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康复在神经可塑性中的作用。

Role of Rehabilitation in Neural Plasticity.

作者信息

Keci Andromeda, Tani Klejda, Xhema Joana

机构信息

University of Medicine, Tirana, Albania.

出版信息

Open Access Maced J Med Sci. 2019 May 14;7(9):1540-1547. doi: 10.3889/oamjms.2019.295. eCollection 2019 May 15.

Abstract

AIM

Verifying if physical therapy, neurostimulation techniques, aerobic fitness and video games can induce neural plasticity making it possible for cortical reorganisation, motor recovery in patients, improvement of cognitive functions and transfer of spatial knowledge in the everyday living environment.

METHODS

There have been revised scientific articles respectively focused on the role of pain, the role of physical therapy, neurostimulation techniques and video games in cortical reorganisation. Articles related to the role of pain have taken in the study subjects with pain, to observe its role in cortical reorganisation. Studies related to physical therapy and neurostimulation techniques after cerebrovascular accident consisted of the involvement of these subjects which exposed to different neurostimulations. Also, related to cognition and video games subjects exposed to these interventions for cognitive benefits.

RESULTS

From all articles reviewed there have been effective results of neurostimulation techniques, aerobic fitness and video games in cortical reorganisation inducing neural plasticity (p < 0.05) toward motor recovery, improvement of executive functions and transfer of spatial knowledge.

CONCLUSION

Rehabilitation through locomotor training and neurostimulation techniques, improves mobility in subjects after a cerebrovascular accident due to cortical reorganisation. Also, through aerobic fitness and video games, there have been improvements in cognitive functions. This way, rehabilitation dedicated to the promotion of well-being and health urges beneficial neuroplastic changes in brain corresponding in functional improvement.

摘要

目的

验证物理治疗、神经刺激技术、有氧健身和电子游戏是否能诱导神经可塑性,从而实现皮层重组、患者运动功能恢复、认知功能改善以及在日常生活环境中空间知识的迁移。

方法

分别查阅了聚焦于疼痛的作用、物理治疗的作用、神经刺激技术和电子游戏在皮层重组中的作用的科学文章。与疼痛作用相关的文章纳入了有疼痛的研究对象,以观察其在皮层重组中的作用。与脑血管意外后物理治疗和神经刺激技术相关的研究包括了接受不同神经刺激的这些受试者的参与情况。此外,与认知和电子游戏相关的研究中,受试者接受这些干预以获得认知益处。

结果

从所有综述的文章来看,神经刺激技术、有氧健身和电子游戏在诱导神经可塑性的皮层重组方面有显著效果(p < 0.05),有助于运动功能恢复、执行功能改善和空间知识迁移。

结论

通过运动训练和神经刺激技术进行康复治疗,可因皮层重组而改善脑血管意外后患者的运动能力。此外,通过有氧健身和电子游戏,认知功能也得到了改善。这样,致力于促进健康和幸福的康复治疗促使大脑发生有益的神经可塑性变化,相应地带来功能改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ab8/6542405/5ceceb21a418/OAMJMS-7-1540-g001.jpg

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