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Optimization of mirror therapy to excite ipsilateral primary moto | 48410
International Journal of Physical Medicine & Rehabilitation

International Journal of Physical Medicine & Rehabilitation
Open Access

ISSN: 2329-9096

+44 1300 500008

Optimization of mirror therapy to excite ipsilateral primary motor cortex


3rd International Conference and Exhibition on Physical Medicine & Rehabilitation

May 18-20, 2015 San Antonio, USA

Hikmat Hadoush

Scientific Tracks Abstracts: Int J Phys Med Rehabil

Abstract :

Mirror therapy is based on the experimental substrate of a visual illusion of active hand movement to excite ipsilateral primary motor cortex. This study tested whether ipsilateral primary motor cortex excitability could be modulated by enabling or disabling the vision of the active hand during mirror therapy. Motor cortical activations of healthy right-handed participants (n=10) were identified by Magnetoencephalography (MEG) system. Participants performed voluntary index finger extension of their dominant and non-dominant hands, separately, while viewing mirror reflection images of their active hand superimposed upon their hidden inactive hand. This was performed either with vision of the active hand (uncovered viewing condition) or without vision of the active hand (covered viewing condition). In the covered viewing condition, the ipsilateral primary motor cortex could be excited in all participants (n=10) and this excitation did not differ whether the active hand was the dominant or non-dominant hand. However, in the uncovered viewing condition, dominant and non-dominant hands were able to excite ipsilateral primary motor cortex only in a number of participants (n=4 and n=7, respectively). Moreover, the participants´┐Ż?? responses to the illusion validation questionnaire revealed that the covered viewing condition could cause greater visual illusion for the active hand than the uncovered viewing condition. In conclusion, disabling vision of the active hand during mirror therapy was more effective to excite ipsilateral primary motor cortical responses, it was better to create a greater visual illusion of the active hand, and it could ensure the same mirror therapy effectiveness between dominant and non-dominant hands.

Biography :

Hikmat Hadoush graduated from Jordan University of Science and Technology (JUST) with BSc degree in PT. After almost two years of being PT Therapist and Teaching Assistant in JUST, he left to Japan to start his professional and academic journey. There, he did MSc in Locomotor and Neurological Rehabilitation and PhD in Neurological Rehabilitation focusing in cortical plasticity in response to various neurological conditions and neurological rehabilitation approaches. The journey ended and he returned again to JUST as Assistant Professor, where he started his new journey in cortical stimulation therapy and in developing new approach of pediatric rehabilitation.

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