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运动学习在神经康复中的应用:医疗保健专业人员的框架。

Application of motor learning in neurorehabilitation: a framework for health-care professionals.

机构信息

Research Centre for Nutrition, Lifestyle and Exercise, Faculty of Health, Zuyd University of Applied Sciences, Heerlen, Netherlands.

CAPHRI, Care and Public Health Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands.

出版信息

Physiother Theory Pract. 2020 Jan;36(1):1-20. doi: 10.1080/09593985.2018.1483987. Epub 2018 Jun 19.

DOI:10.1080/09593985.2018.1483987
PMID:29920128
Abstract

Learning motor skills is an essential part of most rehabilitation processes. Facilitating and supporting motor learning is particularly challenging in neurological rehabilitation: patients who suffer from neurological diseases experience both physical limitations and difficulties of cognition and communication that affect and/or complicate the motor learning process. Therapists (e.g. physiotherapists and occupational therapists) who work in neurorehabilitation are therefore continuously searching for the best way to facilitate patients during these intensive learning processes. To support therapists in the application of motor learning, a framework was developed, integrating knowledge from the literature and the opinions and experiences of international experts. This article presents the framework, illustrated by cases from daily practice. The framework may assist therapists working in neurorehabilitation in making choices, implementing motor learning in routine practice, and supporting communication of knowledge and experiences about motor learning with colleagues and students. The article discusses the framework and offers suggestions and conditions given for its use in daily practice.

摘要

学习运动技能是大多数康复过程的重要组成部分。在神经康复中,促进和支持运动学习尤其具有挑战性:患有神经疾病的患者既受到身体限制的影响,又面临认知和沟通方面的困难,这些困难会影响和/或使运动学习过程复杂化。因此,从事神经康复的治疗师(例如物理治疗师和职业治疗师)一直在寻找在这些强化学习过程中为患者提供最佳帮助的方法。为了支持治疗师在运动学习中的应用,开发了一个框架,该框架整合了文献知识以及国际专家的意见和经验。本文通过日常实践中的案例介绍了该框架。该框架可以帮助从事神经康复的治疗师做出选择,在常规实践中实施运动学习,并支持与同事和学生交流运动学习方面的知识和经验。本文讨论了该框架,并提供了在日常实践中使用该框架的建议和条件。

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