Department of Occupational and Recreational Therapies, University of Utah, Salt Lake City (L.G.R.).
Department of Neurology, UCLA and the California Rehabilitation Institute, Los Angeles, CA (S.C.C.).
Stroke. 2021 Jan;52(1):348-350. doi: 10.1161/STROKEAHA.120.033231. Epub 2020 Dec 22.
Stroke recovery therapies promote favorable neural plasticity, both during spontaneous recovery and the chronic phase. Activity-based therapies based on intense practice, some aided by integration of computers and telehealth, have shown promise. These studies emphasize key therapeutic variables such as dose, intensity, and timing. Preclinical drug studies have shown promise, but human translation has been challenged by identifying the target patient subgroup, requirements for concomitant training, and aligning biomarkers with preclinical evidence.
中风康复治疗在自发性恢复和慢性期都促进了有利的神经可塑性。基于强化练习的活动为基础的治疗方法,有些辅以计算机和远程医疗的整合,已经显示出了希望。这些研究强调了关键的治疗变量,如剂量、强度和时间。临床前药物研究也显示出了希望,但在确定目标患者亚组、伴随训练的要求以及将生物标志物与临床前证据相匹配方面,人类的转化受到了挑战。