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康复组学:对框架、应用及未来考量的最新综述

Rehabilomics: A state-of-the-art review of framework, application, and future considerations.

作者信息

Cao Wenyue, Zhang Xiuwei, Qiu Huaide

机构信息

Faculty of Rehabilitation Science, Nanjing Normal University of Special Education, Nanjing, China.

Rehabilitation Medicine Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

出版信息

Front Neurol. 2023 Mar 8;14:1103349. doi: 10.3389/fneur.2023.1103349. eCollection 2023.

Abstract

Rehabilomics is an important research framework that allows omics research built upon rehabilitation practice, especially in function evaluation, outcome prediction, and individualized rehabilitation. In the field of rehabilomics, biomarkers can serve as objectively measured indicators for body functioning, so as to complement the International Classification of Functioning, Disability, and Health (ICF) assessment. Studies on traumatic brain injury (TBI), stroke, and Parkinson's disease have shown that biomarkers (such as serum markers, MRI, and digital signals derived from sensors) are correlated with diagnosis, disease severity, and prognosis. Rehabilomics also examines a wide range of individual biological characteristics in order to develop personalized rehabilitation programs. Secondary prevention and rehabilitation of stroke have already adopted a rehabilomic approach to individualize treatment programs. Mechanisms of non-pharmacological therapies are expected to be unveiled in light of rehabilomics research. When formulating the research plan, learning from established databases is recommended and a multidisciplinary collaborative team is warranted. Although still in its infancy, the advancement and incorporation of rehabilomics has the potential to make a significant impact on public health.

摘要

康复组学是一个重要的研究框架,它使基于康复实践的组学研究成为可能,尤其是在功能评估、结果预测和个性化康复方面。在康复组学领域,生物标志物可作为身体功能的客观测量指标,以补充《国际功能、残疾和健康分类》(ICF)评估。对创伤性脑损伤(TBI)、中风和帕金森病的研究表明,生物标志物(如血清标志物、MRI和传感器衍生的数字信号)与诊断、疾病严重程度和预后相关。康复组学还研究广泛的个体生物学特征,以制定个性化的康复计划。中风的二级预防和康复已经采用了康复组学方法来个性化治疗方案。有望根据康复组学研究揭示非药物疗法的机制。在制定研究计划时,建议借鉴已有的数据库,并有必要组建一个多学科协作团队。尽管康复组学仍处于起步阶段,但其发展和融入有可能对公共卫生产生重大影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d5/10032373/21c2a8403f11/fneur-14-1103349-g0001.jpg

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