Uhlobo olusha lwezokwelapha olubizwa ngokuthi i-mirror therapy lusiza iziguli eziphazamiseka ezibhekene nobuthakathaka be-post-stroke.
Kuyini ukuphathwa kwesibuko?
Ukwelashwa kwe-mirror ekuqaleni kwakhiwa ukuphatha 'ubuhlungu obukhulu,' isimo lapho abantu bezwa khona ubuhlungu engalweni noma ngomlenze abalahlekile. Umuntu obhekene nosizi lwama-phantom uzizwa ubuhlungu 'engalweni elahlekile' noma 'umlenze olahlekile' ngisho nalapho ingalo noma umlenze uhoxisiwe noma ulahlekile, ngokuvamile ngenxa yokulimala.
Esikhathini sokwelashwa kwesibuko, iziguli zibeka ingalo ethintekile ngemuva kwesibuko ukuze ifihliwe ekubukeni kwesiguli. Iziguli ziyathutha ingalo enempilo futhi, ngenxa yokubekwa kwesibuko, ubuchopho 'bukhohliswa' ekucabangeni ukuthi ingalo eyalimile isuswe. Lokhu kuvezwe kukhonjiswe ukusiza ukunciphisa izimpawu zobuhlungu kubantu abahlukunyezwa ngobuhlungu, futhi manje abacwaningi sebeqale ukusebenzisa ukwelashwa kwesibuko nabasindile besifo esibucayi ababuthakathaka noma abakhubazekile. Isimiso esifanayo esifanayo sisetshenziselwa ukwelashwa kwesibuko ekuvuselelweni kwesisu.
Ngabe i-mirror yokwelapha isetshenziselwa ukushaywa yingozi?
Abasindile besisu abanesibindi sokuqina kwesandla noma ukukhubazeka kwengalo bayacelwa ukuba bafihle ingalo ebuthakathaka ngaphansi kwebhokisi elino-triangular elinesihenqo esibonisiwe. Khona-ke, iziguli zicelwa ukuba zithuthukise ingalo enamandla futhi zigcine zihamba esibukweni. Lokhu kunikeza ubuchopho umyalezo ongafanele ukuthi ingalo ebuthakathaka empeleni iyathutha.
Ngisho noma abahlanganyeli bayazi ukuthi benzani nokuthi kungani benza-ubuchopho bukhona namanje yokubhalisa umlayezo ongaqondile futhi 'ukucabanga' ukuthi ingalo ebuthakathaka inamandla kunalokho empeleni. Ngokuhamba kwesikhathi, ukuhlanganyela ngokuqhubekayo ngezikhathi zokwelashwa kwesibuko kungasiza ukuqinisa ingalo ebuthakathaka ngokugqugquzela ngokuqondile indawo ehambisanayo ebuchosheni.
Ingabe isebenza?
Ukuhlolwa okukhulu kunazo zonke kwe-mirror therapy kuvela ku-database yeCochrane, okuyi-database enkulu yeziguli eziphazamiseka emhlabeni jikelele. Abalobi beCochrane umbiko wesifundo esibucayi esihlanganisa isibuko kubandakanya abasindile abangu-564 abahlukumezekile abaye babamba iqhaza ekwelapheni kwesibuko ezindaweni ezahlukene emhlabeni jikelele. Abasindile besifo esibucayi abaye bahlanganyela ekwelashweni kwesibuko babe nokuthuthukiswa okulinganiselwe emisebenzini yokuphila kwansuku zonke uma kuqhathaniswa nemiphumela yabasindile bezinhlangothi eziba nomthelela kwezinye izinhlobo zokuvuselelwa kokulimala.
Enye, ukutadisha okwakamuva kuTurkey kwahlola iziguli ezingu-30 zokushaywa ngamasonto amane. Iqembu elilodwa labahlengikazi abaphulukisiwe abathola usizo oluthile lwamaviki amasonto ama-4, izinsuku ezingu-5 / isonto amahora angu-2-4 ngosuku kanti elinye iqembu lathola ukwelashwa okujwayelekile kodwa futhi lalineminye imizuzu engama-30 yokwelashwa kwesibuko ngosuku. Womabili amaqembu athuthukisiwe ngaphezu kokuvuselelwa kweviki eli-4, kodwa iqembu le-mirror therapy lalinamandla amandla kakhulu, ukwehla okuphawulekayo ebuhlungu bokuhamba ngemuva kanye namazinga angcono okuzimela njengoba kulinganiswa nemigomo yemigomo. Izilinganiso zokulinganisa ezisetshenziselwa ukulinganisa ukuthuthukiswa kwakuyi-Functional Independence Measure (i-FIM motor), i-Visual Analog Scale (VAS) yobukhulu bezinhlungu, i-Brunnstrom Recovery Stages of arm (ibhande le-BRS) nesandla (i-BRS ngesandla) sokuthola imoto kanye ne-Fugl - Ukuhlolwa kweMeyer (FMA).
Ikusasa le-mirror therapy
Lezi zindlela zokuqala zokusebenzisa ukwelashwa kwesibuko sokuvuselelwa kwesisu zithembise. Ukwengeza ukwelashwa kwesibuko kuya ekwelapheni okujwayelekile ngokomzimba ngemva kokushaywa komzimba okulula. Akube khona noma yimiphi imiphumela emibi eqoshiwe noma imiphumela emibi kusuka ekuthathweni kwesibuko.
Ukwelashwa ngokomzimba nokuvuselelwa ngemuva kokushaya isifo kudinga ukubamba iqhaza okukhulu nokusebenza kanzima engxenyeni yomsindisi wesifo sohlangothi. Uma uthola ukuphulukiswa ngesifo sokushaya isifo, qiniseka ukuthi usebenzise ngokunenzuzo noma yonke imithombo yakho yokuthola imithi yokuphumula ukuze ukwazi ukuthola amandla akho angokwenyama nangokwengqondo ngangokunokwenzeka.
Imithombo:
Imiphumela ye-Mirror Therapy ku-Stroke Iziguli ezine-Complex Regional Pain Syndrome Uhlobo 1: Isifundo Esilawulwa Ngokungahleliwe, iVural SP, i-Nakipoglu Yuzer GF, i-Ozcan DS, i-Ozbudak SD, i-Ozgirgin N, i-Archives of Medicine Physical and Rehabilitation, Disemba 2015
I-Task-Based Mirror Therapy Yokunciphisa Injini Engakabonakali I-poststroke Hemiparesis: Isivivinyo Esilawulwa Ngalesi sikhathi, i-Arya KN, i-Pandian S, i-Kumar D, i-Puri V, i-Journal of Stroke ne-Cerebrovascular Disease, Agasti 2015
I-Mirror yokwelapha yokuthuthukisa imishini emva kokushaywa, u-Thieme H, u-Mehrholz J, u-Pohl M, u-Behrens J, u-Dohle C., i-Cochrane Database ye-Systemic Reviews, ngoMashi 2012.