
What if simply watching someone move could help you regain the ability to walk or use your hands again? It might sound like science fiction, but researchers stumbled upon this strange and powerful healing mechanism thanks to a monkey, a neuroscientist, and a melting ice cream cone. What they discovered was a secret network inside your brain—mirror neurons—that not only helps you understand others but might just hold the key to repairing damage caused by strokes and Parkinson’s disease. And now, this once-accidental discovery is reshaping recovery therapies in unexpected ways.
Key Takeaways
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Mirror Neurons Mimic for Healing: Mirror neurons activate both when we perform an action and when we watch someone else perform it—this property is now being harnessed in therapies for Parkinson’s and stroke patients.
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Action Observation Therapy (AOT) Works: Clinical trials and studies show that AOT significantly improves balance, mobility, and strength—63% of Parkinson’s patients in one study reported symptom improvement.
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"Watch and Do" Method Boosts Stroke Recovery: Combining observation with movement (rather than watching alone) activates undamaged brain regions, enhancing motor recovery in stroke patients.
The Accidental Ice Cream Discovery That Could Help Heal Your Brain
If you've ever yawned after watching someone else yawn, felt sadness at another's plight, or smiled seeing others laugh, it's because we are social beings, and that can lead us to empathize with other people's actions and behavior.
But what's happening in the brain to bring this about?
The answer begins with special cells called mirror neurons. Even more exciting, thanks to one accidental “ice cream” discovery, these cells are helping to heal damage from Parkinson’s and stroke.
Scientists first began to understand the healing potential of mirror neurons in 1992, during a brain imaging research study performed on monkeys.
While one of the scientists was eating an ice cream, they noted that a monkey’s brain showed activity in certain cells that were only thought to be active when the monkey brought food to its mouth; yet this brain cell activity occurred even though the monkey was only watching.
Upon further research, humans were found to have similar neurological systems - neurons in various regions of the brain that mirror or respond to the actions, touch, or emotions of other people or animals.
It quickly became clear that mirror neurons play a key role in learning by mimicking the behavior observed in other people or animals. What’s more, these brain cells not only become active when we're watching others,but they also spring into life by our actions and emotions.
This dual role discovery led to the development of a treatment called action observation therapy (AOT) that’s now helping to improve the lives of stroke and Parkinson's patients.
AOT Benefits 63 Percent of Patients
Recently, scientists studied action observation therapy in 28 patients with Parkinson's by using an exercise app called 9zest.
The idea is that by watching the exercises performed on the app, mirror neurons that aren't damaged in the patients’ brains will be activated, priming the brain and body to mimic the movements when the patients come to perform the exercises themselves.
Interestingly, the app was developed by a software engineer with Parkinson’s disease. And it does more than just show exercise videos. The app assesses the status of the patient through questions and performance tests to construct a customized exercise program.
The exercises are selected from a library of videos specifically designed for those with Parkinson’s disease and are calibrated to the patient’s level of function. The app includes prompts, goal setting, graded tasks, and feedback to provide support and encouragement to maintain the program.
After twelve weeks, the scientists concluded that the app improved balance, mobility, lower extremity strength,h and quality of life for the Parkinson’s patients. A whopping 63 percent felt that their Parkinson’s symptoms had improved.
What’s more, most of the participants reported that the exercises were valuable, enjoyable, and that they would recommend the program to others.
Strong Clinical Evidence Supports AOT for Brain-Injured Patients
Sports scientists from Ireland published a review on the effect of action observation therapy. They included 36 studies involving 1,405 patients. Their findings are encouraging for anyone with a Parkinson’s diagnosis. The researchers wrote, "Level 1, representing strong evidence, supports the use of AOT to improve OMs [outcome measures] in Parkinson's disease and stroke. Within Parkinson's disease, AOT therapy has been shown to result in improvements in balance scores, FOG [temporary inability to move the feet], disease-specific health, and motor and nonmotor abilities.
"Similarly, consistently strong level 1 evidence demonstrated the effect of AOT in populations with subacute and chronic stroke in manual dexterity, upper limb function, balance, and walking ability."
For stroke patients in particular, another study’s results suggest taking action observation therapy one step further.
"Watch And Do" is More Effective for Stroke Patients
Dr. Daniel Eaves, a senior lecturer in sport and exercise science at Teesside University, England, says research demonstrates that patients who regularly "watch and do" rather than just watch, regain more movement in their limbs.
Dr. Eaves believes that even though brain cells that control movement may have died, observation can fire up mirror neurons in other parts of the brain that haven't been damaged and thereby improve the movement of hands and arms left weakened by strokes.
"These mirror neurons," explains Dr. Eaves, "transmit a weak version of the electrical signals needed to move the patient’s muscles. And while the signals are usually too weak to trigger the movement, they provide valuable training in performing it.
"As the same cells are involved in both watching and performing the movement, these 'rehearsals' can enhance recovery."
Summary
Mirror neurons—brain cells that fire both when we act and when we observe others—are proving instrumental in the recovery of patients with Parkinson’s and stroke. Their discovery, sparked by an accidental observation during a neuroscience study, has led to the development of action observation therapy (AOT), a technique that involves watching and mimicking movement to stimulate brain recovery. AOT has demonstrated significant success, especially through tools like the 9zest app, which customizes exercises for Parkinson’s patients and has improved mobility and strength in over 60% of users. Research also shows that stroke patients benefit most from a combined “watch and do” approach, suggesting mirror neurons can help retrain the brain even when motor areas are damaged. With strong clinical support, AOT is becoming a vital tool in neurorehabilitation.
Frequently Asked Questions
What are mirror neurons?
Mirror neurons are specialized brain cells that activate both when you perform an action and when you observe someone else doing the same action.
How does action observation therapy (AOT) work?
AOT involves watching targeted movements (often via video), which activate mirror neurons and prime the brain to mimic those actions, aiding recovery.
What conditions can AOT help treat?
AOT has shown strong effectiveness in improving motor function in patients with Parkinson’s disease and those recovering from strokes.
Is watching alone enough for recovery?
While watching helps, combining it with physical action (“watch and do”) is more effective, especially for stroke rehabilitation.
How was this therapy discovered?
The healing potential of mirror neurons was discovered in 1992 when researchers noticed monkey brain activity mimicking human actions during a study—by chance, as one scientist ate ice cream.
- Kilner, J. M., & Lemon, R. N. (2013). What we know currently about mirror neurons. Current biology : CB, 23(23), R1057–R1062.
- Landers M, Ellis T A Mobile App Specifically Designed to Facilitate Exercise in Parkinson's Disease: Single-Cohort Pilot Study on Feasibility, Safety, and Signal of Efficacy JMIR Mhealth Uhealth 2020;8(10):e18985
- Ryan, D., Fullen, B., Rio, E., Segurado, R., Stokes, D., & O’Sullivan, C. (2021). Effect of Action Observation Therapy in the Rehabilitation of Neurologic and Musculoskeletal Conditions: A Systematic Review. Archives of Rehabilitation Research and Clinical Translation, 3(1), 100106.
- Macrae, F. (2021, June 7). Why looking at a spider makes your skin crawl but looking at a bowl of ice cream makes your mouth water... understanding how mirror neurons work is helping doctors treat strokes. Daily Mail.