Popović Dejan B, Sinkaer Thomas, Popović Mirjana B
Department of Health Science and Technology, Aalborg University, Denmark Faculty of Electrical Engineering, University of Belgrade, Serbia.
NeuroRehabilitation. 2009;25(1):45-58. doi: 10.3233/NRE-2009-0498.
This review presents technologies used in and assesses the main clinical outcomes of electrical therapies designed to speed up and increase functional recovery in stroke patients. The review describes methods which interface peripheral systems (e.g., cyclic neural stimulation, stimulation triggered by electrical activity of muscles, therapeutic functional electrical stimulation) and transcranial brain stimulation with surface and implantable electrodes. Our conclusion from reviewing these data is that integration of electrical therapy into exercise-active movement mediated by electrical activation of peripheral and central sensory-motor mechanisms enhances motor re-learning following damage to the central nervous system. Motor re-learning is considered here as a set of processes associated with practice or experience that leads to long-term changes in the capability for movement. An important suggestion is that therapeutic effects are likely to be much more effective when treatment is applied in the acute, rather than in the chronic, phase of stroke.
本综述介绍了用于加速和增加中风患者功能恢复的电疗法所使用的技术，并评估了其主要临床结果。该综述描述了将外周系统（例如，循环神经刺激、由肌肉电活动触发的刺激、治疗性功能性电刺激）与使用表面和植入式电极的经颅脑刺激相连接的方法。我们通过审查这些数据得出的结论是，将电疗法整合到由外周和中枢感觉运动机制的电激活介导的运动活跃运动中，可增强中枢神经系统受损后的运动重新学习。这里的运动重新学习被视为一组与练习或经验相关的过程，这些过程会导致运动能力的长期变化。一个重要的建议是，在中风的急性期而非慢性期进行治疗时，治疗效果可能会更有效。
