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DOI: 10.1055/s-2007-985658
© Georg Thieme Verlag KG Stuttgart · New York
Spiegeltherapie - ein neues Verfahren in der Therapie neuropathischer Schmerzen
Mirror feed-back - a new method for the treatment of neuropathic painPublikationsverlauf
eingereicht: 21.5.2007
akzeptiert: 16.8.2007
Publikationsdatum:
08. Oktober 2007 (online)
![](https://www.thieme-connect.de/media/dmw/200741/lookinside/thumbnails/10.1055-s-2007-985658-1.jpg)
Zusammenfassung
Spiegeltherapie ist ein Verfahren zur Behandlung von Nervenschmerzen, die mit einem fehlenden oder gestörten afferenten sensorischen Input einhergehen. Dies betrifft vor allem Phantomschmerzen, Schmerzen nach Plexus- bzw. Nervenwurzelverletzungen und Schmerzen beim komplexen regionalen Schmerzsyndrom. Den theoretischen Hintergrund für dieses in den letzten Jahren immer häufiger eingesetzte Therapieverfahren bilden Erkenntnisse der modernen Schmerzforschung, die sich auf Veränderungen der kortikalen Organisation und Einfluss von sensorischen und motorischen Trainingseffekten auf das Schmerzerleben beziehen.
Bei dieser Therapie wird der Patient angeleitet, einen Spiegel so zu benutzen, dass die gespiegelte gesunde Extremität für ihn scheinbar an die Stelle der Fehlenden oder Erkrankten rückt; es wird durch das Spiegelbild die Illusion zweier „gesunder” Extremitäten hervorgerufen. Aufbauend auf diesem visuellen Eindruck wird ein ergotherapeutisches Training mit sensorischen und motorischen Trainingselementen durchgeführt.
Summary
The mirror feedback therapy is a method for treatment of neuropathic pain syndromes that are associated with a missing or disordered afferent sensory input. That concerns especially the phantom limb pain, the pain after plexus or spinal nerve root injury and the complex regional pain syndrome. This therapeutic method has been increasingly implemented in the past few years. Its theoretical background rest upon recent pain research findings that refer to changes in the cortical organization and the influence of sensory and motor training effects on the pain experience.
During the therapy the patients are instructed to use the mirror in a way that the image of the mirrored healthy limb seems to appear in the place of the missing or affected extremity. The mirror image produces an illusion of two „healthy” limbs. An ergotherapeutic training program with sensory and motor training elements based on the visual impressions is performed additionally.
Schlüsselwörter
Spiegeltherapie - neuropathischer Schmerz - Phantomschmerz - kortikale Reorganisation
Key words
mirror feedback - neuropathic pain - phantom limb pain - cortical reorganisation
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Dr. med. Dr. phil. A. Schwarzer
Abteilung für Schmerztherapie; Klinik für Anaesthesiologie, Intensiv-, Palliativ- und Schmerzmedizin, Berufsgenossenschaftliches Universitätsklinikum, Bergmannsheil Bochum
Bürkle-de-la-Camp Platz 1
44789 Bochum
eMail: Andreas.Schwarzer@ruhr-uni-bochum.de