Pazzaglia Mariella, Galli Giulia
Department of Psychology, University of Rome "La Sapienza", Rome, Italy.
IRCCS Fondazione Santa Lucia, Rome, Italy.
Front Neurol. 2019 Apr 3;10:309. doi: 10.3389/fneur.2019.00309. eCollection 2019.
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.
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。