Mirror Box Therapy & NEUROPLASTICITY Following Stroke

So this is mirror therapy. So while
you’re doing this, okay I’m going to have you look at the reflection in the mirror
okay. Mirror therapy is another tool that’s
being used in stroke rehabilitation. It’s being utilized to maximize or to get the
most out of neuroplasticity which just means getting the brain to
function, or to function again. What mirror therapy has been,
studies have been done on it, and they use functional MRIs to
kind of look at the brain while doing mirror therapy. They find that there
are parts of the affected hemisphere that were affected by the stroke, do fire
in certain areas, when the patient looks at their unaffected hand in the
mirror because it does mimic the affected side. If someone looks at
this, even just me, or the patient it, actually looks like he’s looking at his
right hand, writing. He is right-handed so that’s why we’re doing it as a
reflection of the right hand, so it can be perceived as the right hand being
functional again. You could do something functional, you could even just do simple
exercises, the idea is that the patient understands that they have to look at
the reflection. The thing that’s great about mirror therapy, something like that,
with the mirror box and just as long as the patient understands what he or she
needs to do and that they could follow through and carry over, is that they
could actually I could give this mirror box, I could lend it to them,
they could take it to their room. So you doing the flipping, right and
looking at the reflection the whole time. Patient: Yes. Therapist: And you are going to do a wrist up and down, while
looking at the reflection. Looking at the reflection the whole time
and best you can, I know it’s a little confusing, but you’re doing good
so far, yep, I’m just going to be pick them up and
just put them right in the bucket and the tin cylinder. Again try it, and you can
even look at the reflection of the tin can in the mirror as well, okay. So eyes
on on the mirror the whole time. As best you can keep focus on the mirror, even
when you come down to pick them up, keep your eyes on the mirror. The good thing about mirror therapy it could also be done with the arm and also be done with the
leg and foot as well. Good nice job.


  1. GREAT DEMONSTRATION. I was shown mirror therapy for my brother-in-law and it was a little different. I would like your input if possible. The activity was to open and close the hand from a fist. Instead of just watching the good hand in the mirror w/ the affected hand not moving I was instructed to move the affected hand at the same rate as the non-affected hand (which was being watched in mirror). In other words I was opening and closing the affected hand as he opened and closed and watched in mirror the non- affected hand. Should he only watch-or is manipulation of affected hand at same rate to his benifit?
    Thank You

  2. your patient here already has a very good functioning L UE. Does this work well for those with flaccid or trace movements? I have used this with patients for posture sitting in front of a mirror as feedback to improve sitting posture/balance.

  3. I'm in a rehab hospital in Tampa from a stroke last week. They do not utilize such a simple device. I will bring it up tomorrow in our weekly pow wow.
    Thank you for posting

  4. I don't getb it. It looked like he wasb looking down….i justdont understand. The mirror was facing away so he couldnt see it

  5. even if'd do that this would turn out pointless.coz my affected arm is having a muscle astrophy.while the other is whole lot of thick.

  6. As per V.S. Ramachandran in Phantoms in the Brain. I don't see a reference to his pioneering of this technique. It should be referenced/acknowledged.

  7. I recently lost half my finger in an accident at work and I really find this helpful the struggle is real people and i feel for everyone who is goin threw the similar sort of thing as I am goin threw though it’s tuff Ino but keep up the hard work and you will achieve greatness 😌

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