On the understanding and development of modern physical neurorehabilitation methods: robotics and non-invasive brain stimulation
On the understanding and development of modern physical neurorehabilitation methods: robotics and non-invasive brain stimulation
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DOI：
10.1186/1743-0003-6-3
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发表时间：
2009-01-30
影响因子：
5.1
通讯作者：
Edwards, Dylan J.
中科院分区：
文献类型：
--
作者：
Edwards, Dylan J.
预计在未来几年，社区中因神经功能障碍造成的身体残疾的发生率将增加。对物理神经康复策略进行即时和批判性评估的动力来自神经损伤后的基本不完全恢复，个体康复技术的疗效值得怀疑，以及循证医学的逐步接受。非侵入性脑刺激（NBS）和康复机器人技术的新兴技术使人们能够更好地了解康复过程以及干预的机制和有效性。随着对功能障碍和治疗相关可塑性之间关系的更精确把握，我们可以预期康复治疗将走向高度控制和个性化的处方。机器人技术和NBS也可用于增强神经功能障碍患者的运动控制和学习。这些当代方法作为调查和康复工具的价值需要澄清和讨论。在这个主题系列中，五篇有凝聚力和雄辩的论文从机器人，NBS，可塑性和运动学习领域的领先临床医生和科学家那里解决了这个问题。
The incidence of physical disability in the community resulting from neurological dysfunction is predicted to increase in the coming years. The impetus for immediate and critical evaluation of physical neurorehabilitation strategies stems from the largely incomplete recovery following neurological damage, questionable efficacy of individual rehabilitation techniques, and the progressive acceptance of evidence-based medicine. The emergent technologies of non-invasive brain stimulation (NBS) and rehabilitation robotics enable a better understanding of the recovery process, as well as the mechanisms and effectiveness of intervention. With a more precise grasp of the relationship between dysfunctional and treatment-related plasticity, we can anticipate a move toward highly controlled and individualised prescription of rehabilitation. Both robotics and NBS can also be used to enhance motor control and learning in patients with neurological dysfunction. The merit of these contemporary methods as investigative and rehabilitation tools requires clarification and discussion. In this thematic series, five cohesive and eloquent papers address this issue from leading clinicians and scientists in the fields of robotics, NBS, plasticity and motor learning.