movements in precuneus. Exp Brain Res 2011; 208: 543-555
• 12 Fink GR, Marshall JC, Halligan PW et al. The neural consequences of conflict between intention and the senses. Brain 1999; 122: 497-512
• 13 Fukumura K, Sugawara K, Tanabe S et al. Influence of mirror therapy on human motor cortex. Int J Neurosci 2007; 1117: 1039-1048
• 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
• 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
• 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
• 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
• 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
• 19 Moseley GL. Graded motor imagery is effective for long-standing complex regional pain syndrome: a randomised controlled trial. Pain 2004; 108: 192-198
• 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
• 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
• 22 Ramachandran VS. Phantom limbs, neglect syndromes, repressed memories, and Freudian psychology. Int Rev Neurobiol 1994; 37: 291-333
• 23 Ramachandran VS, Rogers-Ramachandran D, Cobb S. Touching the phantom limb. Nature 1995; 377: 489-490
• 24 Ramachandran VS, Altschuler EL, Hillyer S. Mirror agnosia. Proc Biol Sci 1997; 264: 645-647
• 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
• 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
• 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
• 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
• 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
• 30 Thieme H, Mehrholz J, Pohl M et al. Mirror therapy for improving motor function after stroke. [protocol]. Cochrane Database Syst Reviews 2010; CD008449
• 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
• 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