clinmedКлиническая медицинаClinical Medicine (Russian Journal)0023-21492412-1339ООО «Медицинское информационное агентство»10.30629/0023-2149-2023-101-11-577-581clinmed-660Research ArticleВ ПОМОЩЬ ПРАКТИЧЕСКОМУ ВРАЧУGUIDELINES FOR PRACTITIONERSЗеркальная терапия как метод реабилитации пациентов, перенесших инсультMirror therapy as a method of rehabilitation for stroke patientsМотрийЕ. В.MotriyE. V.

Мотрий Евгения Владиславовна 

350063, Краснодар

Motriy Evgeniya V.

350063, Krasnodar

janepaladi@gmail.comШепельИ. С.ShepelI. S.

Шепель Илона Сергеевна

350063, Краснодар

Shepel Ilona S.

350063, Krasnodar

НеустроеваТ. Е.NeustroevaT. E.

Неустроева Татьяна Евгеньевна 

350063, Краснодар

Neustroeva Tatiana E.

350063, Krasnodar

ФГБОУ ВО «Кубанский государственный медицинский университет» Минздрава РоссииРоссияKuban State Medical University of the Ministry of Health of RussiaRussian Federation20231512202310111577581Copyright © Мотрий Е.В., Шепель И.С., Неустроева Т.Е., 20232023Мотрий Е.В., Шепель И.С., Неустроева Т.Е.Motriy E.V., Shepel I.S., Neustroeva T.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.clinmedjournal.com/jour/article/view/660

Инсульт ежегодно уносит миллионы жизней во всем мире. Его тяжесть связана с поражением важнейших структур головного мозга и тяжелыми нарушениями различных физиологических функций у пациентов, что делает актуальным исследование методик устранения последствий инсульта. Целью настоящей работы является освещение методов зеркальной терапии, их эффективности, а также рассмотрение некоторых возможных механизмов, лежащих в основе положительного воздействия зеркальной терапии на восстановление функций конечностей. Материал и методы. Проведены обобщение и анализ литературных данных. Поиск литературы осуществляли в базах Scopus и Pubmed. Техническая реализация зеркальной терапии. Для реализации метода зеркальной терапии используются различные трехмерные конструкции, позволяющие пациенту воспринимать работу рабочей конечности как работу обездвиженной ноги или руки, что положительно отражается на процессе реабилитации. Во многих исследованиях была продемонстрирована эффективность зеркальной терапии, как в хронической, так и острой фазе после инсульта. Рядом ученых было выдвинуто несколько гипотез о механизмах эффективности зеркальной терапии, предполагающих активацию мотонейронных центров и зон в коре головного мозга. Заключение. Зеркальная терапия, согласно полученным результатам многочисленных исследований, проявляет достаточно высокую эффективность в реабилитации пациентов, перенесших инсульт, и улучшает качество их жизни

 Mirror therapy as a rehabilitation method for stroke patients. Stroke claims millions of lives every year worldwide. Its severity is  associated with the damage to important brain structures and severe disruptions of various physiological functions in patients, making the investigation of methods to alleviate the consequences of stroke relevant. The aim of this study is to highlight  the methods of mirror therapy, their effectiveness, and to examine some possible mechanisms underlying the positive effects  of mirror therapy on the recovery of limb functions. Materials and Methods. A review and analysis of literature data were  conducted. Literature search was carried out in Scopus and Pubmed databases. Technical implementation of mirror therapy.  Various three-dimensional structures are used to implement the method of mirror therapy, allowing the patient to perceive the  work of the working limb as the work of an immobilized leg or arm, which has a positive effect on the rehabilitation process.  In many studies, the effectiveness of mirror therapy has been demonstrated both in the chronic and acute phases after stroke.  Several hypotheses have been put forward by scientists about the mechanisms of the effectiveness of mirror therapy, suggesting  the activation of motor neuron centers and zones in the brain cortex. Conclusion. According to the results of numerous studies,  mirror therapy shows a sufficiently high effectiveness in the rehabilitation of stroke patients and improves their quality of life.

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The authors declare that there are no conflicts of interest present.