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"手脑感知-手脑运动"理论在脑卒中后上肢康复中的应用

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上肢运动功能障碍是脑卒中后患者面临的主要问题,寻求更多有效的康复技术对减轻患者功能障碍程度、提升生活质量具有重要意义.本研究关注感觉功能对上肢运动功能恢复的重要作用,并对"手脑感知-手脑运动"理论开展进一步的解读.在该理论的指导下,课题组就手脑感知康复评估与训练系统创建手脑感知训练五步法(感觉评估、感觉宣教、感觉训练、任务导向性训练和感觉认知)、手脑感知-脑机接口训练范式、手脑感知-镜像疗法训练范式和"手脑感知-手脑运动"理论的其他应用进行阐述,分析了"手脑感知-手脑运动"理论与"中枢-外周-中枢"闭环康复理论的关系,以期为康复医务人员在治疗脑卒中后上肢感觉、运动功能障碍提供参考依据与启发.
Application of"Hand-Brain Perception and Hand-Brain Movement"Theory in Upper Limb Rehabilitation after Stroke
Upper limb motor impairment is a major challenge for patients with stroke,and it is of great significance to explore more potent rehabilitation methods to improve functional recovery and quality of life.This study highlighted the important role of sensory function in promoting upper limb motor recovery,and interpreted the theory of"hand-brain perception and hand-brain move-ment".Guided by this theory,the research team has developed an effective five-step method of hand-brain perception training(sensory assessment,sensory education,sensory training,task-oriented training and sensory cognition),the brain-computer interface with hand-brain perception training paradigm,the hand-brain perception-mirror therapy training paradigm,and the other applications of the"hand-brain perception and hand-brain movement"theory.This study further delved into the relationship between the theory of"hand-brain perception and hand-brain movement"and the theory of"central-peripheral-central"closed-loop rehabilitation to pro-vide reference and inspiration for the rehabilitation medical staff in the treatment of upper limb sensory and motor dysfunction after stroke.

strokeupper limb rehabilitationmotor functionsensory functionhand-brain perceptionhand-brain movement

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复旦大学附属华山医院,上海 200040

脑卒中 上肢康复 运动功能 感觉功能 手脑感知 手脑运动

国家自然科学基金项目国家自然科学基金项目国家自然科学基金项目国家重点研发计划项目福建省科技创新联合资金项目

8227260691948302820210022018YFC20023002021Y9130

2024

康复学报
福建中医药大学

康复学报

CSTPCD
影响因子:0.545
ISSN:2096-0328
年,卷(期):2024.34(4)
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