Hylin Michael J, Kerr Abigail L, Holden Ryan
Neurotrauma and Rehabilitation Laboratory, Department of Psychology, Southern Illinois University, Carbondale, IL, USA.
Department of Psychology, Illinois Wesleyan University, Bloomington, IL, USA.
Neural Plast. 2017;2017:7125057. doi: 10.1155/2017/7125057. Epub 2017 Apr 20.
Injury due to stroke and traumatic brain injury result in significant long-term effects upon behavioral functioning. One central question to rehabilitation research is whether the nature of behavioral improvement observed is due to recovery or the development of compensatory mechanisms. The nature of functional improvement can be viewed from the perspective of behavioral changes or changes in neuroanatomical plasticity that follows. Research suggests that these changes correspond to each other in a bidirectional manner. Mechanisms surrounding phenomena like neural plasticity may offer an opportunity to explain how variables such as experience can impact improvement and influence the definition of recovery. What is more, the intensity of the rehabilitative experiences may influence the ability to recover function and support functional improvement of behavior. All of this impacts how researchers, clinicians, and medical professionals utilize rehabilitation.
中风和创伤性脑损伤所致的损伤会对行为功能产生重大的长期影响。康复研究的一个核心问题是,观察到的行为改善的本质是由于恢复还是代偿机制的发展。功能改善的本质可以从行为变化或随之而来的神经解剖可塑性变化的角度来看待。研究表明,这些变化以双向方式相互对应。围绕神经可塑性等现象的机制可能为解释诸如经验等变量如何影响改善以及影响恢复的定义提供机会。此外,康复体验的强度可能会影响恢复功能的能力,并支持行为的功能改善。所有这些都会影响研究人员、临床医生和医学专业人员如何利用康复治疗。