gentle re-setting for sensory issues?

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AardvarkGoodSwimmer
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31 Jul 2012, 2:54 pm

The following is an open trick, like setting your watch five minutes ahead.

With this ‘trick,’ the patient moves an arm in front of a mirror and it seems (and feels?) like the other arm is moving. And this seems to gently re-set sensory issues bringing temporary relief. And in some cases with repeated trials, sometimes more.

Quote:
The Itch, Atul Gawande, The New Yorker, June 30, 2008.
http://www.rsds.org/electronic%20alert% ... 8_113.html

“ . . . . Tracking a dog as it runs behind a picket fence, all that your eyes receive is separated vertical images of the dog, with large slices missing. Yet somehow you perceive the mutt to be whole, an intact entity traveling through space. . . . If visual sensations were primarily received rather than constructed by the brain, you’d expect that most of the fibers going to the brain’s primary visual cortex would come from the retina. Instead, scientists thave found that only 20 percent do; 80 percent come downward from regions of the brain governing functions like memory. . . . ”

“ . . . . an experiment that Ramachandran performed with volunteers who had phantom pain in an amputated arm. They put their surviving arm through a hole in the side of a box with a mirror inside, so that, peering through the open top, they would see their arm and its mirror image, as if they had two arms. Ramachandran then asked them to move both their intact arm and, in their mind, their phantom arm—to pretend that they were conducting an orchestra, say. The patients had the sense that they had two arms again. Even though they knew it was an illusion, it provided immediate relief. People who for years had been unable to unclench their phantom fist suddenly felt their hand open; phantom arms in painfully contorted positions could relax. With daily use of the mirror box over weeks, patients sensed their phantom limbs actually shrink into their stumps and, in several instances, completely vanish. . . . ”


Quote:
“ . . . . an MRI revealed a cavernous hemangioma, a pea-size mass of dilated blood vessels, pressing into the spinal cord in his neck. . . . ”

“ . . when he came away from the mirror, the aberrant sensations in his left arm returned. . ”

“ . . The mirror also provided the first effective treatment he has had for the flares of itch and pain that sporadically seize him. Where once he could do nothing but sit and wait for the torment to subside—it sometimes took an hour or more—he now just pulls out the mirror. . . . ”



animalcrackers
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31 Jul 2012, 9:54 pm

I'm intrigued, but I don't understand ...

AardvarkGoodSwimmer wrote:
The following is an open trick, like setting your watch five minutes ahead.


Sort of like preparing yourself for a sensory experience (de-sensitizing?) by creating a sort of "shadow-sensation" ...? Or to ameliorate a sensory processing problem by creating a counter-balancing "shadow-sensation" to sort of re-set the hypo/hyper-reaction or sensory scrambling ...?


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AardvarkGoodSwimmer
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01 Aug 2012, 2:07 pm

With limited information, the brain's "best guess" as far as a part of the body can sometimes be injury. With this mirror reflection technique, a person can sometimes gently re-set the brain's best guess to health.

Quote:
http://www.rsds.org/electronic%20alert% ... 8_113.html

" . . . here’s what the new theory suggests is going on: when your arm is amputated, nerve transmissions are shut off, and the brain’s best guess often seems to be that the arm is still there, but paralyzed, or clenched, or beginning to cramp up. Things can stay like this for years. The mirror box, however, provides the brain with new visual input—however illusory—suggesting motion in the absent arm. The brain has to incorporate the new information into its sensory map of what’s happening. Therefore, it guesses again, and the pain goes away. . . "


(again, the relief is often merely temporary. But this technique does give the patient some control over his or her pain. And with repeated trials as if in occupational therapy, the relief can sometimes become more.)