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使用无创性脑刺激和神经康复设备来增强脑卒中后康复:当前证据和陷阱的综述。

Use of noninvasive brain stimulation and neurorehabilitation devices to enhance poststroke recovery: review of the current evidence and pitfalls.

机构信息

Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.

Department of Physical Medicine and Rehabilitation, School of Medicine, National Yang Ming Chao Tung University, Taipei, Taiwan, ROC.

出版信息

J Int Med Res. 2024 Apr;52(4):3000605241238066. doi: 10.1177/03000605241238066.

Abstract

Neurorehabilitation devices and technologies are crucial for enhancing stroke recovery. These include noninvasive brain stimulation devices that provide repetitive transcranial magnetic stimulation or transcranial direct current stimulation, which can remodulate an injured brain. Technologies such as robotics, virtual reality, and telerehabilitation are suitable add-ons or complements to physical therapy. However, the appropriate application of these devices and technologies, which target specific deficits and stages, for stroke therapy must be clarified. Accordingly, a literature review was conducted to evaluate the theoretical and practical evidence on the use of neurorehabilitation devices and technologies for stroke therapy. This narrative review provides a practical guide for the use of neurorehabilitation devices and describes the implications of use and potential integration of these devices into healthcare.

摘要

神经康复设备和技术对于促进中风康复至关重要。这些设备包括提供重复经颅磁刺激或经颅直流电刺激的非侵入性脑刺激设备,这些设备可以重塑受损的大脑。机器人技术、虚拟现实和远程康复等技术是物理治疗的合适附加或补充。然而,必须阐明这些针对特定缺陷和阶段的设备和技术在中风治疗中的适当应用。因此,进行了文献回顾,以评估神经康复设备和技术在中风治疗中的理论和实际证据。本叙述性综述为神经康复设备的使用提供了实用指南,并描述了这些设备的使用意义及其在医疗保健中的潜在整合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcf0/11010770/b7ea0ad8704c/10.1177_03000605241238066-fig1.jpg

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