Učinkovitost terapije z ogledalom za zgornji ud pri pacientih po možganski kapi : diplomsko delo

Koprivec, Zala (author), Kovačič, Tine (mentor), Brezovar, Tjaž (comentor), Hlebš, Sonja (reviewer)

Uvod: Možganska kap je bolezen osrednjega živčnega sistema, ki lahko privede do različnih težav, vključno z motnjami motorike, poznavanja, jezika in čutnimi motnjami. Pogosto se kot terapevtska metoda uporablja terapija z ogledalom, ki spodbuja funkcionalno okrevanje paraliziranih zgornjih udov s spodbujanjem okrevanja gibalnih funkcij in gibanja na okvarjeni strani. Namen: Pregled in analiza izsledkov o učinkovitosti terapije z ogledalom pri rehabilitaciji zgornjega uda po možganski kapi. Metode dela: Iskanje strokovne in znanstvene literature je potekalo v podatkovnih zbirkah PubMed in PEDro. V pregled smo vključili raziskave v angleškem jeziku, vključno do septembra 2021. Rezultati: V pregled literature je bilo vključenih pet člankov, objavljenih med letoma 2016 in 2021, z ocenami med 4 in 7 po lestvici PEDro. V raziskave je bilo skupno vključenih 178 bolnikov po možganski kapi. V vseh raziskavah so primerjali terapijo z ogledalom s placebo terapijo z ogledalom ali enako vadbo brez ogledala. Rezultati raziskav kažejo na izboljšanje gibalne funkcije roke, večjo samostojnost in boljše opravljanje vsakodnevnih življenjskih aktivnosti. Ena raziskava pa zaradi omejenega prostora za gibanje roke kaže na slabše rezultate po koncu preizkusa. Razprava in zaključek: Terapija z ogledalom, ki temelji na vizualni iluziji gibanja zdravega uda, ki se zrcali in s tem ustvarja vtis gibanja prizadetega uda, lahko spodbudi nevronske poti v možganih in s tem izboljša motorično obnovo. Potrebne pa so nadaljnje raziskave, saj je razumevanje, kako terapija z ogledalom vpliva na možganske funkcije in kako to povezavo optimiziramo za rehabilitacijo, ključno za napredovanje v tem raziskovalnem polju.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, terapija z ogledalom, rehabilitacija, možganska kap, zgornji ud
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [Z. Koprivec]
• Year: 2024
• Number of pages: 33 str., [9] str. pril.
• PID: 20.500.12556/RUL-163071
• UDC: 615.8
• COBISS.SI-ID: 209813507
• Publication date in RUL: 02.10.2024

KOPRIVEC, Zala, 2024, Učinkovitost terapije z ogledalom za zgornji ud pri pacientih po možganski kapi : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : Z. Koprivec. [Accessed 23 March 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=163071

Secondary language

• Language: English
• Title: Efficacy of upper limb mirror therapy in post stroke patients : diploma work

Abstract

Introduction: Stroke is a disease of the central nervous system that can lead to various issues, including motor, cognitive, language and sensory impairments. Mirror therapy is often used as a therapeutic method to promote functional recovery of paralyzed upper limbs by encouraging the recovery of motor functions and movement on the affected side. Purpose: To review and analyze the findings on the effectiveness of mirror therapy in the rehabilitation of the upper limb after stroke. Method: A search of professional and scientific literature was conducted in the PubMed and PEDro databases. The review included studies published in English up to September 2021. Results: The literature review included five articles published between 2016 and 2021, with PEDro scale scores ranging from 4 to 7. The studies involved a total of 178 stroke patients. All studies compared mirror therapy with placebo mirror therapy or the same exercises without a mirror. Research results show improved motor function of the hand, greater independence and better performance of daily living activities. However, one study showed poorer results at the end of the trial due to limited space for hand movement. Discussion and conclusion: Mirror therapy, which is based on the visual illusion of movement of the healthy limb reflected to create the impression of movement in the affected limb, can stimulate neural pathways in the brain and thus improve motor recovery. Further research is needed as understanding how mirror therapy affects brain functions and how to optimize this connection for rehabilitation is crucial for to advancement in this research field.

• Keywords: diploma theses, physiotherapy, mirror therapy, rehabilitation, stroke, upper limb