Зрительная обратная связь – зеркальная терапия в нейрореабилитации

M. A. Nazarova1, M. A. Piradov1, L. A. Chernikova1
1ФГБУ «Научный центр неврологии» РАМН (Москва), Россия

Аннотация


Зеркало – важный элемент двигательного обучения и двигательной реабилитации, создающий биологическую визуальную обратную связь во время занятий. Однако зеркальная обратная связь может быть использована и как самостоятельный метод лечения. Зеркальная терапия (ЗТ) – метод, основанный на создании искусственной визуальной обратной связи. ЗТ используется для лечения болевых синдромов, таких как фантомные боли и комплексный региональный болевой синдром 1 и 2 типов, а также двигательной реабилитации больных с гемипарезом после инсульта и после хирургических вмешательств на верхней конечности. Считается, что основным принципом действия ЗТ является восстановление нарушенной обратной афферентации от пораженной/утраченной конечности. В качестве механизмов действия ЗТ в литературе наиболее часто обсуждается роль «зеркальных нейронов», объединяющих в мозге процессы выполнения и восприятия действия. Очевидные плюсы метода ЗТ заключаются в простоте использования, доступности и, что особенно важно, в ориентированности на конкретного пациента.

Ключевые слова

зеркальная терапия; нейрореабилитация; постинсультный гемипарез; визуальная обратная связь

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Литература

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