Huang He, Wolf Steven L, He Jiping
Center for Neural Interface Design in The Biodesign Institute, and Harrington Department of Bioengineering, Arizona State University, Tempe, Arizona 85287, USA.
J Neuroeng Rehabil. 2006 Jun 21;3:11. doi: 10.1186/1743-0003-3-11.
The original use of biofeedback to train single muscle activity in static positions or movement unrelated to function did not correlate well to motor function improvements in patients with central nervous system injuries. The concept of task-oriented repetitive training suggests that biofeedback therapy should be delivered during functionally related dynamic movement to optimize motor function improvement. Current, advanced technologies facilitate the design of novel biofeedback systems that possess diverse parameters, advanced cue display, and sophisticated control systems for use in task-oriented biofeedback. In light of these advancements, this article: (1) reviews early biofeedback studies and their conclusions; (2) presents recent developments in biofeedback technologies and their applications to task-oriented biofeedback interventions; and (3) discusses considerations regarding the therapeutic system design and the clinical application of task-oriented biofeedback therapy. This review should provide a framework to further broaden the application of task-oriented biofeedback therapy in neuromotor rehabilitation.
最初,生物反馈用于训练静态姿势下的单一肌肉活动或与功能无关的运动,这与中枢神经系统损伤患者运动功能的改善并没有很好的相关性。任务导向性重复训练的概念表明,生物反馈疗法应在与功能相关的动态运动过程中进行,以优化运动功能的改善。当前的先进技术有助于设计新型生物反馈系统,这些系统具有多样的参数、先进的提示显示和复杂的控制系统,可用于任务导向性生物反馈。鉴于这些进展,本文:(1)回顾早期生物反馈研究及其结论;(2)介绍生物反馈技术的最新发展及其在任务导向性生物反馈干预中的应用;(3)讨论关于治疗系统设计和任务导向性生物反馈疗法临床应用的注意事项。本综述应提供一个框架,以进一步拓宽任务导向性生物反馈疗法在神经运动康复中的应用。