Technological advances in interventions to enhance poststroke gait.
Technological advances in interventions to enhance poststroke gait.
复制标题
增强中风后步态的干预措施的技术进步。
DOI：
10.1016/j.pmr.2012.11.005
复制
发表时间：
2013
影响因子：
1.7
通讯作者：
Chae,John
中科院分区：
文献类型：
--
作者：
Sheffler,LynneR;Chae,John
本文提供了一个全面的审查具体的康复干预措施，用于提高偏瘫步态中风后。神经康复干预可以是治疗性的，从而增强运动恢复，也可以是补偿性的，从而帮助或替代神经缺陷，从而改善功能表现。包括下肢功能性电刺激（FES），体重支持的跑步机训练（BWSTT）和下肢机器人辅助步态训练。这些中风后步态训练疗法基于活动依赖性神经可塑性，其概念是中枢神经系统损伤后的皮质重组可由重复的、熟练的和认知参与的主动运动诱导。所有这三种干预措施都在研究和临床环境中进行了广泛的试验，以证明对各种步态参数和步行性能测量的积极影响。然而，需要更多的证据来确定特定技术增强的步态训练方法是否上级传统的步态训练方法。本文综述了支持这三种干预措施改善步态的疗效的循证研究，并展望了在神经康复中改善卒中后步态的未来发展。
This article provides a comprehensive review of specific rehabilitation interventions used to enhance hemiparetic gait following stroke. Neurologic rehabilitation interventions may be either therapeutic resulting in enhanced motor recovery or compensatory whereby assistance or substitution for neurological deficits results in improved functional performance. Included in this review are lower extremity functional electrical stimulation (FES), body-weight supported treadmill training (BWSTT), and lower extremity robotic-assisted gait training. These post-stroke gait training therapies are predicated on activity-dependent neuroplasticity which is the concept that cortical reorganization following central nervous system injury may be induced by repetitive, skilled, and cognitively engaging active movement. All three interventions have been trialed extensively in both research and clinical settings to demonstrate a positive effect on various gait parameters and measures of walking performance. However, more evidence is necessary to determine if specific technology-enhanced gait training methods are superior to conventional gait training methods. This review provides an overview of evidence-based research which supports the efficacy of these three interventions to improve gait, as well as provide perspective on future developments to enhance post-stroke gait in neurologic rehabilitation.
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影响因子：
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