EFFECTS OF MIRROR THERAPY IN THE TREATMENT OF PATIENTS WITH VARIOUS PAIN SYNDROMES - LITERATURE REVIEW/EFEKTI TERAPIJE OGLEDALOM U LECENJU PACIJENATA SA RAZLICITIM BOLNIM SINDROMIMA - PREGLED LITERATURE

Introduction. Mirror therapy was developed by Vilayanur Subramanian Ramachandran for the treatment of phantom pain after limb amputation. Mirror therapy is a neurorehabilitation technique that helps to relearn the use of affected limbs on many neurological and psychological levels. Material and Methods. A literature review was conducted using the following databases: KOBSON, Google Scholar, PubMed and MEDLINE. Results. A systematic literature review has shown that there is insufficient evidence of the effectiveness of this treatment in relieving and suppressing phantom limb pain. The results indicate the effectiveness of mirror therapy in relieving pain in people after a stroke. The small amount of evidence and lack of methodology reports have a major impact on the quality of this evidence. After mirror therapy, a significant reduction in pain at rest and during active movement was reported. Conclusion. Further research on mirror therapy is needed to help relieve pain. Evidence of the effectiveness of mirror therapy on pain has not been sufficiently investigated so far. Key words: Mirror Movement Therapy; Feedback, Sensory; Pain; Phantom Limb; Stroke; Complex Regional Pain Syndromes; Rehabilitation Uvod. Terapiju ogledalom razvio je Ramahandran (Ramachandran) sa ciljem lecenja fantomskog bola nakon amputacije ekstremiteta. Terapija ogledalom je neurorehabilitaciona tehnika koja na mnogim neurološkim i psihološkim nivoima pomaže da se ponovo nauci upotreba zahvacenih ekstremiteta. Materijal i metode. Pregled literature je sproveden korišcenjem sledecih baza podataka: Kobson, Google Schoolar, PubMed i Medline. Rezultati. Sistematski pregled literature pokazao je da nema dovoljno dokaza o efikasnosti ovog tretmana u ublažavanju i suzbijanju fantomskog bola. Rezultati ukazuju na efikasnost terapije ogledalom u ublažavanju bolova kod ljudi nakon moždanog udara. Mala kolicina dokaza i nedostatak izveštaja o metodologiji imaju veliki uticaj na kvalitet ovih dokaza. Nakon primene terapije ogledalom prijavljeno je znacajno smanjenje bolova u mirovanju i tokom aktivnog kretanja. Zakljucak. Potrebna su dalja istraživanja terapije ogledalom u svrhu kupiranja bola. Dokazi o efikasnosti terapije ogledalom na bol za sada nisu dovoljno ispitani. Kljucne reci: terapija ogledalom; senzorna povratna sprega; bol; fantomski ud; moždani udar; regionalni bolni sindrom; rehabilitacija