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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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European Journal of Physical and Rehabilitation Medicine 2017 May 12

DOI: 10.23736/S1973-9087.17.04627-5

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Mirror therapy for involuntary movement due to chronic thalamic hemorrhage: a case report

Seiji MIURA 1, 2, Makoto UENO 1, 2, Ryuji MIYATA 1, 2, Eriko MANIWA 2, Seiji ETOH 1, 2, Megumi SHIMODOZONO 1, 2

1 Department of Rehabilitation and Physical Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan; 2 Kagoshima University Hospital, Kirishima Rehabilitation Center, Kagoshima, Japan


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BACKGROUND: Some stroke survivors suffer from involuntary movement, which often disturbs upper-limb function, but there are few effective modality options.
CASE REPORT: A 70-year-old man presented with persisting right-upper-limb hemiballism due to left thalamic hemorrhage 10 years before. We provided inpatient rehabilitation, including repetitive-facilitative exercise and task-related training, and prescribed clonazepam from day 5 after admission. However, the affected upper limb showed no significant change and remained nonfunctional. When we introduced mirror therapy (MT) to the rehabilitation program on day 14, hemiballism immediately decreased during the MT session, so we added daily MT sessions of 20 min/day. At discharge on day 42, he was able to use his right hand for eating meals and folding laundry.
CLINICAL REHABILITATION IMPACT: This shows that MT may have the potential to be a novel therapeutic method for treating involuntary movement. Further research is needed to elucidate mechanisms by which MT may reduce hemiballism.


KEY WORDS: Stroke – Hemiballism - Involuntary movement - Mirror therapy – Rehabilitation

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rihakoza@m2.kufm.kagoshima-u.ac.jp