Učinak terapije zrcalom kod osoba s cerebralnom paralizom

master's thesis

• Title (english): The effect of mirror therapy in people with cerebral palsy
• Author: Lea Macinger
• Mentor: Renata Pinjatela (mentor)
• Committee member: Renata Pinjatela (predsjednik povjerenstva)
• Committee member: Renata Martinec (član povjerenstva)
• Committee member: Damir Miholić (član povjerenstva)
• Granter: University of Zagreb; Faculty of Education and Rehabilitation Sciences; Zagreb
• Defense date and country: 2020-09-24, Croatia
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Education/Rehabilitation Sciences

Abstract

Cerebralna paraliza je najčešći uzrok težih neuromotornih odstupanja u djece, a nastaje kao posljedica oštećenja mozga u razvoju. Unilateralna cerebralna paraliza (UCP) čini više od trećine ukupnih slučajeva cerebralne paralize. Karakterizira ju motorički poremećaj jedne strane tijela sa funkcionalnim ograničenjima uslijed oštećenja funkcije ruke. Oštećenje mozga koje uzrokuje cerebralna paralize je neprogresivno, ali se simptomi mogu mijenjati pod utjecajem maturacije i plastičnosti mozga te terapijskim postupcima. Cilj rehabilitacije osoba s UCP je poboljšati korištenje zahvaćenog ekstremiteta za svakodnevne bimanualne aktivnosti te postizanje samostalnosti. Jedan od pristupa koji rehabilitacije osoba s UCP je terapija zrcalom.
Terapija zrcalom koristi vizualnu iluziju koja nastaje zrcaljenjem nezahvaćenog uda i zavara mozak da pokret izvodi zahvaćeni ud što rezultira poboljšanjem motoričke funkcije zahvaćenog uda. Istraživanja učinaka terapije zrcalom pokazala su da je terapija učinkovita kod osoba s UCP s kontralateralnom kortikospinalnom organizacijom te da je bimanualni pristup u terapiji zrcalom učinkovitiji od unimanualnog. Nadalje, zaključeno je da je korištenje zrcala dovelo do smanjenja pretjerane neuromuskulatorne aktivnosti i poboljšalo funkcionalnost ruku ispitanika.
Pozitivan učinak je prisutan na područjima snage, snage hvata, spastičnosti, spretnosti prstiju, grube motorike, uzorka kretanja ruke, efikasnosti i brzine pokreta te motivacije i koncentracije.
Kombiniranje terapije s drugim pristupima, poput fizioterapije, vježbi snage i HABIT terapije pokazalo se korisnim. U usporedbi s CIMT tretmanom, kao najčešće korištenim pristupom terapiji osoba s UCP, zaključeno je da svaka terapija ima svoje prednosti. Istraživanja primjene terapije zrcalom kod osoba s UCP pokazala su dobru primjenjivost ove vrste terapije kod ove populacije.

Abstract (english)

Cerebral palsy is the most common cause of severe neuromotor impairments in children and occurs as a result of damage to the developing brain. Unilateral cerebral palsy (UCP) accounts for more than a third of all cases of cerebral palsy. It is characterized by a motor disorder localised on one side of the body with functional limitations due to impaired hand function.
Brain damage caused by cerebral palsy is non-progressive, but symptoms can change under the influence of maturation, brain plasticity and therapeutic procedures. The goal of rehabilitation in people with UCP is to improve the use of the affected limb for daily bimanual activities and to achieve independence. One of the approaches that rehabilitates people with UCP is mirror therapy. Mirror therapy uses the visual illusion created by mirroring the unaffected limb and deceives the brain that the movement is performed by the affected limb, resulting in improved motor function of the affected limb. Studies of the effects of mirror therapy have shown that therapy is effective in people with UCP with contralateral corticospinal organization and that a bimanual approach to mirror therapy is more effective than unimanual. Furthermore, it was concluded that the use of mirrors led to a reduction in excessive neuromuscular activity and improved the functionality of the subjects ’hands. A positive effect is present in the areas of strength, grip strength, spasticity, finger dexterity, gross motor skills, hand movement pattern, efficiency and speed of movement, and motivation and concentration. Combining therapy with other approaches, such as physiotherapy, strength exercises, and HABIT therapy has proven beneficial. Compared to CIMT treatment, as the most commonly used approach to the therapy in persons with UCP, it was concluded that each therapy has its advantages. Studies of the use of mirror therapy in people with UCP have shown good feasibility of this type of therapy in this population.

• Keywords: cerebralna paraliza; unilateralna cerebralna paraliza; UCP; terapija zrcalom
• Language: croatian
• URN:NBN: urn:nbn:hr:158:777438
• Study programme: Title: Graduate study of Educational Rehabilitation; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra edukacijske rehabilitacije (magistar/magistra edukacijske rehabilitacije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2020-10-26 13:44:32