Rush University Medical Center, Chicago, IL 60612, USA.
Am J Ther. 2011 Jan;18(1):70-80. doi: 10.1097/MJT.0b013e3181e0f1a4.
Stroke represents a major cause of death and disability. In just the last two decades, science has begun to appreciate the central nervous system's attempts to repair itself through a process termed neuroplasticity. The remodeling is a dynamic process subject to endogenous and exogenous forces. Rehabilitation has started to implement approaches based on objective measures such as diffusion tensor imaging and functional magnetic resonance. Newer modalities such as constraint-induced movement therapy and robotic interventions are being used for both short- and long-term functional gains. This review describes the various studies on neuroplasticity and the variety of interventions now available.
中风是主要的死亡和致残原因之一。就在过去的二十年里,科学开始认识到中枢神经系统通过一种称为神经可塑性的过程来试图自我修复。这种重塑是一个动态的过程,受到内源性和外源性因素的影响。康复治疗已经开始采用基于客观测量的方法,如弥散张量成像和功能磁共振成像。新的方法,如强制性运动疗法和机器人干预,都被用于短期和长期的功能增益。这篇综述描述了神经可塑性的各种研究和现在可用的各种干预措施。