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虚拟现实辅助运动想象用于中风后早期康复:综述

Virtual Reality Assisted Motor Imagery for Early Post-Stroke Recovery: A Review.

作者信息

Choy Chi Sang, Cloherty Shaun L, Pirogova Elena, Fang Qiang

出版信息

IEEE Rev Biomed Eng. 2023;16:487-498. doi: 10.1109/RBME.2022.3165062. Epub 2023 Jan 5.

Abstract

Stroke is a serious neurological disease that may lead to long-term disabilities and even death for stroke patients worldwide. The acute period, ( ≤ 1 mo post-stroke), is crucial for rehabilitation but the current standard clinical practice may be ineffective for patients with severe motor impairment, since most rehabilitation programs involve physical movement. Imagined movement - the so-called motor imagery (MI) - has been shown to activate motor areas of the brain without physical movement. MI therefore offers an opportunity for early rehabilitation of stroke patients. MI, however, is not widely employed in clinical practice due to a lack of evidence-based research. Here, we review MI-based approaches to rehabilitation of stroke patients and immersive virtual reality (VR) technologies to potentially assist MI and thus, promote recovery of motor function.

摘要

中风是一种严重的神经系统疾病,可能导致全球范围内的中风患者长期残疾甚至死亡。急性期(中风后≤1个月)对康复至关重要,但目前的标准临床实践对严重运动障碍患者可能无效,因为大多数康复计划都涉及身体运动。想象运动——即所谓的运动想象(MI)——已被证明可以在不进行身体运动的情况下激活大脑的运动区域。因此,运动想象为中风患者的早期康复提供了机会。然而,由于缺乏循证研究,运动想象在临床实践中并未得到广泛应用。在这里,我们综述了基于运动想象的中风患者康复方法以及沉浸式虚拟现实(VR)技术,这些技术可能有助于运动想象,从而促进运动功能的恢复。

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