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中风后的运动恢复策略

Motor recovery strategies after stroke.

作者信息

Stein Joel

机构信息

Spaulding Rehabilitation Hospital, Boston, Massachusetts, USA.

出版信息

Top Stroke Rehabil. 2004 Spring;11(2):12-22. doi: 10.1310/RK4A-6ETG-K8RL-3XA7.

Abstract

Impaired motor function after stroke is a major cause of disability in young stroke survivors. The plasticity of the adult human brain provides opportunities to enhance traditional rehabilitation programs for these individuals. Younger stroke patients appear to have a greater ability to recover from stroke and are likely to benefit substantially from treatments that facilitate plasticity-mediated recovery. The use of new exercise treatments, such as constraint-induced movement therapy, robot-aided rehabilitation, and partial body weight supported treadmill training are being studied intensively and are likely to ultimately be incorporated into standard poststroke rehabilitation. Medications to enhance recovery, growth factors, and stem cells will also be components of rehabilitation for the young stroke survivor in the foreseeable future.

摘要

中风后运动功能受损是年轻中风幸存者致残的主要原因。成人大脑的可塑性为增强针对这些个体的传统康复计划提供了机会。较年轻的中风患者似乎有更强的中风恢复能力,并且很可能从促进可塑性介导恢复的治疗中大幅受益。新型运动疗法,如强制性运动疗法、机器人辅助康复和部分体重支持的跑步机训练,正在深入研究中,最终可能会被纳入标准的中风后康复治疗。在可预见的未来,促进恢复的药物、生长因子和干细胞也将成为年轻中风幸存者康复治疗的组成部分。

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