中国神经再生研究(英文版) ›› 2015, Vol. 10 ›› Issue (8): 1195-1197.doi: 10.4103/1673-5374.162689

• 观点:脑损伤修复保护与再生 • 上一篇    下一篇

脑卒中后神经可塑性训练:运动康复疲劳的理论与实证论据

  

  • 收稿日期:2015-05-29 出版日期:2015-08-24 发布日期:2015-08-24

A case to be made: theoretical and empirical arguments for the need to consider fatigue in post-stroke motor rehabilitation

Annette Sterr, Leonardo Furlan   

  1. School of Psychology, University of Surrey, Guildford, UK (Sterr A, Furlan L)
    Department of Neurology, University of Sao Paulo, Sao Paulo, Brazil (Sterr A)
  • Received:2015-05-29 Online:2015-08-24 Published:2015-08-24
  • Contact: Annette Sterr, Ph.D., a.sterr@surrey.ac.uk.
  • Supported by:

    This work was supported by the MRC, UK (G0200128, awarded to AS) and the CAPES Foundation, Ministry of Education, Brazil (BEX 0996/14-9, awarded to LF).

摘要:

脑卒中后的康复是至关重要的,也是全球脑卒中挑战的重要组成部分。脑卒中后的上肢偏瘫是病人和医生的一大难题。循证实践表明,约束诱导运动疗法(CI疗法)对上肢偏瘫一个非常有效以训练为基础的治疗方法。然而,CI治疗方案需要对剩余运动容量有相对较好的水平,因此并不容易适用于所有类型的脑卒中幸存者。在过去的几年中,这已促使研究人员在原始CI治疗协议(改良CI疗法)上提出新的修改版本,以试图增加脑卒中生还者可受益于这种干预措施的数量。

Abstract:

A case to be made: theoretical and empirical arguments for the need to consider fatigue in post-stroke motor rehabilitation
Rehabilitation after stroke is essential and represents an important part of the global stroke challenge. Upper limb hemiparesis after stroke is a major problem for both patients and clinicians. Evidence-based practice suggests that constraint-induced movement therapy (CI therapy) is a very effective training-based treatment for upper limb hemiparesis. However, the signature CI therapy protocol requires relatively good levels of residual motor capacity, and is hence not easily applicable to the full range of stroke survivors. Prof. Annette Sterr (University of Surrey, UK) considered that for the past few years, this has prompted investigators to deliver modified versions of the original CI therapy protocol (modified CI therapy), in an attempt to increase the number of stroke survivors that could benefit from this intervention.