Ramachandran V S, Altschuler Eric L
Center for Brain and Cognition, University of California, San Diego, 9500 Gilman Drive, 0109, La Jolla, California 92093-0109, USA.
Brain. 2009 Jul;132(Pt 7):1693-710. doi: 10.1093/brain/awp135. Epub 2009 Jun 8.
This article reviews the potential use of visual feedback, focusing on mirror visual feedback, introduced over 15 years ago, for the treatment of many chronic neurological disorders that have long been regarded as intractable such as phantom pain, hemiparesis from stroke and complex regional pain syndrome. Apart from its clinical importance, mirror visual feedback paves the way for a paradigm shift in the way we approach neurological disorders. Instead of resulting entirely from irreversible damage to specialized brain modules, some of them may arise from short-term functional shifts that are potentially reversible. If so, relatively simple therapies can be devised--of which mirror visual feedback is an example--to restore function.
本文回顾了视觉反馈的潜在用途,重点介绍了15年前引入的镜像视觉反馈,它可用于治疗许多长期以来被认为难以治疗的慢性神经疾病,如幻肢痛、中风后偏瘫和复杂性区域疼痛综合征。除了其临床重要性外,镜像视觉反馈还为我们处理神经疾病的方式带来了范式转变。其中一些疾病可能并非完全由特定脑模块的不可逆损伤导致,而是可能源于潜在可逆的短期功能变化。如果是这样,就可以设计出相对简单的治疗方法——镜像视觉反馈就是其中一个例子——来恢复功能。