Liepert J, Breitenstein C
Abteilung für Neurorehabilitation, Kliniken Schmieder, 78476, Allensbach, Deutschland.
Abteilung für Neurologie, Klinik für Allgemeine Neurologie mit Institut für Translationale Neurologie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, Geb. A1, 48149, Münster, Deutschland.
Nervenarzt. 2016 Dec;87(12):1339-1352. doi: 10.1007/s00115-016-0239-1.
Advancements in medical care over the last decades have contributed to a continuous decline in immediate post-stroke mortality. The flipside of this development is that patients surviving the initial stroke are forced to live with sometimes extreme functional motor and/or language limitations for the remaining life span. The following overview presents evidence-based neurorehabilitative interventions to promote motor and language recovery in the acute and chronic post-stroke stages. Therapeutic approaches comprise intensive training, neuropharmacological drugs and non-invasive brain stimulation techniques, such as transcranial magnetic stimulation (TMS) or direct current stimulation (tDCS). Additionally, an outlook on promising future interventions for stroke neurorehabilitation is provided.
在过去几十年中,医疗护理的进步使得中风后即刻死亡率持续下降。这种发展的另一面是,中风急性期存活下来的患者在余生中不得不忍受有时极其严重的功能性运动和/或语言障碍。以下概述介绍了基于证据的神经康复干预措施,以促进中风后急性期和慢性期的运动和语言恢复。治疗方法包括强化训练、神经药理学药物以及非侵入性脑刺激技术,如经颅磁刺激(TMS)或直流电刺激(tDCS)。此外,还展望了中风神经康复未来有前景的干预措施。