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Related Experiment Video

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Robotic Mirror Therapy System for Functional Recovery of Hemiplegic Arms
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Neurofunctional changes after a single mirror therapy intervention in chronic ischemic stroke.

Morgana M Novaes1, Fernanda Palhano-Fontes1, Andre Peres1

  • 1a Brain Institute/Onofre Lopes University Hospital, Federal University of Rio Grande Do Norte (UFRN) , Natal-RN , Brazil.

The International Journal of Neuroscience
|March 2, 2018
PubMed
Summary

Mirror therapy (MT) enhances motor recovery in stroke survivors by increasing brain excitability and focalizing activity in the affected motor cortex. This rehabilitation strategy shows promising neural mechanisms for stroke motor recovery.

Keywords:
Mirror therapyfunctional magnetic resonance imagingischemic strokestroke rehabilitationtranscranial magnetic stimulation

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Medical Imaging

Background:

  • Mirror therapy (MT) is an emerging rehabilitation strategy for stroke recovery.
  • While MT shows benefits for chronic stroke motor recovery, its underlying neural mechanisms remain underexplored.

Purpose of the Study:

  • To investigate the functional brain changes following a single MT session in ischemic stroke survivors.
  • To assess these changes using transcranial magnetic stimulation (TMS) and functional magnetic resonance imaging (fMRI).

Main Methods:

  • Fifteen stroke survivors participated in the study.
  • TMS and fMRI were employed to measure brain activity immediately before and after a 30-minute MT session.

Main Results:

  • A significant increase in motor evoked potential (MEP) amplitude, indicating enhanced excitability, was observed in the affected primary motor cortex (M1) post-MT.
  • fMRI revealed a more focal and constrained M1 activity pattern in the affected hemisphere after MT, specifically within the hand representation area.
  • A shift in M1 activity balance towards the affected hemisphere was noted, correlating with increased MEP amplitude.

Conclusions:

  • A single MT session in stroke survivors leads to increased excitability of the affected limb's motor cortex.
  • MT promotes a more constrained and focused activation within the affected primary motor cortex, suggesting a mechanism for improved motor control.