中国神经再生研究(英文版) ›› 2012, Vol. 7 ›› Issue (31): 2457-2464.

• 综述:脑损伤修复保护与再生 • 上一篇    下一篇

缺血性脑卒中患者平板训练后步态:功能MRI观察

  

  • 收稿日期:2012-07-10 修回日期:2012-10-15 出版日期:2012-11-05 发布日期:2012-11-05

Gait improvement after treadmill training in ischemic stroke survivors A critical review of functional MRI studies

Xiang Xiao1, Dongfeng Huang1, Bryan O’Young2   

  1. 1 Department of Rehabilitation Medicine, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080,Guangdong Province, China
    2 New York University School of Medicine, Rusk Institute of Rehabilitation Medicine/NYU Langone Medical Center, New York 10011, NY,USA
  • Received:2012-07-10 Revised:2012-10-15 Online:2012-11-05 Published:2012-11-05
  • Contact: Dongfeng Huang, M.D.,Professor, Department of Rehabilitation Medicine, First Affiliated Hospital of Sun Yat-Sen University,Guangzhou 510080,Guangdong Province, China huangdf_sysu@163.com
  • About author:Xiang Xiao☆, M.D.,Attending physician,Department of Rehabilitation Medicine, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, China

Abstract:

Stroke survivors often present with abnormal gait, movement training can improve the walking performance post-stroke, and functional MRI can objectively evaluate the brain functions before and after movement training. This paper analyzes the functional MRI changes in patients with ischemic stroke after treadmill training with voluntary and passive ankle dorsiflexion. Functional MRI showed that there are some changes in some regions of patients with ischemic stroke including primary sensorimotor cortex, supplementary motor area and cingulate motor area after treadmill training.These findings suggest that treadmill training likely improves ischemic stroke patients’ lower limb functions and gait performance and promotes stroke recovery by changing patients’ brain plasticity;meanwhile, the novel treadmill training methods can better training effects.

Key words: functional MRI, stroke, treadmill exercise, lower limb function, gait, ankle kinematics, cerebral plasticity, neurodegenerative disease, regeneration, neural regeneration