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环境改造以康复后天性脑损伤后的社会行为缺陷:有哪些证据?

Environmental modifications to rehabilitate social behavior deficits after acquired brain injury: What is the evidence?

机构信息

Department of Neuroscience, Central Clinical School, Monash University, Melbourne, VIC, Australia.

Department of Neuroscience, Central Clinical School, Monash University, Melbourne, VIC, Australia; Alfred Health, Melbourne, VIC, Australia; School of Allied Health (Occupational Therapy), La Trobe University, Melbourne, Australia.

出版信息

Neurosci Biobehav Rev. 2023 Sep;152:105278. doi: 10.1016/j.neubiorev.2023.105278. Epub 2023 Jun 7.

Abstract

Social behavior deficits are a common, debilitating consequence of traumatic brain injury and stroke, particularly when sustained during childhood. Numerous factors influence the manifestation of social problems after acquired brain injuries, raising the question of whether environmental manipulations can minimize or prevent such deficits. Here, we examine both clinical and preclinical evidence addressing this question, with a particular focus on environmental enrichment paradigms and differing housing conditions. We aimed to understand whether environmental manipulations can ameliorate injury-induced social behavior deficits. In summary, promising data from experimental models supports a beneficial role of environmental enrichment on social behavior. However, limited studies have considered social outcomes in the chronic setting, and few studies have addressed the social context specifically as an important component of the post-injury environment. Clinically, limited high-caliber evidence supports the use of specific interventions for social deficits after acquired brain injuries. An improved understanding of how the post-injury environment interacts with the injured brain, particularly during development, is needed to validate the implementation of rehabilitative interventions that involve manipulating an individuals' environment.

摘要

社会行为缺陷是创伤性脑损伤和中风的常见、致残后果,尤其是在儿童时期发生时。许多因素会影响后天性脑损伤后社会问题的表现,这就提出了一个问题,即环境干预是否可以最小化或预防这些缺陷。在这里,我们检查了针对这一问题的临床和临床前证据,特别关注环境丰富化范式和不同的住房条件。我们旨在了解环境干预是否可以改善损伤引起的社会行为缺陷。总之,来自实验模型的有希望的数据支持环境丰富化对社会行为的有益作用。然而,有限的研究考虑了慢性环境中的社会结果,很少有研究专门探讨社会环境作为受伤后环境的一个重要组成部分。在临床上,有限的高质量证据支持在后天性脑损伤后使用特定的干预措施来治疗社会缺陷。需要更好地了解受伤后的环境如何与受损的大脑相互作用,特别是在发育过程中,以验证涉及个体环境干预的康复干预措施的实施。

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