Meinzer Marcus, Elbert Thomas, Djundja Daniela, Taub Edward, Rockstroh Brigitte
Department of Psychology, University of Konstanz, Germany.
NeuroRehabilitation. 2007;22(4):311-8.
Constraint-Induced Movement Therapy (CIMT) is a powerful and well evaluated therapeutic tool for the treatment of post-stroke paresis. CIMT is based on an intensive training (massed practice) principle and a gradual rebuilding of movement functions (shaping principle). In this article we will review how CIMT principles can be adapted to treat post-stroke aphasia, thereby establishing a Constraint-Induced Aphasia Therapy (CIAT). First results of this new approach suggest success and feasibility for the treatment of chronic aphasia. The observation of reorganizational changes in brain activity following intensive language training add to previous evidence that CIMT-based therapy may lead to macroscopic remodelling of cortical network architecture.
强制性运动疗法（CIMT）是一种用于治疗中风后偏瘫的有效且经过充分评估的治疗工具。CIMT基于强化训练（集中练习）原则和运动功能的逐步重建（塑形原则）。在本文中，我们将探讨如何调整CIMT原则以治疗中风后失语症，从而建立一种强制性失语症疗法（CIAT）。这种新方法的初步结果表明其对慢性失语症治疗的有效性和可行性。强化语言训练后大脑活动重组变化的观察结果进一步证明了基于CIMT的疗法可能导致皮质网络结构的宏观重塑。
