Effect of mirror therapy on motor function of the lower limbs Machado-Joseph disease

Authors

  • Miqueline Pivoto Faria Dias Fisioterapeuta, graduado pela Universidade do Vale do Sapucaí – UNIVAS, Pouso Alegre-MG, Brasil.
  • Ruanito Calixto Júnior Fisioterapeuta, graduado pela Universidade do Vale do Sapucaí – UNIVAS, Pouso Alegre-MG, Brasil. 2.Fisioterapeuta, Doutora,
  • Andreia Maria Silva Fisioterapeuta, Doutora, Docente do curso de fisioterapia da Universidade Federal de Alfenas, Alfenas-MG, Brasil.
  • Adriana Teresa Silva Fisioterapeuta, Doutoranda, Docente da Universidade do Vale do Sapucaí – UNIVAS, Pouso Alegre-MG, Brasil.

DOI:

https://doi.org/10.34024/rnc.2015.v23.8060

Keywords:

Rehabilitation, Cerebellar Ataxia, Physical Therapy

Abstract

Objective. The objective of this study was to report the case of a pa­tient with Machado-Joseph disease undergoing therapy Mirror (TM) in the lower limbs. Method. This is a case report of a male patient, 56 years old, diagnosed with Machado-Joseph disease. The instruments used for evaluation were the equilibrium Berg Scale (BBS), walk test 5 meters (C5M) test up and down stairs (TU) and (TDS), Time test up-and-Go (TUG) and surface electromyography during voluntary iso­metric contraction (IVC) bilaterally and simultaneously the retofemu­ral muscles (RF) and tibialis anterior (TA). For intervention applied to TM associated with exercises in the lower limbs. Results. Therre was a increase in the BBS (p=0.05), reducing the time for C5M test, TU, TDS, TUG, and increased electromyographic activity for RF and TA muscles. Conclusion. We concluded that the TM can contribute to functional improvement and increase in electromyographic activity in this patient.

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References

Lopes-Cendes I, Teive HGA, Calcagnoto ME, Costa JC, Cardoso F, Viana E, et al.. Frequency of the different mutations causing spinocerebellar ataxia (SAC1, SAC2, DMJ/SAC3 and DRPLA in a large group of Brazilians patients. Arq Neuropsiquiatr 1997;55:519-29.

Ferrarin M, Gironi M, Mendozzi L, Nemni R, Mazzoleni P, Rabuffetti M. Procedure for the quantitative evaluation of motor disturbances in cer¬ebellar ataxic patients. Med Biol Eng Comput 2005;43:349-56. dx.doi.org/10.1007/BF02345812

Van de Warrenburg BPC, Steijns JAG, Munneke M, Kremer BPH, Bloem BR. Falls in degenerative cerebellar ataxias. Mov Disord 2005;20:497-500. dx.doi.org/10.1002/mds.20375

Gazulla J. Actualización en neuroquímica y terapeútica farmacológica de las ataxias cerebelosas. Rev Neurol 2007;45:31-41.

Freund JE, Stetts DM. Use of trunk stabilization and locomotor training in an adult with cerebellar ataxia: a single system design. Physiother Theory Pract 2010;26:447-58. dx.doi.org/10.3109/09593980903532234

Martins CP, Rodrigues EC, Oliveira LAS. Abordagem fisioterapêutica da ataxia espinocerebelar: uma revisão sistemática. Fisioter Pesq 2013;20:286-91. dx.doi.org/10.1590/S1809-29502013000300015

Yavuzer G, Selles R, Sezer N, Sutbeyaz S, Bussmann JB, Koseoglu F, et al. Mirror therapy improves hand function in subacute stroke: a randomized controlled trial. Arch Phys Med Rehabil 2008;89:393-8. dx.doi.org/10.1016/j.apmr.2007.08.162

Rosen B, Lundborg G. Training with a mirror in rehabilitation of the hand. Scand J Plast Reconstr Surg Hand Surg 2005;39:104-8. dx.doi. org/10.1080/02844310510006187

Ramachadran VS, Rogers-Ramachadran D. Synaesthesia in phantom limbs induced with mirrors. Proc Biol Sci 1996;263:377-86. dx.doi.org/10.1098/rspb.1996.0058

di Pellegrino G, Fadiga L, Fogassi L, Gallese V, Rizzolatti G. Understanding motor events: a neurophysiological study. Exp Brain Res 1992;91:176-80. dx.doi.org/10.1007/BF00230027

Machado S, Velasques B, Paes F, Cunha M, Basile LF, Budde H, et al. Terapia-espelho aplicada à recuperação funcional de pacientes Pós-Acidente Vascular Cerebral. Rev Neurocienc 2011;19:171-5.

Hamzei F, Läppchen CH, Glauche V, Mader I, Rijntjes M, Weiller C. Functional Plasticity Induced by Mirror Training: The Mirror as the Element Connecting Both Hands to one Hemisphere. Neurorehabil Neural Repair 2012; 26:484-96. dx.doi.org/10.1177/1545968311427917

Seniam. Project surface electromyography for the non-invasive assessment of muscles (Endereço na Internet). Netherlands: Seniam Group - Surface ElectroMyoGraphy for the Non-Invasive Assessment of Muscles (acessado em 10/12/2010). Disponível em: www.seniam.org

Miyamoto ST, Lombardi-Junior I, Berg KO, Ramos LR, Natour J. Brazilian version of the Berg balance scale. Braz J Med Biol Res 2004; 37:1411-21. dx.doi.org/10.1590/S0100-879X2004000900017

Salbach NM, Mayo NE, Wood-Drauphinee S, Hanley JA, Richards CL, Côté R. A task-orientated intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial. Clin Rehabil 2004; 18:608-18. dx.doi.org/10.1191/0269215504cr763oa

Vasconcelos KSS, Dias JMD, Dias RC. Impacto do grau de obsesidade nos sintomas e na capacidade funcional de mulheres com osteoartrite de joelhos. Fisioter Pesq 2008;15:125-30. dx.doi.org/10.1590/S180929502008000200003

Wall JC, Bell C, Campbell S, Davis J. The time get-up-and-go test revisited: Measurement of the component tasks. J Rehab Res Develop 2000;37:109-14.

Sutbeyaz S, Yavuzer G, Sezer N, Koseoglu BF. Mirror Therapy Enhances Lower-Extremity Motor Recovery and Motor Functioning After Stroke: A Randomized Controlled Trial. Arch Phys Med Rehabil 2007;88:555-9. dx.doi.org/10.1016/j.apmr.2007.02.034

Nudo RJ, Plautz EJ, Frost SB. Role of adaptive plasticity in recovery of function after damage to motor cortex. Muscle Nerve 2001;24:1000-19. dx.doi.org/10.1002/mus.1104

Ramanchandran VS. Plasticity and functional recovery in neurology. Clin Med 2005;5:368-73.

Michielsen ME, Selles RW, Van der Geest JN, Eckhardt M, Yavuzer G, Stam HJ, et al. Motor Recovery and Cortical Reorganization After Mirror Therapy inChronic Stroke Patients : A Phase II Randomized Controlled Trial. Neurorehabil Neural Repair 2011;25:223-33. dx.doi.org/10.1177/1545968310385127

Rothgangel AS, Morton AR, Hout van Den JWE, Beurskens AJHM. Mirror therapy in stroke patients. Ned Tijdschr Fysiother 2004;114:36-40.

Ward NS, Cohen LG. Mechanisms underlying recovery of motor function after stroke. Arch Neurol 2004;61:1844-8. dx.doi.org/10.1001/archneur.61.12.1844

Altschuler EL, Wisdom SB, Stone L, Foster C, Galasko D, Llewellyn ME, et al. Rehabilitation of hemiparesis after stroke with a mirror. Lancet 1999;353:2035-6. dx.doi.org/10.1016/S0140-6736(99)00920-4

Binkofski F, Fink GR, Geyer S, Buccino G, Gruber O, Shah NJ, et al. Neural activity in human primary motor cortex areas 4a and 4p is modulated differentially by attention to action. J Neurophysiol 2002;88:514-9. dx.doi.org/10.1152/jn.00947.2001

Oliveira APR, Freitas AM. Efeitos da intervenção fisioterapêutica nas habili¬dades funcionais e no equilíbrio de uma paciente com ataxia espinocerebelar: estudo de caso. Fisioter Pesq 2006;13:43-7.

Miyai I, Ito M, Hattori N, Mihara M, Hatakenaka M, Yagura H, et al. Cerebellar ataxia rehabilitation trial in degenerative cerebellar diseases. Neurorehabil Neural Repair 2012;26:515-22. dx.doi.org/10.1177/1545968311425918

Dias ML, Toti F, Almeida SRM, Oberg TD. Efeito do peso para membros inferiores no equilíbrio estático e dinâmico nos portadores de ataxia. Acta Fisiatr 2009;16:3-7.

Ilg W, Brötz D, Burkard S, Giese MA, Schöls L, Synofzik M. Long-term effects of coordinative training in degenerative cerebellar disease. Mov Disord 2010;25:2239-46. dx.doi.org/10.1002/mds.23222

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Published

2015-03-31

Issue

Vol. 23 No. 1 (2015)

Section

Relato de Caso

How to Cite

1.
Dias MPF, Calixto Júnior R, Silva AM, Silva AT. Effect of mirror therapy on motor function of the lower limbs Machado-Joseph disease. Rev Neurocienc [Internet]. 2015 Mar. 31 [cited 2025 Dec. 13];23(1):123-9. Available from: https://periodicos.unifesp.br/index.php/neurociencias/article/view/8060