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Originalartikel

Visuomotorische Imaginationstherapie in der Neglektrehabilitation – Grundlagen, Vorgehen und Falldarstellungen

Published Online:June 29, 2010https://doi.org/10.1024/1016-264X/a000009

Abstract

Mentales Training findet vermehrt in der neurologischen Rehabilitation Einsatz. Neglekpatienten mit repräsentationalen Störungen, u. a. des eigenen Körpers, könnten von einer visuomotorischen Imaginationstherapie profitieren. Das therapeutische Vorgehen für die praktische Anwendung in der Neglektrehabilitation wird vorgestellt bezüglich (1) Patientenauswahl, (2) Testdiagnostik, (3) Messung der Imaginationsfähigkeit, (4) Psychoedukation, (5) Setting, (6) Therapiemanual, (7) Frequenz und Komplexitätsgrade, (8) Therapieprotokoll, (9) Elektromyographie sowie (10) Eigentraining. Zwei Fallbeispiele verdeutlichen wie eine visuomotorische Imaginationstherapie selbst im chronischen Krankheitsstadium zu Funktionsverbesserungen führen und bei subakutem personalem Neglekt die Körperwahrnehmung beeinflusst werden kann.


Visuomotor Imagery Therapy in Neglect Rehabilitation – Background, Procedure and Case Studies

Mental practice is increasingly applied in neurological rehabilitation. Neglect patients showing representational disorders, a.o. of the own body, could profit from a visuomotor imagery therapy. A therapeutic procedure for the practical application in neglect rehabilitation is presented concerning (1) patient selection, (2) test diagnostic, (3) assessment of imagery capacity, (4) psychoeducation, (5) setting, (6) therapy manual, (7) frequency and complexity grades, (8) therapy protocol, (9) electromyography, as well as (10) individual training. Two case studies elucidate how visuomotor imagery therapy can lead to functional improvements even in a chronic state after stroke and may have an impact on body perception for subacute personal neglect symptoms.

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