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改善神经康复的物理治疗干预和神经调节技术的最新趋势。

Recent Trends in Physical Therapy Interventions and Neuromodulation Techniques to Improve Neurorehabilitation.

作者信息

Nath Patralika, Roy Barnana, Panigrahi Soumya Saswati, Islam Kamirul, Basak Asim Kumar

机构信息

Department of Physiotherapy, National Institute for Locomotor Disabilities (NILD), Kolkata, West Bengal, India.

Department of Physiotherapy, School of Health Sciences, Garden City University, Bangaluru, India.

出版信息

CNS Neurol Disord Drug Targets. 2025;24(7):521-545. doi: 10.2174/0118715273341882250114054733.

Abstract

Promoting neuroplasticity for better recovery and function restoration has lately become the focus of rehabilitation techniques for individuals with neurologic disorders. A rapidly expanding medical specialty, neuromodulation includes a broad variety of methods for activating particular neurological pathways, such as Transcranial magnetic stimulation (TMS), Transcranial direct current stimulation (tDCS), peripheral nerve stimulation, and SCS, among many others. Research on the use of neuromodulation in the context of spinal cord injury (SCI) is limited, in contrast to the abundance of literature on its potential benefits in chronic pain treatment. Combining exercise with non-invasive neuromodulation improves recovery outcomes for some patient groups, according to our research. While we mostly focus on the motor components of recovery, we do briefly mention the non-motor effects of these disorders. The difficulties of applying ideas in clinical practice and the gaps in the existing research are also brought to light. In order to better customize the individual neuroplastic responses associated with each disease, we identify research gaps and propose routes for future investigations. This review is useful for rehabilitation professionals and researchers since it focuses on neuroplastic exercise treatments for specific illnesses and diagnoses. Few studies have used long-term randomized-controlled trials, even though these approaches have great promise for enhancing overall functionality and impairment levels. If these novel modalities may be therapeutically employed to reduce pain, restore function, and improve the quality of life for individuals impacted, then more study is required to support them.

摘要

促进神经可塑性以实现更好的恢复和功能重建,近来已成为神经系统疾病患者康复技术的焦点。神经调节作为一个迅速发展的医学专业,包括多种激活特定神经通路的方法,如经颅磁刺激(TMS)、经颅直流电刺激(tDCS)、外周神经刺激以及脊髓刺激等。与关于神经调节在慢性疼痛治疗中潜在益处的大量文献相比,其在脊髓损伤(SCI)背景下应用的研究较为有限。根据我们的研究,将运动与非侵入性神经调节相结合可改善部分患者群体的恢复结果。虽然我们主要关注恢复的运动成分,但也简要提及了这些疾病的非运动效应。同时也揭示了在临床实践中应用相关理念的困难以及现有研究的不足。为了更好地定制与每种疾病相关的个体神经可塑性反应,我们明确了研究差距并提出了未来研究的方向。这篇综述对康复专业人员和研究人员很有用,因为它聚焦于针对特定疾病和诊断的神经可塑性运动治疗。尽管这些方法在增强整体功能和改善损伤水平方面具有很大潜力,但很少有研究采用长期随机对照试验。如果这些新方法可用于治疗以减轻疼痛、恢复功能并改善受影响个体的生活质量,那么就需要更多研究来支持它们。

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