Faculty of Rehabilitation and Allied Health Sciences, Riphah International University, Islamabad, Pakistan.
Armed Forces Institute of Rehabilitation Medicine (AFIRM), Rawalpindi.
J Pak Med Assoc. 2023 Nov;73(11):2295-2297. doi: 10.47391/JPMA.23-98.
Stroke is the leading global cause of death and disability and the need for stroke rehabilitation services in increasing. The usual stroke rehabilitation protocol involves a combination of therapeutic exercises, occupational therapy, speech therapy and counselling sessions depending upon the severity of the deficit and associated co-morbidities. However, there is a need for better protocols and new therapies for improving outcomes after stroke rehabilitation. The term 'task-oriented training' (TOT) refers to guided rehabilitation training of patients' limb function using goal oriented tasks, which can be used to enhance neuroplasticity in brain after injury. Task oriented training could be modified with action selection and environmental enrichment to fulfill the limitations of stroke like, holistic approach, outcome/goal based intervention, proper dosage for desirable outcomes. This mini review provides an overview of the TOT and to identify gaps and challenges in stroke rehabilitation related to integrating TOT.
中风是全球导致死亡和残疾的主要原因，对中风康复服务的需求正在不断增加。通常的中风康复方案包括根据缺陷的严重程度和相关合并症，结合治疗性运动、职业治疗、言语治疗和咨询会议。然而，需要更好的方案和新的治疗方法来改善中风后的康复效果。“任务导向训练”（TOT）这一术语是指使用目标导向任务对患者肢体功能进行的有指导的康复训练，这可以用来增强损伤后大脑的神经可塑性。任务导向训练可以通过动作选择和环境强化来进行修改，以满足中风的限制，如整体方法、基于结果/目标的干预、获得理想结果的适当剂量。本迷你综述概述了 TOT，并确定了与整合 TOT 相关的中风康复中的差距和挑战。
