Progress of application of task-oriented training in upper limb function rehabilitation after stroke
Stroke is a disease with high disability rate,and the residual upper limb dysfunction significantly affects the patient's ability and quality of daily life.Task-oriented training(TOT)is a cutting-edge treatment technology for upper limb functional rehabilitation in stroke.It is based on motor control and motor learning,integrating tasks into specific environments,adjusting training difficulty in a stepped manner,stimulating the patient's self-efficacy through feedback and repetition,and accelerating the patient's limb functional recovery.In the early stages of stroke,TOT can be used for patients with mild to moderate upper limb function impairments to prevent disuse-related functional decline;during the recovery period of stroke,based on task-oriented activity training,TOT can promote the reorganization of brain function in patients and accelerate the recovery of upper limb function;during the sequelae of stroke,TOT can enhance the daily activities related to the upper limbs of patients,improve their functional independence,and help them return to their families and society.The stepped TOT training is matched with a three-level rehabilitation mode,which can minimize the disability in patients.This article focuses on the application of TOT in the different stages of stroke recovery and summarizes the research progress at home and abroad in recent years.
task-oriented trainingstrokeupper extremity function