Mirror-box Training in Healthy Subjects and a Patient with Hemiparesis.

Abstract

Objective
Mirror therapy (MT) is an approach of neurorehabilitation improving motor functions after stroke. MT represents a mental process by which an individual rehearses a given motor action by reflecting movements of the non-paretic side in a mirror as if it were the affected side. Although a number of small-scale research studies have shown encouraging results, there is no clear consensus about the effectiveness of the therapy. The aim of this study is to investigate objective changes in EEG after MT.

Methods
A set of seven healthy volunteers carried-out five mirror-box training sessions. The same training is carried-out twice a week with a patient with hemiparesis for more than six months. The eleven channels of EEG placed over the sensorimotor and left occipital cortex are recorded. In addition to the standard power spectral analysis of EEG we decompose EEG into elemental components or ''atoms''. We estimate EEG atoms using multiway parallel factor analysis (PARAFAC) for modeling.

Results
Compering resting EEG prior and after training we found statistically significant increase of the motor-related oscillatory mu-rhythm in a hemiparetic patient. Atomic decomposition of EEG shows stable spatio-frequency components of motorrelated synchronization and desynchronization of EEG in a hemisphere contralateral to the mirror-box.


Go back