Chen Xiaowei, Liu Fuqian, Yan Zhaohong, Cheng Shihuan, Liu Xunchan, Li He, Li Zhenlan
Department of Physical Medicine and Rehabilitation, The First Hospital of Jilin University, Changchun, Jilin, China.
Medicine (Baltimore). 2018 Nov;97(48):e13387. doi: 10.1097/MD.0000000000013387.
Motor dysfunction is a common and severe complication of stroke that affects the quality of life of these patients. Currently, motor function rehabilitation predominantly focuses on active movement training; nevertheless, the role of sensory input is usually overlooked. Sensory input is very important to motor function. Voluntary functional movement necessitates preparation, execution, and monitoring functions of the central nervous system, while the monitoring needs the participation of the sensory system. Sensory signals affect motor functions by inputting external environment information and intrinsic physiological status as well as by guiding initiation of the motor system. Recent studies focusing on sensory input-based rehabilitation training for post-stroke dyskinesia have demonstrated that sensory function has significant effects on voluntary functional movements. In conclusion, sensory input plays a crucial role in motor function rehabilitation, and the combined sensorimotor training modality is more effective than conventional motor-oriented approaches.
运动功能障碍是中风常见且严重的并发症，会影响这些患者的生活质量。目前，运动功能康复主要侧重于主动运动训练；然而，感觉输入的作用通常被忽视。感觉输入对运动功能非常重要。自主功能性运动需要中枢神经系统的准备、执行和监测功能，而监测需要感觉系统的参与。感觉信号通过输入外部环境信息和内在生理状态以及引导运动系统的启动来影响运动功能。最近针对中风后运动障碍进行的基于感觉输入的康复训练研究表明，感觉功能对自主功能性运动有显著影响。总之，感觉输入在运动功能康复中起着关键作用，感觉运动联合训练模式比传统的以运动为导向的方法更有效。
