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本文引用的文献

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Evaluation of fMRI activation in post-stroke patients with movement disorders after repetitive transcranial magnetic stimulation: a scoping review.重复经颅磁刺激后中风后运动障碍患者功能磁共振成像激活的评估:一项范围综述
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The CBIT + TMS trial: study protocol for a two-phase randomized controlled trial testing neuromodulation to augment behavior therapy for youth with chronic tics.CBIT+TMS 试验:一项两阶段随机对照试验的研究方案,旨在通过神经调节增强行为疗法治疗慢性抽动障碍青少年。
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Nonpharmacological Treatments for Hospitalized Patients with Stroke: A Nuanced Approach to Prescribing Early Activity.住院脑卒中患者的非药物治疗:早期活动处方的细致方法。
Neurotherapeutics. 2023 Apr;20(3):712-720. doi: 10.1007/s13311-023-01392-2. Epub 2023 Jun 8.
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Microstructural and functional plasticity following repeated brain stimulation during cognitive training in older adults.老年人认知训练中重复脑刺激后的微观结构和功能可塑性。
Nat Commun. 2023 Jun 2;14(1):3184. doi: 10.1038/s41467-023-38910-x.
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Performance-Based Robotic Training in Individuals with Subacute Stroke: Differences between Responders and Non-Responders.基于表现的机器人训练对亚急性卒中患者的效果:应答者和无应答者的差异。
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Effectiveness of interventions designed to mitigate the negative health outcomes of informal caregiving to older adults: an umbrella review of systematic reviews and meta-analyses.旨在减轻老年人非正式照护负面健康后果的干预措施的效果:系统评价和荟萃分析的伞式综述。
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Assessment of Passive Upper Limb Stiffness and Its Function in Post-Stroke Individuals Wearing an Inertial Sensor during the Pendulum Test.评估惯性传感器佩戴者在钟摆试验中的被动上肢僵硬程度及其功能。
Sensors (Basel). 2023 Mar 27;23(7):3487. doi: 10.3390/s23073487.
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Individual response to transcranial direct current stimulation as a function of working memory capacity and electrode montage.个体对经颅直流电刺激的反应与工作记忆容量及电极组合的关系。
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Neuroplasticity and Crossmodal Connectivity in the Normal, Healthy Brain.正常健康大脑中的神经可塑性与跨模态连接
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Cortical areas involved in grasping and reaching actions with and without visual information: An ALE meta-analysis of neuroimaging studies.涉及有无视觉信息时抓握和伸手动作的皮质区域:神经影像学研究的ALE元分析
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增强神经可塑性及促进神经系统疾病患者康复的创新方法与疗法:一项叙述性综述

Innovative Approaches and Therapies to Enhance Neuroplasticity and Promote Recovery in Patients With Neurological Disorders: A Narrative Review.

作者信息

Kumar Jitesh, Patel Tirath, Sugandh Fnu, Dev Jyotishna, Kumar Umesh, Adeeb Maham, Kachhadia Meet Popatbhai, Puri Piyush, Prachi Fnu, Zaman Mohammad Uzair, Kumar Satesh, Varrassi Giustino, Syed Abdul Rehman Shah

机构信息

Internal Medicine, Ghulam Muhammad Mahar Medical College, Sukkur, PAK.

Medical Student, American University of Antigua, St. John's, ATG.

出版信息

Cureus. 2023 Jul 15;15(7):e41914. doi: 10.7759/cureus.41914. eCollection 2023 Jul.

DOI:10.7759/cureus.41914
PMID:37588309
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10425702/
Abstract

Brain rehabilitation and recovery for people with neurological disorders, such as stroke, traumatic brain injury (TBI), and neurodegenerative diseases, depend mainly on neuroplasticity, the brain's capacity to restructure and adapt. This literature review aims to look into cutting-edge methods and treatments that support neuroplasticity and recovery in these groups. A thorough search of electronic databases revealed a wide range of research and papers investigating several neuroplasticity-targeting methods, such as cognitive training, physical activity, non-invasive brain stimulation, and pharmaceutical interventions. The results indicate that these therapies can control neuroplasticity and improve motor, mental, and sensory function. In addition, cutting-edge approaches, such as virtual reality (VR) and brain-computer interfaces (BCIs), promise to increase neuroplasticity and foster rehabilitation. However, many issues and restrictions still need to be resolved, including the demand for individualized treatments and the absence of defined standards. In conclusion, this review emphasizes the significance of neuroplasticity in brain rehabilitation. It identifies novel strategies and treatments that promise to enhance recovery in patients with neurological illnesses. Future studies should concentrate on improving these therapies and developing evidence-based standards to direct clinical practice and enhance outcomes for this vulnerable population.

摘要

对于患有神经系统疾病(如中风、创伤性脑损伤(TBI)和神经退行性疾病)的人来说,大脑康复和恢复主要依赖于神经可塑性,即大脑进行结构重组和适应的能力。这篇文献综述旨在探究支持这些人群神经可塑性和恢复的前沿方法与治疗手段。对电子数据库进行全面检索后发现了大量研究及论文,它们探讨了多种针对神经可塑性的方法,如认知训练、体育活动、非侵入性脑刺激和药物干预。结果表明,这些疗法能够调控神经可塑性,并改善运动、心理和感觉功能。此外,虚拟现实(VR)和脑机接口(BCI)等前沿方法有望增强神经可塑性并促进康复。然而,仍有许多问题和限制有待解决,包括对个性化治疗的需求以及缺乏明确的标准。总之,本综述强调了神经可塑性在大脑康复中的重要性。它确定了有望提高神经疾病患者恢复效果的新策略和治疗方法。未来的研究应专注于改进这些疗法,并制定基于证据的标准,以指导临床实践并改善这一弱势群体的治疗效果。