TY - JOUR
T1 - Simulation of Bilateral Movement Training Through Mirror Reflection
T2 - A Case Report Demonstrating an Occupational Therapy Technique for Hemiparesis
AU - Stevens, Jennifer A.
AU - Phillips Stoykov, Mary Ellen
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2004/12
Y1 - 2004/12
N2 - In rehabilitation for hemiparesis, one of the goals of an occupational therapist is to practice upper extremity tasks with the recovering individual. The practice is intended to strengthen muscles and refine movements. It also provides examples for the recovering body and brain as they attempt to reestablish the now delicate cognitive and neural connections mediating voluntary behavior. However, the paresis significantly limits the movement sequence possibilities that may be physically practiced. We outline a method for using simulation of movement, which is intended to provide a means for experiencing a range of smooth and controlled movements completed by a paretic limb. The simulation provides a compelling perceptual experience of bilateral motion beyond the current capabilities of the affected limb. The benefits of this technique after a 3-week course of the simulation practice are exemplified by the presented case study that reveals improved function as demonstrated by increases in Fugl-Meyer scores and faster movement speeds as demonstrated by decreased movement times for the Jebsen test of hand function.
AB - In rehabilitation for hemiparesis, one of the goals of an occupational therapist is to practice upper extremity tasks with the recovering individual. The practice is intended to strengthen muscles and refine movements. It also provides examples for the recovering body and brain as they attempt to reestablish the now delicate cognitive and neural connections mediating voluntary behavior. However, the paresis significantly limits the movement sequence possibilities that may be physically practiced. We outline a method for using simulation of movement, which is intended to provide a means for experiencing a range of smooth and controlled movements completed by a paretic limb. The simulation provides a compelling perceptual experience of bilateral motion beyond the current capabilities of the affected limb. The benefits of this technique after a 3-week course of the simulation practice are exemplified by the presented case study that reveals improved function as demonstrated by increases in Fugl-Meyer scores and faster movement speeds as demonstrated by decreased movement times for the Jebsen test of hand function.
KW - Bilateral
KW - Hemiparesis
KW - Simulation
UR - http://www.scopus.com/inward/record.url?scp=1242321012&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=1242321012&partnerID=8YFLogxK
U2 - 10.1310/GCFE-QA7A-2D24-KHRU
DO - 10.1310/GCFE-QA7A-2D24-KHRU
M3 - Article
C2 - 14872400
AN - SCOPUS:1242321012
VL - 11
SP - 59
EP - 66
JO - Topics in Stroke Rehabilitation
JF - Topics in Stroke Rehabilitation
SN - 1074-9357
IS - 1
ER -