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超声化和节律性听觉提示对改善神经毒性癌症治疗引起的步态相关缺陷的作用:听觉神经假体的视角

Role of Sonification and Rhythmic Auditory Cueing for Enhancing Gait Associated Deficits Induced by Neurotoxic Cancer Therapies: A Perspective on Auditory Neuroprosthetics.

作者信息

Ghai Shashank, Ghai Ishan

机构信息

Institute of Sports Science, Leibniz University Hannover, Hanover, Germany.

Consultation Division, Program Management Discovery Sciences, RSGBIOGEN, New Delhi, India.

出版信息

Front Neurol. 2019 Jan 29;10:21. doi: 10.3389/fneur.2019.00021. eCollection 2019.

DOI:10.3389/fneur.2019.00021
PMID:30761065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6361827/
Abstract

Patients undergoing chemotherapy, radiotherapy, and immunotherapy experience neurotoxic changes in the central and peripheral nervous system. These neurotoxic changes adversely affect functioning in the sensory, motor, and cognitive domains. Thereby, considerably affecting autonomic activities like gait and posture. Recent evidence from a range of systematic reviews and meta-analyses have suggested the beneficial influence of music-based external auditory stimulations i.e., rhythmic auditory cueing and real-time auditory feedback (sonification) on gait and postural stability in population groups will balance disorders. This perspective explores the conjunct implications of auditory stimulations during cancer treatment to simultaneously reduce gait and posture related deficits. Underlying neurophysiological mechanisms by which auditory stimulations might influence motor performance have been discussed. Prompt recognition of this sensorimotor training strategy in future studies can have a widespread impact on patient care in all areas of oncology.

摘要

接受化疗、放疗和免疫治疗的患者会经历中枢和外周神经系统的神经毒性变化。这些神经毒性变化会对感觉、运动和认知领域的功能产生不利影响。从而,对诸如步态和姿势等自主活动产生相当大的影响。一系列系统评价和荟萃分析的最新证据表明,基于音乐的外部听觉刺激,即节奏听觉提示和实时听觉反馈(可听化),对存在平衡障碍的人群的步态和姿势稳定性具有有益影响。本文探讨了癌症治疗期间听觉刺激的联合作用,以同时减少与步态和姿势相关的缺陷。文中还讨论了听觉刺激可能影响运动表现的潜在神经生理机制。在未来的研究中迅速认识到这种感觉运动训练策略,可能会对肿瘤学所有领域的患者护理产生广泛影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a586/6361827/9a65030a8207/fneur-10-00021-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a586/6361827/9a65030a8207/fneur-10-00021-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a586/6361827/9a65030a8207/fneur-10-00021-g0001.jpg

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Physical therapy interventions, other than general physical exercise interventions, in children and adolescents before, during and following treatment for cancer.癌症治疗前、治疗中和治疗后儿童和青少年的除一般性身体运动干预以外的物理治疗干预措施。
Cochrane Database Syst Rev. 2021 Aug 3;8(8):CD012924. doi: 10.1002/14651858.CD012924.pub2.
2
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Front Neurol. 2019 Mar 26;10:236. doi: 10.3389/fneur.2019.00236. eCollection 2019.
3
Effects of (music-based) rhythmic auditory cueing training on gait and posture post-stroke: A systematic review & dose-response meta-analysis.
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4
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