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Saebo Mirror Box Therapy – Product Manual

Saebo is pleased to introduce a simple and effective therapy tool used to treat motor 
dysfunction. Saebo’s Mirror Box Therapy, a treatment technique first described by V.S. 
Ramachandran for phantom limb pain following amputation, is a form of motor imagery 
in which a mirror is used to process visual feedback about motor performance of the 
unaffected body part as it performs various movements. It is primarily used to speed up 
and improve motor function after stroke and other neurological disorders.

Mirror therapy is based on evidence that observation activates the same motor areas of 
the brain as execution. During mirror therapy, clients place their affected arm and hand 
inside the mirror box (to block their view of the affected side) and their unaffected hand 
and forearm in front of the mirror. See Figure 1.

The client is then directed to perform 
a movement with their unaffected 
hand and to simultaneously attempt 
to copy the movement with their 
hidden affected hand. The client 
should be looking at the image in the
mirror while attempting to move 
the affected hand.

When looking into the mirror, the 
client observes the reflection of the 
unaffected limb positioned as the 
affected limb. This creates the 
illusion that both limbs are working 
normally. For example, if you put 
your left hand behind a mirror and right hand in front, you can trick your brain into 
believing that the reflection of your right hand in the mirror is your left. You are now 
exercising your left hand in the brain. It is believed that this strong visual cue from the 
mirror can therapeutically be used to improve motor performance and the perception of 
the affected limb.

 Introduction

  How Does It Work?

  Benefits

• Improving motor function 
• Reducing pain
• Reducing neglect
• Improving sensation
• Reduce spasticity

Figure 1

Содержание Mirror Box

Страница 1: ...Product Manual No Plateau In Sight Saebo Mirror Box ...

Страница 2: ......

Страница 3: ...rm in front of the mirror See Figure 1 The client is then directed to perform a movement with their unaffected hand and to simultaneously attempt to copy the movement with their hidden affected hand The client should be looking at the image in the mirror while attempting to move the affected hand When looking into the mirror the client observes the reflection of the unaffected limb positioned as t...

Страница 4: ...attention focused on the mirror image at least for 5 10 minutes Sufficient balance and trunk control to sit in a wheelchair or normal chair unsupported for the duration of the treatment Non affected limb should ideally have a normal and pain free range of motion Severe constraints of the non affected limb could limit execution of mirror therapy activities Precautions Dizziness nausea or sweating c...

Страница 5: ...TEP 2 Open the Saebo Mirror Box See Figure 3 STEP 3 Grab handle and lift until a triangle is formed See Figure 4 Figure 3 Figure 4 STEP 4 You are ready See Figure 5 IMPORTANT Before starting your first session remove protective film covering the mirror Figure 5 ...

Страница 6: ...ing the Mirror Box it is important for the mirror image to match the perception of the affected limb The affected limb should be positioned safely and comfortably behind the mirror If the client has severe spasticity prepositioning by a caregiver may be necessary and helpful before positioning the limb See Figure 6 IMPORTANT Jewelry should be removed from both limbs in order to facilitate an inten...

Страница 7: ...eurological injuries such as stroke are listed below The key is to go at a slow pace and imagine the hand in the mirror is truly the affected side Exercise 1 Make a fist and then open your hand slowly Repeat 3 sets of 15 reps Exercise 2 Touch your thumb to the tip of each finger Repeat 3 sets of 15 reps for each finger ...

Страница 8: ...peat 3 sets of 15 reps Exercise 4 Pretend to play the piano pushing each finger on the table one at a time Continue for 2 minutes Exercise 5 Place a washcloth on the table Wipe the table in a circular motion back and forth and up and down for 2 minutes Sample Hand Exercises continued ...

Страница 9: ...15 reps Exercise 7 Place 5 coins on the table Pick them up one at a time until they are all in your palm Place them back on the table one at a time using your thumb and your index and middle fingertips Repeat 5 times Exercise 8 Place a foam ball on the table Pick up the ball squeeze it and place back down on the table and let go Repeat 3 sets of 15 reps Sample Hand Exercises continued ...

Страница 10: ...bles poker chips blocks on the table Position a bowl next to the small objects Place the small objects one at a time into the bowl Repeat 3 times Exercise 10 Crawl your fingers along the mirror in various directions up down diagonally for 2 minutes Sample Hand Exercises continued ...

Страница 11: ...9 Saebo Mirror Box Therapy Product Manual Notes ...

Страница 12: ...Rev 1 2019 www saebo com ...

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