Underlying neural mechanisms of mirror therapy: Implications for motor rehabilitation in stroke

How many more research articles repeating the same things on this subject need to be written before our stroke leaderships steps up and declares that there already is a written protocol on this and to stop writing on this. Well never since we have NO stroke leadership and NO stroke rehabilitation protocols. You are fucking screwed and what stroke leadership there is doesn't care.
http://neurologyindia.com/article.asp?issn=0028-3886;year=2016;volume=64;issue=1;spage=38;epage=44;aulast=Arya


Kamal Narayan Arya
Department of Occupational Therapy, Pt. Deendayal Upadhyaya Institute for the Physically Handicapped, New Delhi, India

Date of Web Publication

11-Jan-2016

Correspondence Address:
Kamal Narayan Arya
Department of Occupational Therapy, Pt. Deendayal Upadhyaya Institute for the Physically Handicapped, 4 VD Marg, New Delhi
India

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.173622

» Abstract

Mirror therapy (MT) is a valuable method for enhancing motor recovery in poststroke hemiparesis. The technique utilizes the mirror-illusion created by the movement of sound limb that is perceived as the paretic limb. MT is a simple and economical technique than can stimulate the brain noninvasively. The intervention unquestionably has neural foundation. But the underlying neural mechanisms inducing motor recovery are still unclear. In this review, the neural-modulation due to MT has been explored. Multiple areas of the brain such as the occipital lobe, dorsal frontal area and corpus callosum are involved during the simple MT regime. Bilateral premotor cortex, primary motor cortex, primary somatosensory cortex, and cerebellum also get reorganized to enhance the function of the damaged brain. The motor areas of the lesioned hemisphere receive visuo-motor processing information through the parieto-occipital lobe. The damaged motor cortex responds variably to the MT and may augment true motor recovery. Mirror neurons may also play a possible role in the cortico-stimulatory mechanisms occurring due to the MT.

Keywords: Brain stimulation; cerebrovasular accident; cortical reorganization; motor control neuroplasticity

How to cite this article: Arya KN. Underlying neural mechanisms of mirror therapy: Implications for motor rehabilitation in stroke. Neurol India 2016;64:38-44

How to cite this URL: Arya KN. Underlying neural mechanisms of mirror therapy: Implications for motor rehabilitation in stroke. Neurol India [serial online] 2016 [cited 2016 Jan 17];64:38-44. Available from: http://www.neurologyindia.com/text.asp?2016/64/1/38/173622