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[中风后运动功能恢复的运动想象研究进展]

[Research advancements of motor imagery for motor function recovery after stroke].

作者信息

Xu Minpeng, Wei Ze, Ming Dong

机构信息

School of Precision Instrument and Opto-electronics Engineering, TianJin University, TianJin 300072, P.R.China;Academy of Medical Engineering and Translational Medicine. TianJin University, TianJin 300072, P.R.China.

School of Precision Instrument and Opto-electronics Engineering, TianJin University, TianJin 300072, P.R.China.

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2020 Feb 25;37(1):169-173. doi: 10.7507/1001-5515.201904009.

DOI:10.7507/1001-5515.201904009
PMID:32096391
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9927668/
Abstract

Neurological damage caused by stroke is one of the main causes of motor dysfunction in patients, which brings great spiritual and economic burdens for society and families. Motor imagery is an important assisting method for the rehabilitation of patients after stroke, which is easy to learn with low cost and has great significance in improving the motor function and the quality of patient's life. This paper mainly summarizes the positive effects of motor imagery on post-stroke rehabilitation, outlines the physiological performance and theoretical model of motor imagery, the influencing factors of motor imagery, the scoring criteria of motor imagery and analyzes the shortcomings such as the few kinds of experimental subject, the subjective evaluation method and the low resolution of the experimental equipment in the process of rehabilitation of motor function in post-stroke patients. It is hopeful that patients with stroke will be more scientifically and effectively using motor imagery therapy.

摘要

中风引起的神经损伤是患者运动功能障碍的主要原因之一,给社会和家庭带来了巨大的精神和经济负担。运动想象是中风后患者康复的一种重要辅助方法,它易于学习且成本低,对改善运动功能和患者生活质量具有重要意义。本文主要总结了运动想象对中风后康复的积极作用,概述了运动想象的生理表现和理论模型、运动想象的影响因素、运动想象的评分标准,并分析了中风后患者运动功能康复过程中存在的实验对象种类少、主观评价方法以及实验设备分辨率低等缺点。希望中风患者能更科学有效地使用运动想象疗法。

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本文引用的文献

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A hierarchy of corticospinal plasticity in human hand and forearm muscles.人类手部和前臂肌肉的皮质脊髓可塑性层次结构。
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Motor Neuroprostheses.运动神经假肢。
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Motor imagery training induces changes in brain neural networks in stroke patients.运动想象训练可引起中风患者脑神经网络的变化。
Neural Regen Res. 2018 Oct;13(10):1771-1781. doi: 10.4103/1673-5374.238616.
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Understanding Anosognosia for Hemiplegia After Stroke.了解中风后偏瘫的疾病感缺失
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Laterality in Parkinson's disease may predict motor and visual imagery abilities.帕金森病的偏侧性可能预测运动和视觉想象能力。
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Mental practice for upper limb rehabilitation after stroke: a systematic review and meta-analysis.中风后上肢康复的心理练习:系统评价与荟萃分析。
Int J Rehabil Res. 2018 Sep;41(3):197-203. doi: 10.1097/MRR.0000000000000298.
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Parietofrontal network upregulation after motor stroke.运动性卒中后的顶额网络上调。
Neuroimage Clin. 2018 Mar 7;18:720-729. doi: 10.1016/j.nicl.2018.03.006. eCollection 2018.
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Effects of exercise on gait and motor imagery in people with Parkinson disease and freezing of gait.运动对帕金森病冻结步态患者步态和运动想象的影响。
Parkinsonism Relat Disord. 2018 Aug;53:89-95. doi: 10.1016/j.parkreldis.2018.05.006. Epub 2018 May 8.
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Reliability and Validity of the Japanese Version of the Kinesthetic and Visual Imagery Questionnaire (KVIQ).日语版动觉与视觉表象问卷(KVIQ)的信效度
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Effects and mechanism of the HECT study (hybrid exercise-cognitive trainings) in mild ischemic stroke with cognitive decline: fMRI for brain plasticity, biomarker and behavioral analysis.HECT研究(混合运动-认知训练)对伴有认知功能减退的轻度缺血性卒中的影响及机制:基于功能磁共振成像的脑可塑性、生物标志物及行为分析
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