Thinking About Better Speech: Mental Practice for Stroke-Induced Motor Speech Impairments.
Thinking About Better Speech: Mental Practice for Stroke-Induced Motor Speech Impairments.
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DOI：
10.1080/02687038.2011.636027
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发表时间：
2012
期刊：
影响因子：
2
通讯作者：
Harnish S
中科院分区：
文献类型：
--
作者：
Page SJ;Harnish S
心理练习(MP)是一种对身体动作进行认知排练的心身技术。它已经显示出在降低一些神经损伤的严重性方面的有效性。在目前的综述中，我们重点介绍了MP研究的最新进展，以及在中风引起的运动性言语障碍后使用MP的基础。在这篇综述中，我们：(A)提出一个关于运动性语言障碍患者习得性不使用发展的新的概念模型；(B)综述MP减轻卒中所致损害严重程度的理论基础和有效性；(C)综述在使用MP期间和之后肌肉和神经激活的证据；(D)综述显示MP促进中风中技能获得、使用和功能的证据；(E)综述关于中风后神经可塑性的文献，包括MP诱导的神经可塑性以及支持运动和语言再习得的神经底物；在此基础上，对MP治疗中风后运动性言语障碍的理论基础和临床应用进行综述。对MP使用的支持包括在许多人群中数十年的MP神经生物学和行为疗效数据。最近，这些数据已经扩展到MP在神经科人群中的应用。鉴于日益苛刻的管理性护理环境，需要易于管理的有效策略。我们也遇到了渴望使用MP的临床医生，但他们的方案不包含被证明是有效MP实施的基础的几个要素。鉴于一些传统的失语症和运动语言康复技术的不足，以及MP最佳实施的不确定性，本文介绍了MP的神经生理学基础，MP用于中风康复的证据，并讨论了MP在卒中所致运动性语言障碍患者中的应用和考虑。
Mental practice (MP) is a mind-body technique in which physical movements are cognitively rehearsed. It has shown efficacy in reducing the severity of a number of neurological impairments. In the present review, we highlight recent developments in MP research, and the basis for MP use after stroke-induced motor speech disorders. In this review, we: (a) propose a novel conceptual model regarding the development of learned nonuse in people with motor speech impairments; (b) review the rationale and efficacy of MP for reducing the severity of stroke-induced impairments; (c) review evidence demonstrating muscular and neural activations during and following MP use; (d) review evidence showing that MP increases skill acquisition, use, and function in stroke; (e) review literature regarding neuroplasticity after stroke, including MP-induced neuroplasticity and the neural substrates underlying motor and language reacquisition; and (f) based on the above, review the rationale and clinical application of MP for stroke-induced motor speech impairments. Support for MP use includes decades of MP neurobiological and behavioral efficacy data in a number of populations. Most recently, these data have expanded to the application of MP in neurological populations. Given increasingly demanding managed care environments, efficacious strategies that can be easily administered are needed. We also encounter clinicians who aspire to use MP, but their protocols do not contain several of the elements shown to be fundamental to effective MP implementation. Given shortfalls of some conventional aphasia and motor speech rehabilitative techniques, and uncertainty regarding optimal MP implementation, this paper introduces the neurophysiologic bases for MP, the evidence for MP use in stroke rehabilitation, and discusses its applications and considerations in patients with stroke-induced motor speech impairments.
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影响因子：
2.7
作者：
DECETY, J;JEANNEROD, M;PRABLANC, C
通讯作者：
PRABLANC, C
DOI：
10.1016/j.apmr.2009.09.020
发表时间：
2010-02-01
影响因子：
4.3
作者：
Dickey, Laura;Kagan, Aura;Black, Sandra
通讯作者：
Black, Sandra
DOI：
10.1016/j.apmr.2007.12.039
发表时间：
2008-08-01
影响因子：
4.3
作者：
Dunsky, Ayelet;Dickstein, Ruth;Deutsch, Judith
通讯作者：
Deutsch, Judith
影响因子：
3.2
作者：
Buccino, G;Lui, F;Rizzolatti, G
通讯作者：
Rizzolatti, G
影响因子：
1.8
作者：
Brass, M;Bekkering, H;Prinz, W
通讯作者：
Prinz, W