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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.

DOI:10.14336/AD.2016.1012
PMID:28580191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5440115/
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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Motor Imagery-Based Rehabilitation: Potential Neural Correlates and Clinical Application for Functional Recovery of Motor Deficits after Stroke.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
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本文引用的文献

1
Conditional Granger Causality Analysis of Effective Connectivity during Motor Imagery and Motor Execution in Stroke Patients.中风患者运动想象和运动执行过程中有效连接性的条件格兰杰因果关系分析
Biomed Res Int. 2016;2016:3870863. doi: 10.1155/2016/3870863. Epub 2016 Apr 20.
2
Motor Imagery Training on Muscle Strength and Gait Performance in Ambulant Stroke Subjects-A Randomized Clinical Trial.步行中风患者肌肉力量和步态表现的运动想象训练——一项随机临床试验
J Clin Diagn Res. 2016 Mar;10(3):YC01-4. doi: 10.7860/JCDR/2016/16254.7358. Epub 2016 Mar 1.
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Improving motor imagery practice with synchronous action observation in stroke patients.在中风患者中通过同步动作观察改善运动想象训练
Top Stroke Rehabil. 2016 Aug;23(4):245-53. doi: 10.1080/10749357.2016.1141472. Epub 2016 Feb 17.
4
The role of the cerebellum in motor imagery.小脑在运动想象中的作用。
Neurosci Lett. 2016 Mar 23;617:156-9. doi: 10.1016/j.neulet.2016.01.045. Epub 2016 Feb 11.
5
Damage to Fronto-Parietal Networks Impairs Motor Imagery Ability after Stroke: A Voxel-Based Lesion Symptom Mapping Study.额顶叶网络损伤会损害中风后的运动想象能力:一项基于体素的病变症状映射研究。
Front Behav Neurosci. 2016 Feb 1;10:5. doi: 10.3389/fnbeh.2016.00005. eCollection 2016.
6
Relationship between functional connectivity and motor function assessment in stroke patients with hemiplegia: a resting-state functional MRI study.偏瘫中风患者功能连接与运动功能评估之间的关系:一项静息态功能磁共振成像研究。
Neuroradiology. 2016 May;58(5):503-11. doi: 10.1007/s00234-016-1646-5. Epub 2016 Feb 3.
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Heart Disease and Stroke Statistics-2016 Update: A Report From the American Heart Association.《2016年心脏病和中风统计数据更新:美国心脏协会报告》
Circulation. 2016 Jan 26;133(4):e38-360. doi: 10.1161/CIR.0000000000000350. Epub 2015 Dec 16.
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An efficacy study on improving balance and gait in subacute stroke patients by balance training with additional motor imagery: a pilot study.一项关于通过平衡训练加运动想象改善亚急性中风患者平衡和步态的疗效研究:一项初步研究。
J Phys Ther Sci. 2015 Oct;27(10):3245-8. doi: 10.1589/jpts.27.3245. Epub 2015 Oct 30.
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Organizing motor imageries.组织运动想象
Neurosci Res. 2016 Mar;104:56-63. doi: 10.1016/j.neures.2015.11.003. Epub 2015 Nov 19.
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Motor imagery-based skill acquisition disrupted following rTMS of the inferior parietal lobule.基于运动想象的技能习得在顶下小叶经颅磁刺激后受到干扰。
Exp Brain Res. 2016 Feb;234(2):397-407. doi: 10.1007/s00221-015-4472-9.