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[Vol.26 No.2 contents]
Japanese/English
Full Text of this Articlein Japanese PDF (634K) |
| ArticleTitle | A case of the right putaminal hemorrhage that anesthesia improved transiently by a mirror box: A pilot study of the mirror therapy for the somatosensory deficit |
| Language | J |
| AuthorList | Jun Takasugi1)2), Kenji Numata3), Daisuke Matsuzawa1), Ken Nakazawa1), Eiji Shimizu1), Ayumi Koide1)4), Takashi Murayama1)5) |
| Affiliation |
1)Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University 2)Division of Physical Therapy, Department of Rehabilitation Science, Faculty of Health Care Science, Chiba Prefectural University of Health Sciences 3)Department of Physical Therapy, Ibaraki Prefectural University of Health Science 4)Department of Rehabilitation, Chiba Cardiovascular Center 5)Department of Physical Therapy for Adult, Chiba Rehabilitation Center |
| Publication | Japanese Journal of Neuropsychology: 26 (2), 164-170, 2010 |
| Received | Feb 26, 2009 |
| Accepted | Jun 29, 2009 |
| Abstract | Mirror therapy (MT) has been shown to be effective not only for phantom limb pain after amputation, but also for complex regional pain syndrome and post-stroke paralysis. The main component of MT is the observation of a mirror reflected moving unaffected side limb which induces kinesthesia with affected side limb. On the other hand, watching tactile stimulation in a mirror can lead to a referral somatic sensation (RSS) to the other hand. RSS induced in the post-stroke case with somatosensory deficit has been reported, but the immediate improvement (sensitivity threshold reduction) remains unclear. This study aims to identify whether post-stroke sensory disturbance is improved immediately by a mirror box. We tried a preliminary experiment for a case with right putaminal hemorrhage with anesthesia and hemiplegia. As a result, during mirror box intervention, RSS was induced immediately remarkably in the paralyzed hand. Furthermore, after mirror box intervention, the transient improvement (reduction of the threshold) of the anesthesia continued. If extreme RSS was induced by MB intervention, it is thought that further augmentation of visual-tactile enhancement and transient persistent activity of the primary somatosensory area occur. We consider the case suggests the efficacy of the MT for the post-stroke somatosensory disturbance. |
| Keywords | mirror box, referral somatic sensation, putaminal hemorrhage, anesthesia, mirror therapy |
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