Multisensory stimulation in stroke rehabilitation.

Multisensory stimulation in stroke rehabilitation.
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DOI:
10.3389/fnhum.2012.00060
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发表时间:
2012
影响因子:
2.9
通讯作者:
Johansson BB
Johansson BB
中科院分区:
医学3区
文献类型:
--
作者:
Johansson BB

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大脑有很大的自动同步处理和整合感觉信息的能力。结合来自不同感觉方式的信息有助于我们检测、区分和识别感觉刺激的能力,并且在多感觉环境中学习通常是最佳的。目前在中风康复中使用的多感觉刺激方法包括运动想象、动作观察、用镜子或在虚拟环境中训练以及各种音乐治疗。非侵入性脑刺激在失语症和忽视方面显示出有希望的初步结果。病人的异质性和年龄,性别,基因和环境的相互作用进行了讨论。需要在卒中后早期进行随机对照纵向试验。脑网络科学和神经影像学的进步使结构和功能网络的纵向研究可能对未来卒中康复中特定干预措施的患者选择产生重要影响。建议在临床研究中应注意年龄、性别和偏侧性。
The brain has a large capacity for automatic simultaneous processing and integration of sensory information. Combining information from different sensory modalities facilitates our ability to detect, discriminate, and recognize sensory stimuli, and learning is often optimal in a multisensory environment. Currently used multisensory stimulation methods in stroke rehabilitation include motor imagery, action observation, training with a mirror or in a virtual environment, and various kinds of music therapy. Non-invasive brain stimulation has showed promising preliminary results in aphasia and neglect. Patient heterogeneity and the interaction of age, gender, genes, and environment are discussed. Randomized controlled longitudinal trials starting earlier post-stroke are needed. The advance in brain network science and neuroimaging enabling longitudinal studies of structural and functional networks are likely to have an important impact on patient selection for specific interventions in future stroke rehabilitation. It is proposed that we should pay more attention to age, gender, and laterality in clinical studies.
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