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NRR:强制性运动疗法促进脑卒中偏瘫患者的脑功能重组

  1. 强制性运动疗法
  2. 脑功能
  3. 脑卒中偏瘫
  4. 运动模式

来源:EurekAlert!中文 2012-12-13 18:37

强制性运动疗法促进脑卒中偏瘫患者的脑功能重组 脑卒中偏瘫患者的上肢以屈肌痉挛为主而下肢是以伸肌痉挛为主,运动模式并不相同。强制性运动疗法是应用于脑卒中偏瘫患者的上肢康复的一种新技术,有关下肢康复的研究报道较少。

强制性运动疗法促进脑卒中偏瘫患者的脑功能重组

脑卒中偏瘫患者的上肢以屈肌痉挛为主而下肢是以伸肌痉挛为主,运动模式并不相同。强制性运动疗法是应用于脑卒中偏瘫患者的上肢康复的一种新技术,有关下肢康复的研究报道较少。一项关于“Constraint-induced movement therapy promotes brain functional reorganization in stroke patients with hemiplegia的研究显示,应用fMRI可观察到治疗后患者脑激活功能减低区面积范围减少,说明患者脑功能区有激活现象,脑血流灌注明显增加,证实强制性运动疗法可促进脑卒中后下肢偏瘫患者的脑功能重组。相关研究成果发表在《中国神经再生研究(英文版)》杂志于2012年11月32期出版的杂志上。(生物谷Bioon.com)

Constraint-induced movement therapy promotes brain functional reorganization in stroke patients with hemiplegia

Wenqing Wang1, Aihui Wang2, Limin Yu3, Xuesong Han4, Guiyun Jiang1, Changshui Weng5, Hongwei Zhang1, Zhiqiang Zhou1

Stroke patients with hemiplegia exhibit flexor spasms in the upper limb and extensor spasms in the lower limb, and their movement patterns vary greatly. Constraint-induced movement therapy is an upper limb rehabilitation technique used in stroke patients with hemiplegia; however, studies of lower extremity rehabilitation are scarce. In this study, stroke patients with lower limb hemiplegia underwent conventional Bobath therapy for 4 weeks as baseline treatment, followed by constraint-induced movement therapy for an additional 4 weeks. The 10-m maximum walking speed and Berg balance scale scores significantly improved following treatment, and lower extremity motor function also improved. The results of functional MRI showed that constraint-induced movement therapy alleviates the reduction in cerebral functional activation in patients, which indicates activation of functional brain regions and a significant increase in cerebral blood perfusion. These results demonstrate that constraint-induced movement therapy promotes brain functional reorganization in stroke patients with lower limb hemiplegia.

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