Alternative Interventions

Question 1

where do you position the mirror for mirror therapy

Answer 1

parallel to midline of patient

blocking view of affected limb

Question 2

How does mirror therapy work

Answer 2

Observation of movement of intact limb stimulates the brain site ipsilateral to the affected limb, even though the affected limb is not moving

Question 3

What conditions can mirror therapy treat

Answer 3

Hemiparesis/neglect

Bradykinesia (parkinsons)

and Pain (phantom limb pain/CRPS)

Question 4

Can mirror therapy improve spasticity?

Answer 4

No

Question 5

Can mirror therapy improve motor function and ADLs for stroke patients?

Answer 5

Yes

Also: limited but significant evidence that it improves pain/neglect

Question 6

Can mirror therapy improve functional ambulation category in stroke patients

Answer 6

no

Question 7

Can mirror therapy improve star cancellation test, line bisection test, and picture identification test (for hemi-neglect)

Answer 7

Yes

Question 8

Can mirror therapy help with improvement in pain durng movement, at rest, and with tacile in patients with Complex Regional Pain Syndrome?

Answer 8

Yes

Question 9

Can mirror therapy help phantom limb pain

Answer 9

Yes.

MRI showed evidence of cortical reorganization

Pts with pain for over 1 year benefited the most

Question 10

What have early studies shown about full body vibration

Answer 10

improves balance, bone mineral densiity, flexibility, pain levels, and strength

Question 11

T or F: Full body vibration increased motor unit recruitment, works in all populations

Answer 11

T

note: higher frequencies had more effect

more effective in older untrained populations

Question 12

T or F: Whole body vibration influenced flexibility

Answer 12

T

Question 13

Can you use whole body vibration to treat DOMS, Chornic lowerback pain, fibromyalgia, and post-polio?

Answer 13

Yes

Question 14

Can Whole body vibration be used to help neuromuscular tone?

Answer 14

Shortlasting changes seen, no longterm effects

“Some benefit to pts with CP”

Question 15

can you use whole body vibration for bone strengthening and increasing blood flow?

Answer 15

Yes

Question 16

What are the contraindication to whole body vibration

Answer 16

Pregnancy

Acute DVT

Epilepsy

Severe migraine

Severe neuropathy

Implants

PE

Retinal conditions

Cancer/infection

Vestibular

Wounds/recent surgery

hernia, discopathy, spondylosis

Question 17

Whole body vibration has the best evidence for increasing ______ in neurological conditions

Answer 17

mod evidence: strength

weak evidence: proprioception, QOL, Gait, Balance, Spasticity

Question 18

Can you use whole body vibration to improve gait

Answer 18

No

Question 19

Can you use whole body vibration to improve spasticity

Answer 19

No

Question 20

Can you use whole body vibration to improve static postural control and weight shifting

Answer 20

yes

Question 21

Can you use whole body vibration to improve gross motor function for CP?

Answer 21

Yes

note: no changes to TUG, 6MWT, Spastiicty

Question 22

Can you use whole body vibration to help parkinson symptoms

Answer 22

No

Question 23

Can you use whole body vibration to improve neuromusuclar preformance for SCI

Answer 23

No

however, one study showed for incomplete SCI it benefited spasticity, 10MWT, balance, and TUG

Question 24

Whole body vibration improved what for MS patients

Answer 24

Significant improvement: strength, TUG

No change: Strength

Question 25

Can you use whole body vibration to improve pain for PPS (Da silva study)

Answer 25

Yes, significant pain reduction no adverse events

Question 26

For UE how was VR therapy best used

Answer 26

No significant difference compared to regular therapy however, best results when used as an adjunct to regular therapy

Question 27

What should you use VR for in post-stroke

Answer 27

to improve walking speed and endurance

Question 28

VR therapy is significantly better than regular therapy in parkinsons disease for _____________

Answer 28

Step/stride length, balance, and mobility, level of confidence, QoL, and neuropsych symptoms no difference in DGI and gait speed

Question 29

Can you use VR to improve balance for CP patients

Answer 29

yes