Dombovy Mary L
Unity Health System, St. Mary's Campus, 89 Genesee Street, Rochester, NY 14611, USA.
Curr Neurol Neurosci Rep. 2009 Jan;9(1):41-5. doi: 10.1007/s11910-009-0007-8.
Stroke is the leading cause of disability in the United States. The magnitude of its economic impact is growing due to improved survival and the aging of the population. Acute interventions for stroke have had little effect on cost. Functional neuroimaging and transcutaneous magnetic stimulation have enhanced our understanding of how the brain reorganizes during recovery and in response to rehabilitation. Cell transplantation combined with growth factors holds promise for the future. Restorative approaches involving repetitive practice are emerging as effective techniques in improving post-stroke function. Clinical adoption remains slow due to time and funding constraints. Health policy changes are needed that focus funding and research efforts on stroke recovery.
中风是美国致残的主要原因。由于生存率提高和人口老龄化，其经济影响的规模正在扩大。中风的急性干预措施对成本几乎没有影响。功能神经影像学和经颅磁刺激增强了我们对大脑在恢复过程中以及对康复反应时如何重新组织的理解。细胞移植与生长因子相结合为未来带来了希望。涉及重复练习的恢复性方法正在成为改善中风后功能的有效技术。由于时间和资金限制，临床应用仍然缓慢。需要进行卫生政策变革，将资金和研究工作集中在中风恢复方面。
