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失用症神经康复的动作观察

Action Observation for Neurorehabilitation in Apraxia.

作者信息

Pazzaglia Mariella, Galli Giulia

机构信息

Department of Psychology, University of Rome "La Sapienza", Rome, Italy.

IRCCS Fondazione Santa Lucia, Rome, Italy.

出版信息

Front Neurol. 2019 Apr 3;10:309. doi: 10.3389/fneur.2019.00309. eCollection 2019.

Abstract

Neurorehabilitation and brain stimulation studies of post-stroke patients suggest that action-observation effects can lead to rapid improvements in the recovery of motor functions and long-term motor cortical reorganization. Apraxia is a clinically important disorder characterized by marked impairment in representing and performing skillful movements [gestures], which limits many daily activities and impedes independent functioning. Recent clinical research has revealed errors of visuo-motor integration in patients with apraxia. This paper presents a rehabilitative perspective focusing on the possibility of action observation as a therapeutic treatment for patients with apraxia. This perspective also outlines impacts on neurorehabilitation and brain repair following the reinforcement of the perceptual-motor coupling. To date, interventions based primarily on action observation in apraxia have not been undertaken.

摘要

对中风后患者的神经康复和脑刺激研究表明,动作观察效应可促使运动功能恢复迅速改善,并导致长期的运动皮质重组。失用症是一种临床上重要的病症,其特征是在表现和执行熟练动作[手势]方面存在明显障碍,这限制了许多日常活动并妨碍独立功能。最近的临床研究揭示了失用症患者存在视觉运动整合错误。本文提出了一种康复观点,重点关注动作观察作为失用症患者治疗方法的可能性。该观点还概述了强化感知运动耦合后对神经康复和脑修复的影响。迄今为止,尚未开展主要基于动作观察的失用症干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/672f/6456663/dae0b129a624/fneur-10-00309-g0001.jpg

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