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基于运动想象的康复:中风后运动功能障碍功能恢复的潜在神经关联及临床应用

Motor Imagery-Based Rehabilitation: Potential Neural Correlates and Clinical Application for Functional Recovery of Motor Deficits after Stroke.

作者信息

Tong Yanna, Pendy John T, Li William A, Du Huishan, Zhang Tong, Geng Xiaokun, Ding Yuchuan

机构信息

1China-America Institute of Neuroscience, Luhe Hospital, Capital Medical University, Beijing, China.

2Department of Neurology, Luhe Hospital, Capital Medical University, Beijing, China.

出版信息

Aging Dis. 2017 May 2;8(3):364-371. doi: 10.14336/AD.2016.1012. eCollection 2017 May.

Abstract

Motor imagery (MI), defined as the mental implementation of an action in the absence of movement or muscle activation, is a rehabilitation technique that offers a means to replace or restore lost motor function in stroke patients when used in conjunction with conventional physiotherapy procedures. This article briefly reviews the concepts and neural correlates of MI in order to promote improved understanding, as well as to enhance the clinical utility of MI-based rehabilitation regimens. We specifically highlight the role of the cerebellum and basal ganglia, premotor, supplementary motor, and prefrontal areas, primary motor cortex, and parietal cortex. Additionally, we examine the recent literature related to MI and its potential as a therapeutic technique in both upper and lower limb stroke rehabilitation.

摘要

运动想象(MI)被定义为在没有运动或肌肉激活的情况下对动作进行心理模拟,它是一种康复技术,与传统物理治疗程序结合使用时,可为中风患者替代或恢复丧失的运动功能提供一种方法。本文简要回顾了运动想象的概念和神经关联,以促进更好的理解,并提高基于运动想象的康复方案的临床效用。我们特别强调小脑和基底神经节、运动前区、辅助运动区和前额叶区、初级运动皮层以及顶叶皮层的作用。此外,我们研究了最近与运动想象及其在上下肢中风康复中作为治疗技术的潜力相关的文献。

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