MirrorTherapyforPost-StrokeRehabilitation镜子疗法对脑卒中后康复.pptVIP

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2018-06-30 发布于浙江
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MirrorTherapyforPost-StrokeRehabilitation镜子疗法对脑卒中后康复.ppt

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MirrorTherapyforPost-StrokeRehabilitation镜子疗法对脑卒中后康复

Mirror Therapy for Post-Stroke Rehabilitation By: Kim Errico, OTR/L Kristen Daniels, OTR/L Purpose of Mirror Therapy Improve motor recovery in upper and lower extremities Increase the functional use of upper and lower extremities Work in conjunction with conventional therapy Goals for Mirror Therapy The following are goals for OT and PT treatment of the affected extremities Increase ROM Increase function Increase perception (neglect, inattention, awareness) Increase cortical reorganization of the brain Increase processing speed Increase strength Improve a lack or change in sensation Decrease apraxia Decrease pain Increase coordination Patient Criteria Medically stable Diagnosis that has affected an extremity in strength, ROM, sensation and/or visual perception Must have intact/unaffected extremity Tolerates upright position Follows simple commands/directions Can attend to task for at least 15 minutes Contraindications Precautions or restrictions limiting ROM to the affected extremity ie: DVT, sternal precautions, arthritis, contractures, tone Any visual impairments that will severely impact ability to see image in the mirror ie: macular degeneration, cataracts, etc. Equipment Mirror therapy requires very little for equipment and set-up Equipment includes Mirror box or full length mirror Table (for upper extremities) Mat or chair (for lower extremities) Quiet environment with limited visual and auditory distractions Side tables (depending on activity) Use of Mirror Therapy for Upper Extremity Impairments A baseline of range of motion, strength, coordination, and sensation All identifiers are removed from unaffected extremity such as: Rings Name bands Bracelets/watches The affected upper extremity is placed inside the box or behind the full length mirror Patient sits with mirror at midline of face/body Selected exercises are completed with unaffected upper extremity while patient watches motion in mirror Patient should try to move both extremities together and