Department of Psychology, University of Cambridge, CB2 3EB, Cambridge, United Kingdom.
John van Geest Centre for Brain Repair, University of Cambridge, CB2 0PY, Cambridge, United Kingdom.
Neurosci Biobehav Rev. 2018 Sep;92:1-6. doi: 10.1016/j.neubiorev.2018.04.020. Epub 2018 May 14.
Recent years have seen a surge of interest in the incorporation of artificial limbs. This research promises to provide individuals with sensorimotor disorders such as amputations with prostheses which feel like their own body part. While neuroscience made a leap towards uncovering the basic neurocognitive mechanisms of bodily self-consciousness, the development of incorporated prosthetic limbs still faces substantial challenges in basic neuroscience and in clinical reality. Here we critically examine recent findings on prosthesis incorporation to aid patient rehabilitation in the context of advances in cognitive and applied neuroscience as well as technology. To this end, we integrate results from fundamental and clinical neuropsychological research to outline how several crucial milestones will have to be passed to achieve the self-attribution of prostheses to one's own body. We further discuss the implications of these results for clinical treatment and patients' quality of life.
近年来,人们对假肢的融合产生了浓厚的兴趣。这项研究有望为截肢等感觉运动障碍患者提供感觉如同自身身体一部分的假肢。尽管神经科学在揭示身体自我意识的基本神经认知机制方面取得了飞跃,但在基础神经科学和临床现实中,假肢的融合仍然面临着重大挑战。在这里,我们批判性地检查了最近关于假肢融合的发现,以在认知和应用神经科学以及技术进步的背景下帮助患者康复。为此,我们整合了基础和临床神经心理学研究的结果,概述了为实现将假肢归属于自身身体,必须要通过的几个关键里程碑。我们进一步讨论了这些结果对临床治疗和患者生活质量的影响。