Ríos-Lago M, Paúl-Laprediza N, Muñoz-Céspedes J M, Maestú F, Alvarez-Linera J, Ortiz T
Unidad de Daño Cerebral, Hospital Beata María Ana, Madrid, España.
Rev Neurol. 2004;38(4):366-73.
We review the main aspects of functional recovery after brain injury as well as neuroimaging characteristics that make it relevant and useful to assess these changes. We also review some issues regarding recovery of motor and sensory functions, language and visuo spatial processes, and we discuss the methods used in this field, the difficulties found, and future implications.
One of the main aspects in the study of the brain is the capacity to reorganize different functions in order to compensate for the deficits after a lesion in the central nervous system. The study of these adaptive processes is important in a clinical field as well as for basic research, as it is a clear example of brain plasticity. All the findings show how the study of the plastic phenomena or functional reorganization will allow us to better know how the brain works after a lesion.
The use and combination of the new functional neuroimaging techniques gives the opportunity to register the reorganization of the brain with a high temporal and spatial resolution. It will give also an objective measure to assess the effectiveness of the rehabilitation programs. It will allow to identify different variables related to rehabilitation outcome and will guide effectively the selection of different rehabilitation approaches.
我们回顾脑损伤后功能恢复的主要方面以及神经影像学特征,这些特征使得评估这些变化具有相关性和实用性。我们还回顾了一些关于运动和感觉功能、语言以及视觉空间过程恢复的问题,并讨论了该领域所使用的方法、发现的困难以及未来的意义。
大脑研究的主要方面之一是重新组织不同功能以补偿中枢神经系统损伤后缺陷的能力。对这些适应性过程的研究在临床领域以及基础研究中都很重要,因为这是大脑可塑性的一个明显例子。所有研究结果都表明,对可塑性现象或功能重组的研究将使我们更好地了解脑损伤后大脑的工作方式。
新的功能神经影像学技术的使用和结合为以高时空分辨率记录大脑重组提供了机会。它还将提供一种客观的测量方法来评估康复计划的有效性。它将有助于识别与康复结果相关的不同变量,并将有效地指导不同康复方法的选择。