A review of combined neuromodulation and physical therapy interventions for enhanced neurorehabilitation.
A review of combined neuromodulation and physical therapy interventions for enhanced neurorehabilitation.
复制标题
强化神经康复的神经调节和物理治疗联合干预的综述。
DOI：
10.3389/fnhum.2023.1151218
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发表时间：
2023
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
--
作者：
神经疾病患者的康复方法越来越多地转向促进神经可塑性，以促进恢复和功能恢复。本文综述了针对神经可塑性的运动策略和非侵入性神经调节技术，包括经颅磁刺激(TMS)、迷走神经刺激(VNS)和周围神经刺激(PNS)。我们选择专注于非侵入性神经调节技术，因为它们具有更大的整合到常规临床实践的潜力。我们探讨和讨论了这些介入策略在康复环境中常见的四种神经系统疾病中的应用：帕金森病(PD)、创伤性脑损伤(TBI)、中风和脊髓损伤(SCI)。此外，我们还讨论了将非侵入性神经调节与康复相结合的潜在好处，这已显示出加速康复的希望。我们的综述确定了一些研究表明，在选定的患者群体中，通过联合运动和非侵入性神经调节可以促进康复。我们主要关注康复的运动方面，但也简要地讨论了这些情况的非运动影响。此外，我们还指出了当前文献中的空白和将联合方法应用于临床实践的障碍。我们强调了需要进一步研究的领域，并提出了未来研究的途径，旨在加强与每种情况相关的独特神经整形反应的个性化。这篇综述为寻求全面了解神经可塑性运动干预和为特定疾病和诊断量身定做的非侵入性神经调节技术的康复专业人员和研究人员提供了一个资源。
Rehabilitation approaches for individuals with neurologic conditions have increasingly shifted toward promoting neuroplasticity for enhanced recovery and restoration of function. This review focuses on exercise strategies and non-invasive neuromodulation techniques that target neuroplasticity, including transcranial magnetic stimulation (TMS), vagus nerve stimulation (VNS), and peripheral nerve stimulation (PNS). We have chosen to focus on non-invasive neuromodulation techniques due to their greater potential for integration into routine clinical practice. We explore and discuss the application of these interventional strategies in four neurological conditions that are frequently encountered in rehabilitation settings: Parkinson’s Disease (PD), Traumatic Brain Injury (TBI), stroke, and Spinal Cord Injury (SCI). Additionally, we discuss the potential benefits of combining non-invasive neuromodulation with rehabilitation, which has shown promise in accelerating recovery. Our review identifies studies that demonstrate enhanced recovery through combined exercise and non-invasive neuromodulation in the selected patient populations. We primarily focus on the motor aspects of rehabilitation, but also briefly address non-motor impacts of these conditions. Additionally, we identify the gaps in current literature and barriers to implementation of combined approaches into clinical practice. We highlight areas needing further research and suggest avenues for future investigation, aiming to enhance the personalization of the unique neuroplastic responses associated with each condition. This review serves as a resource for rehabilitation professionals and researchers seeking a comprehensive understanding of neuroplastic exercise interventions and non-invasive neuromodulation techniques tailored for specific diseases and diagnoses.
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影响因子：
3
作者：
Canning, CG;Shepherd, RB;White, A
通讯作者：
White, A
影响因子：
3.3
作者：
Tian, Dongting;Izumi, Shin-Ichi
通讯作者：
Izumi, Shin-Ichi
影响因子：
8.3
作者：
Ambrosini, Emilia;Ferrante, Simona;Molteni, Franco
通讯作者：
Molteni, Franco
通过控制肌肉共同收缩的神经假体用于震颤管理。
影响因子：
5.1
作者：
Gallego JÁ;Rocon E;Belda-Lois JM;Pons JL
通讯作者：
Pons JL
影响因子：
11.2
作者：
Chung CL;Mak MK;Hallett M
通讯作者：
Hallett M