Does neurorehabilitation play a role in the recovery of walking in neurological populations?
Does neurorehabilitation play a role in the recovery of walking in neurological populations?
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DOI：
10.1111/j.1749-6632.1998.tb09063.x
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发表时间：
1998-01-01
期刊：
影响因子：
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通讯作者：
Ladouceur, M
中科院分区：
文献类型：
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作者：
Barbeau, H;Norman, K;Ladouceur, M
根据神经科学的最新成果，神经康复方法可以促进脊髓损伤或中风后的运动恢复。许多研究小组对使用体重支持(BWS)、功能电刺激(FES)、药理学方法或它们的组合进行的运动训练的效果进行了20多项临床研究，结果表明，在这些方法中，只有BWS辅助的运动训练被证明比传统或单独运动训练的效果更好，然而，当研究结果综合考虑受试者的数量时，结果表明，当运动训练与FES或BWS或药物方法相结合时，存在从小的变化到大的变化的效应梯度。这些研究的结果表明，这些神经康复方法在脊髓损伤或中风患者的行走恢复中确实发挥了作用，几个因素有助于恢复的潜力，包括损伤的部位、病因、慢性、干预的类型、持续时间和特异性，以及是否联合干预，此外，还讨论了这些神经康复方法如何利用神经损伤后的可塑性过程。
This review demonstrates that neurorehabilitation approaches, based on recent neuroscience Endings, can enhance locomotor recovery after a spinal cord injury or stroke, Findings are presented from more than 20 clinical studies conducted by numerous research groups on the effect of locomotor training using either body weight support (BWS), functional electrical stimulation (FES), pharmacological approaches or a combination of them, Among the approaches, only BWS-assisted locomotor training has been demonstrated to have a greater effect than conventional or locomotor training alone, However, when study results were combined and weighted for the number of subjects, the results indicated that there is a gradient of effects from small changes with the immediate application of FES or BWS to larger changes when locomotor training is combined with FES or BWS or pharmacological approaches, The findings of these studies suggest that these neurorehabilitation approaches do play a role in the recovery of walking in subjects with spinal cord injury or stroke, Several factors contribute to the potential for recovery including the site, etiology, and chronicity of the injury, as well as the type, duration, and specificity of the intervention and whether interventions are combined, Furthermore, how these neurorehabilitation approaches may take advantage of the plasticity process following neurological lesion is also discussed.