TY  - JOUR
A1  - Hörmann, Simon
A1  - dos Santos, Luara Ferreira
A1  - Morkisch, Nadine
A1  - Jettkowski, Katrin
A1  - Sillis, Moran
A1  - Devan, Hemakumar
A1  - Kanagasabai, Parimala S.
A1  - Schmidt, Henning
A1  - Krüger, Jörg
A1  - Dohle, Christian
A1  - Regenbrecht, Holger
A1  - Hale, Leigh
A1  - Cutfield, Nicholas J.
T1  - Computerised mirror therapy with Augmented Reflection Technology for early stroke rehabilitation
BT  - clinical feasibility and integration as an adjunct therapy
JF  - Disability and rehabilitation : an international, multidisciplinary journal
N2  - Purpose: New rehabilitation strategies for post-stroke upper limb rehabilitation employing visual stimulation show promising results, however, cost-efficient and clinically feasible ways to provide these interventions are still lacking. An integral step is to translate recent technological advances, such as in virtual and augmented reality, into therapeutic practice to improve outcomes for patients. This requires research on the adaptation of the technology for clinical use as well as on the appropriate guidelines and protocols for sustainable integration into therapeutic routines. Here, we present and evaluate a novel and affordable augmented reality system (Augmented Reflection Technology, ART) in combination with a validated mirror therapy protocol for upper limb rehabilitation after stroke. Results: The results showed that the combination and application of the Berlin Protocol for Mirror Therapy together with ART was feasible for clinical use. This combination was integrated into the therapeutic plan of subacute stroke patients at the two clinical locations where the second part of this research was conducted. Conclusions: Our findings pave the way for using technology to provide mirror therapy in clinical settings and show potential for the more effective use of inpatient time and enhanced recoveries for patients. IMPLICATIONS FOR REHABILITATION Computerised Mirror Therapy is feasible for clinical use Augmented Reflection Technology can be integrated as an adjunctive therapeutic intervention for subacute stroke patients in an inpatient setting Virtual Rehabilitation devices such as Augmented Reflection Technology have considerable potential to enhance stroke rehabilitation
KW  - Augmented reality
KW  - virtual reality
KW  - usability
KW  - user experience
KW  - upper limb
KW  - visual illusion
Y1  - 2017
U6  - https://doi.org/10.1080/09638288.2017.1291765
SN  - 0963-8288
SN  - 1464-5165
VL  - 39
SP  - 1503
EP  - 1514
PB  - Routledge, Taylor & Francis Group
CY  - Abingdon
ER  - 
TY  - JOUR
A1  - Fritzsch, Claire
A1  - Wang, Jing
A1  - dos Santos, Luara Ferreira
A1  - Mauritz, Karl-Heinz
A1  - Brunetti, Maddalena
A1  - Dohle, Christian
T1  - Different effects of the mirror illusion on motor and somatosensory processing
JF  - Restorative neurology and neuroscience
N2  - Purpose: Mirror therapy can improve motor and sensory functions, but effects of the mirror illusion on primary motor and somatosensory cortex could not be established consistently.
 Methods: Fifteen right handed healthy volunteers performed or observed a finger-thumb opposition task. Cerebral activations during normal movement (NOR), mirrored movement (MIR) and movement observation (OBS) by means of a video chain were recorded with functional magnetic resonance imaging (fMRI). Activation sizes in movement > static conditions were identified using SPM8 (p < 0.001, unc.) and attributed to predefined areas employing the Anatomy toolbox 1.8. Laterality indices for the responsive areas were calculated on the basis of the number of activated voxels.
 Results: Relevant bilateral BOLD responses were found in primary motor (M1) and somatosensory (S1 - BA 2, 3b and 3a) cortex, premotor and parietal areas and V5. When comparing MIR to NOR, no significant change of contralateral activation in M1 was found, but clearly at S1 with differences between hands.
 Conclusion: The mirror illusion does not elicit immediate changes in motor areas, yet there is a direct effect on somatosensory areas, especially for left hand movements. These results suggest different effects of mirror therapy on processing and rehabilitation of motor and sensory function.
KW  - Movement
KW  - mirror
KW  - laterality
KW  - stroke
KW  - sensorimotor cortex
Y1  - 2014
U6  - https://doi.org/10.3233/RNN-130343
SN  - 0922-6028
SN  - 1878-3627
VL  - 32
IS  - 2
SP  - 269
EP  - 280
PB  - IOS Press
CY  - Amsterdam
ER  -