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身体图式与身体意象概述:神经疾病患者康复的理论模型、方法设置及陷阱

An Overview of the Body Schema and Body Image: Theoretical Models, Methodological Settings and Pitfalls for Rehabilitation of Persons with Neurological Disorders.

作者信息

Sattin Davide, Parma Chiara, Lunetta Christian, Zulueta Aida, Lanzone Jacopo, Giani Luca, Vassallo Marta, Picozzi Mario, Parati Eugenio Agostino

机构信息

Istituti Clinici Scientifici Maugeri IRCCS, Health Directorate, Via Camaldoli 64, 20138 Milan, Italy.

Istituti Clinici Scientifici Maugeri IRCCS, Neurorehabilitation Department-ALS Unit, Via Camaldoli 64, 20138 Milan, Italy.

出版信息

Brain Sci. 2023 Oct 4;13(10):1410. doi: 10.3390/brainsci13101410.

Abstract

Given the widespread debate on the definition of the terms "Body Schema" and "Body Image", this article presents a broad overview of the studies that have investigated the nature of these types of body representations, especially focusing on the innovative information about these two representations that could be useful for the rehabilitation of patients with different neurological disorders with motor deficits (especially those affecting the upper limbs). In particular, we analyzed (i) the different definitions and explicative models proposed, (ii) the empirical settings used to test them and (iii) the clinical and rehabilitative implications derived from the application of interventions on specific case reports. The growing number of neurological diseases with motor impairment in the general population has required the development of new rehabilitation techniques and a new phenomenological paradigm placing body schema as fundamental and intrinsic parts for action in space. In this narrative review, the focus was placed on evidence from the application of innovative rehabilitation techniques and case reports involving the upper limbs, as body parts particularly involved in finalistic voluntary actions in everyday life, discussing body representations and their functional role.

摘要

鉴于关于“身体图式”和“身体意象”术语定义的广泛争论,本文对研究这些类型身体表征本质的研究进行了全面概述,特别关注有关这两种表征的创新性信息,这些信息可能对患有不同运动功能障碍(尤其是影响上肢的运动功能障碍)的神经疾病患者的康复有用。具体而言,我们分析了:(i)提出的不同定义和解释模型;(ii)用于测试这些模型的实证研究环境;以及(iii)基于特定病例报告应用干预措施得出的临床和康复意义。普通人群中运动功能受损的神经疾病数量不断增加,这就需要开发新的康复技术和一种新的现象学范式,将身体图式视为在空间中行动的基本和内在组成部分。在这篇叙述性综述中,重点放在了创新康复技术应用的证据以及涉及上肢的病例报告上,上肢是日常生活中特别参与目的性随意动作的身体部位,并讨论了身体表征及其功能作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99b9/10605253/84b4ff5b7769/brainsci-13-01410-g001.jpg

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