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运动康复应以运动控制知识为基础。

Motor rehabilitation should be based on knowledge of motor control.

作者信息

Piscitelli Daniele

机构信息

School of Medicine and Surgery, PhD Program in Neuroscience, University of Milan-Bicocca, Milan, Italy.

出版信息

Arch Physiother. 2016 Jun 23;6:5. doi: 10.1186/s40945-016-0019-z. eCollection 2016.

DOI:10.1186/s40945-016-0019-z
PMID:29340187
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5759910/
Abstract

Neurorehabilitation is at a crossroads. Indeed, there is inconclusive, but promising evidence about clinical effectiveness of rehabilitation in the field of neurological impairments. Translating the new theories on motor control into clinical research may help to develop new treatment strategies and guide rehabilitation approaches. The concepts of synergy and the uncontrolled manifold hypothesis provide a strong theoretical framework to explain how the nervous system controls and coordinates movements, ensuring stability during daily actions. Moreover, this approach can increase the understanding of the neural control of action stability with implications for clinical practice and may help the development of new treatment strategies.

摘要

神经康复正处于十字路口。的确,关于神经功能障碍领域康复的临床有效性,有一些尚无定论但颇具前景的证据。将运动控制的新理论转化为临床研究,可能有助于开发新的治疗策略并指导康复方法。协同作用和非受控流形假说的概念提供了一个强大的理论框架,用以解释神经系统如何控制和协调运动,确保日常活动中的稳定性。此外,这种方法可以增进对动作稳定性神经控制的理解,对临床实践具有启示意义,并可能有助于新治疗策略的开发。

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本文引用的文献

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JAMA. 2016 Feb 9;315(6):571-81. doi: 10.1001/jama.2016.0276.
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Effects of unilateral stroke on multi-finger synergies and their feed-forward adjustments.单侧中风对多指协同作用及其前馈调整的影响。
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Physiotherapy and Occupational Therapy vs No Therapy in Mild to Moderate Parkinson Disease: A Randomized Clinical Trial.轻中度帕金森病中物理疗法和职业疗法与无疗法的比较:一项随机临床试验。
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The bliss (not the problem) of motor abundance (not redundancy).运动过剩的极乐(而不是问题)(而不是冗余)。
Exp Brain Res. 2012 Mar;217(1):1-5. doi: 10.1007/s00221-012-3000-4. Epub 2012 Jan 14.
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Robot-assisted therapy for long-term upper-limb impairment after stroke.机器人辅助治疗脑卒中后长期上肢功能障碍。
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