摘要
脑卒中属于高致残率疾病,患者常遗留有肢体功能障碍,尤其是上肢运动功能障碍,显著影响患者的日常生活能力和质量。伴随着患者对功能恢复需求的不断提高,康复医学各项治疗技术也快速发展。运动想象疗法作为一种重要的主动中枢干预技术,可由患者大脑自主发起,并激活感觉运动网络从而加速肢体功能的修复。预防医学的发展促进了康复理念的不断演进,全周期功能保护和残疾预防的策略在脑卒中上肢康复的临床和科研实践中得到了完善和发展。运动想象疗法在脑卒中早期可激活上肢运动神经网络,预防功能失用;在恢复期可加速神经功能重塑,减轻上肢残疾;在后遗症期可改善日常生活中的上肢功能表现,帮助患者回归家庭和社会。该文围绕运动想象疗法在脑卒中全周期的功能保护和残疾预防中的应用,对国内外近年来的研究进展进行综述。
Stroke is a disease with a high disability rate,and often leads to limb dysfunction,especially upper limb motor dysfunction,which significantly affects the patients’abilities and quality of life.With patients'increasing demand for functional recovery,various therapeutic techniques of rehabilitation medicine have been rapidly developed.As an important active central intervention technology,motor imagery training can be initiated by the patient's brain and activate the sensorimotor network to accelerate the repair of limb functions.The development of preventive medicine has promoted the continuous evolution of the concept of rehabilitation.The strategies of full cycle functional protection and disability prevention have been improved and developed in the clinical and scientific research practice of upper limb rehabilitation after stroke.The motor imagery training can activate the upper limb motor neural network in the early stage of stroke to prevent functional loss;In the recovery period,it can accelerate the neural function remodeling and reduce the upper limb disability;In the later stage after stroke,it can improve the performance of upper limb function in daily life,thus helping patients return to family life and society.This article reviews the research progress in recent years in China and abroad in the application of motor imagery training for the full cycle function protection and disability prevention of stroke.
作者
夏小迪
王鹤玮
王传凯
陈瑶
XIA Xiaodi;WANG Hewei;WANG Chuankai;CHEN Yao(Department of Rehabilitation,Shanghai Third Rehabilitation Hospital,Shanghai 200436,China;Department of Rehabilitation Medicine,Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China;Department of Rehabilitation Medicine,South China Hospital Affiliated to Shenzhen University,Shenzhen,Guangdong 518111,China)
出处
《上海预防医学》
CAS
2023年第5期508-512,共5页
Shanghai Journal of Preventive Medicine
基金
上海市静安区卫生科研课题面上项目(2020MS17)
上海市卫生健康委员会科研课题面上项目(202040034)
上海市静安区卫生系统重点学科建设资助项目(2021PY04)
国家自然科学青年基金(82102665)
上海市科学技术委员会“扬帆计划”基金(21YF1404600)。
关键词
运动想象疗法
上肢
脑卒中
全周期
功能保护
motor imagery training
upper limb
stroke
full-cycle
functional protection
