Institute of Medical Psychology and Behavioral Neurobiology, MEG Center, University of Tuebingen, Tuebingen, Germany.
NeuroRehabilitation. 2013;33(3):377-84. doi: 10.3233/NRE-130967.
Behavioral aspects of motor learning such as definition and assessment of patient-centered goals, specific motivation, training in the patients' environment, autonomous training and generalization of newly learned skills to daily life are not an explicit part of physiotherapy in neurorehabilitation.
Specific goals are defined and applied in a step by step manner. Exercises and application in daily life were trained and anticipated as a "self control cue" for the following week. Motivation was sustained via supervision, feedback after successful trials and reward. Exercises have to occure at a daily basis and have to be implemented in everyday life.
A 54 year old man who suffered cerebral bleeding with left hemiparesis 25 years ago. We report goal attainment, change of symptoms and walking capacities over a period of 18 months.
Back pain and knee pain reduced to zero, rhythmic walking, walking speed increased, left leg less resistance, running possible.
The here described principles of behavioral physiotherapy are crucial for successful outcome in extremely stable and persistent consequences of stroke. Studies with more patients are needed to strengthen our hypothesis.
运动学习的行为方面，例如以患者为中心的目标的定义和评估、特定的动机、在患者环境中的训练、自主训练以及将新习得的技能推广到日常生活中，这些都不是神经康复中物理治疗的明确部分。
明确定义并逐步实现具体目标。将练习和日常生活中的应用作为下周的“自我控制线索”进行训练和预期。通过监督、成功尝试后的反馈和奖励来维持动机。练习必须每天进行，并在日常生活中实施。
一名 54 岁男性，25 年前因脑出血导致左侧偏瘫。我们报告了在 18 个月的时间内目标的实现、症状和步行能力的变化。
背痛和膝盖痛降至零，步态变得有节奏，行走速度加快，左腿阻力减小，能跑步。
这里描述的行为物理治疗原则对于中风后极其稳定和持久的后果的成功结果至关重要。需要更多的患者研究来加强我们的假设。
