Many interesting comments were made on my posts about许多有趣的评论，提出了关于我的职位约 graded motor movements梯度汽车运动 and和 Dr. Lorimer Moseley’s interview博士lorimer莫斯里的访谈 about his research.  I’ve asked Dr. Moseley 2 questions as follow-up.  (As always, do not undertake this treatment, nor any other, without first consulting with your doctor.)关于他的研究，我已经问博士莫斯里二的问题，作为后续行动。 （一如往常，不进行这项治疗，或任何其他，首先咨询你的医生） 。

1. Nickie asks, “I’m visually impaired and have CRPS/RSD. 1 。 nickie问， “我视障人士及有crps /区域市政总署。 Could this technique ever be adapted for someone without sight?” 可这一技术以往任何时候都适应有人没有看到“ ？

Dr. Moseley :  This is a most intriguing question, isn’t it?!  It’s not the first time I’ve been asked that question.  I think it’s important that the brain is ‘moving’ the limb to some extent, so it would seem feasible for a blind person to imaging doing things with her limbs. 博士莫斯里 ：这是一个最耐人寻味的问题，是不是？ ！这是不是第一次，我一直在问这个问题，我觉得这是非常重要的大脑是'移动'肢体在一定程度上，因此，这似乎是可行的盲人成像做事与她的四肢。 However, if this isn’t sufficiently conservative (ie if it increases pain when done, -HTCWP), then perhaps she could ‘look’ at others doing things (in her head).  This would require that she wasn’t always blind.  Otherwise it’s up to the creative investigative work of the clinician and patient perhaps - does she play an instrument perhaps?  If so, she could answer questions like, “What does the left hand do in Ornithology by Charlie Parker?” or similar.不过，如果这是没有足够的保守的（即如果它增加了疼痛时，做了， - htcwp ） ，那么也许她可以'看'别人做的事情（在她的头部） 。这将需要，她并不总是双目失明。否则，它的成立，以创造性的调查工作临床医师和病人，也许-她是否发挥的一种手段，也许？如果是的话，她可以回答问题一样， “请问，左手做的鸟类由查理帕克？ ”或类似的。

HTCWP : So the answer would be that the technique would be modified so that you wouldn’t look at pictures, but figure out how to get your brain to go through the same steps.  Left/Right hand and foot pictures could be imagined, then imagining moving your own hand and feet to the position, then actually moving.  3-D models of R/L hands and feet could also conceivably be made, or use dolls, stuffed animals, etc.  Dr. Moseley raised the possibility of imagining hand positions when playing music.  Any activity could be tried, eg sewing, cooking. htcwp ：那么，答案将是该技术将修改，使你不会看图片，但数字如何获得你的大脑要经过相同的步骤。左/右手和脚的照片，可以想见，然后想象移动自己的手和脚，以的立场，那么，其实感人。 3 D模型的R / L的手和脚也可以设想，或使用娃娃，填充动物，等博士莫斯里提出的可能性，想象手职位播放音乐时，任何活动可以尝试，如缝纫，烹饪。

2. I asked Dr. Moseley his thoughts about what is being accessed in the brain in his 3-part sequence of graded motor movements - versus - what is being accessed in mirror image work (we’ll learn more about this in future posts).  The first 2 steps of the graded motor movements seem to be “preparatory” for the actual movement.  Mirror image work seems to be comparable to the second and last step in graded motor movement, ie somewhere between imagining movement and the actual movement.  Both seem to access a “movement’s ok” network.  Any thoughts? 2 。 我问博士莫斯里他的思想是什么，在被访问的大脑在他的三部分序列的梯度汽车运动-银两-什么是被访问的在镜像工作（我们将了解更多关于此，在未来的职位） 。第一，二步骤的梯度汽车运动似乎是“筹备”的实际运动。镜象的工作似乎比较第二和最后一步，在梯度汽车运动，即之间的某个想象运动和实际运动，两者似乎进入一个“运动的确定”网络。任何想法？

Dr. Moseley : Yeah, I have many thoughts on this - primarily because I’ve only ever gotten really good results with the mirror in acute patients, and those findings are clouded by the possibility of spontaneous recovery.  My clinical experience was that mirror therapy seldom yielded better than transient results.  A published trial by McCabe et al suggests it doesn’t help patients with chronic CRPS.  I actually think we need some tight rct’s (”randomised controlled trials” -HTCWP) to know whether mirror therapy alone really works. 博士莫斯里 ：是啊，我有很多的思考这一点-主要是因为我只是以往任何时候都得到了真正好的结果与一面镜子，在急性患者，这些调查结果是阴云笼罩的可能性自然恢复，我的临床经验是一面镜子疗法很少取得了优于瞬态的结果。公布审判麦凯等人表明，它不利于治疗慢性crps 。其实，我认为我们需要一些紧迫的RCT的（ “随机对照试验” - htcwp ）知道是否镜治疗单真的工程。

There are several theories about why mirror therapy might work, but none of them, in my view, have been substantiated, despite the popularity of the technique.  Your call that it seems to be accessing the “movement is ok” network is as good as any, and it’s probably the most intuitively sensible at the moment.有几种理论，为什么镜子疗法可能的工作，但没有他们，在我看来，已被证明属实，尽管受欢迎的技术。您的通话，这似乎是进入“运动是确定的”网络一样好任何和它的大概是最直观的明智收于11.942美元。

I agree that the first 2 stages seem to be preparatory, but they seem to be important too.  You probably read the paper that did them in different orders - that was a bit of a surprise finding actually - it was very clear from the data that patients didn’t respond to mirrors unless they had already done the other 2 steps.我同意第一阶段2似乎是筹备，但他们似乎是太重要，你可能看过文件，没有他们在不同的订单-这是一个有点突然发现，其实-这是很清楚的从数据病人没有回应镜子，除非他们已经做了其他2个步骤。

Thanks to Dr. Moseley, and to all who commented and shared their experience about this treatment.  We’ll await more news about this exciting development. 感谢博士莫斯里，和所有谁评论和分享他们的经验关于此治疗，我们将等待更多的消息，这个令人振奋的发展。

And, for those of you who enjoy subtle humor, this was an automated reply on Dr. Moseley’s email…  “This is an automated reply.  Not completely automated because I had to type this in in the first place.  Manually.  Regardless, you have been sent this manually-assisted reasonably automated-ish reply because I won’t read your email until Tuesday. 和，对于你们谁享有微妙的幽默，这是一个自动回复，对博士莫斯里的电子邮件… … “这是一封自动回复。没有完全自动化的，因为我要的类型，这在摆在首位。手动不论，您已被送往手动辅助合理的自动化-原位杂交答复，因为我不会阅读您的电子邮件，直到周二。 Sorry about that.”  Funny guy, and smart too!  -HTCWP 对此深感抱歉。 “有趣的家伙，太聪明！ htcwp

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