Bernhardt Julie, Borschmann Karen, Boyd Lara, Carmichael S Thomas, Corbett Dale, Cramer Steven C, Hoffmann Tammy, Kwakkel Gert, Savitz Sean, Saposnik Gustavo, Walker Marion, Ward Nick
1 NHMRC Centre for Research Excellence in Stroke Rehabilitation and Recovery, Victoria, Australia.
2 The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Australia.
Neurorehabil Neural Repair. 2017 Aug;31(8):694-698. doi: 10.1177/1545968317724290.
Stroke recovery is the next frontier in stroke medicine. While growth in rehabilitation and recovery research is exponential, a number of barriers hamper our ability to rapidly progress the field. Standardized terminology is absent in both animal and human research, methods are poorly described, recovery biomarkers are not well defined, and we lack consistent timeframes or measures to examine outcomes. Agreed methods and conventions for developing, monitoring, evaluating and reporting interventions directed at improving recovery are lacking, and current approaches are often not underpinned by biology. We urgently need to better understand the biology of recovery and its time course in both animals and humans to translate evidence from basic science into clinical trials. A new international partnership of stroke recovery and rehabilitation experts has committed to advancing the research agenda. In May 2016, the first Stroke Recovery and Rehabilitation Roundtable will be held, with the aim of achieving an agreed approach to the development, conduct and reporting of research. A range of methods will be used to achieve consensus in four priority areas: pre-clinical recovery research; biomarkers of recovery; intervention development, monitoring and reporting; and measurement in clinical trials. We hope to foster a global network of researchers committed to advancing this exciting field. Recovery from stroke is challenging for many survivors. They deserve effective treatments underpinned by our evolving understanding of brain recovery and human behaviour. Working together, we can develop game-changing interventions to improve recovery and quality of life in those living with stroke.
中风康复是中风医学的下一个前沿领域。尽管康复与恢复研究呈指数级增长,但仍有一些障碍阻碍着我们在该领域迅速取得进展。动物研究和人体研究都缺乏标准化术语,方法描述欠佳,恢复生物标志物定义不明确,而且我们缺乏一致的时间框架或指标来评估结果。缺乏针对改善恢复情况的干预措施的开发、监测、评估和报告的公认方法与规范,当前方法往往缺乏生物学依据。我们迫切需要更好地了解动物和人类恢复的生物学机制及其时间进程,以便将基础科学证据转化为临床试验。一个由中风康复与恢复专家组成的新的国际合作组织致力于推进研究议程。2016年5月,将举行首届中风康复与恢复圆桌会议,目的是就研究的开发、实施和报告达成一致方法。将采用一系列方法在四个优先领域达成共识:临床前恢复研究;恢复生物标志物;干预措施的开发、监测和报告;以及临床试验中的测量。我们希望建立一个致力于推进这一令人兴奋领域的全球研究人员网络。对许多中风幸存者来说,从中风恢复过来具有挑战性。他们理应得到基于我们对大脑恢复和人类行为不断深入理解的有效治疗。通过共同努力,我们能够开发出改变游戏规则的干预措施,以改善中风患者的恢复情况和生活质量。