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脑卒中康复治疗 脑卒中康复治疗

Peter Langhorne1, Julie Bernhardt, Gert Kwakkel

  • 1Academic Section of Geriatric Medicine, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Royal Infirmary, Glasgow, UK. peter.langhorne@glasgow.ac.uk

Lancet (London, England)
|May 17, 2011
PubMed
概括

脑卒中康复对于康复至关重要,有证据支持多学科团队和特定疗法,如为手臂运动功能制约诱导的运动疗法和改善步态的健身训练.

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科学领域:

  • 神经学 神经学
  • 康复医学 康复医学 康复医学
  • 物理疗法物理治疗

背景情况:

  • 脑卒中是全球导致残疾的主要原因,需要有效的康复策略.
  • 多学科中风单位和早期支持的出院团队是基于证据的中风护理模型.

研究的目的:

  • 审查关于中风康复干预措施的现有证据.
  • 确定用于运动恢复,步态改善和日常生活活动的有效疗法.
  • 突出需要进一步研究的领域,特别是认知康复和语言障碍.

主要方法:

  • 对中风康复现有证据的审查.
  • 为康复的不同方面确定具体的治疗干预措施.
  • 讨论正在进行的新疗法试验.

主要成果:

  • 约束诱导运动疗法和机器人技术显示了手臂运动恢复的潜力.
  • 健身训练,高强度疗法和重复任务训练可能会改善步态.
  • 重复任务训练也可能增强转移功能.
  • 职业治疗有助于日常生活活动.

结论:

  • 协调的多学科护理和特定疗法在中风康复中提供了显著的好处.
  • 需要对认知康复,失言症和失节症干预措施进行更多的研究.
  • 新型疗法,如干细胞疗法和虚拟现实正在调查中.

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