脊髓损伤导致认知障碍及其相关机制的研究进展

doi:10.3969/j.issn.1006-9771.2017.04.005

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (4): 390-393.doi: 10.3969/j.issn.1006-9771.2017.04.005

脊髓损伤导致认知障碍及其相关机制的研究进展

罗泽汝心，谭波涛，伍亚民

第三军医大学大坪医院野战外科研究所三室(创伤与烧伤国家重点实验室)，重庆市400042。

收稿日期:2016-12-09 出版日期:2017-04-05 发布日期:2017-05-17
通讯作者: 伍亚民，男，博士，博士生导师，主要研究方向：脊柱脊髓损伤。E-mail: yaminwu65@hotmail.com。
作者简介:罗泽汝心(1991-)，男，汉族，重庆市人，硕士研究生，主要研究方向：神经损伤康复相关研究。

Advance in Cognitive Impairment and Its Related Mechanisms for Patients with Spinal Cord Injury (review)

LUO Ze-ru-xin, TAN Bo-tao, WU Ya-min

Daping Hospital of Third Military Medical University, Chongqing 400042, China

Received:2016-12-09 Published:2017-04-05 Online:2017-05-17
Contact: WU Ya-min. E-mail: yaminwu65@hotmail.com

摘要/Abstract

摘要： 脊髓损伤的研究主要集中在运动功能和感觉功能的缺失及自主神经相关的并发症等方面，而对脊髓损伤后造成的大脑认知障碍的研究较少。影响脊髓损伤后认知障碍的因素主要有情绪、创伤性脑损伤、饮酒史、药物滥用史和文化水平等，可能机制主要有创伤性脑损伤、大脑结构改变、脑内损伤和功能的改变以及不恰当的治疗等。

关键词: 脊髓损伤, 认知障碍, 创伤性脑损伤, 综述

Abstract: Dysfunction after spinal cord injury mainly focused on the loss of motor function and sensory function and its complications instead of cognitive impairment. In this paper, the relevant reports of cognitive impairment in patients with spinal cord injury were collected. The influencing factors mainly contained emotion, traumatic brain injury, alcohol intake, drug abuse and educational level, etc. The possible mechanisms included traumatic brain injury, structure change of brain, brain damage and functional change, and inappropriate treatment, etc.

Key words: spinal cord injury, cognitive impairment, traumatic brain injury, review

中图分类号:

R651.2

罗泽汝心，谭波涛，伍亚民. 脊髓损伤导致认知障碍及其相关机制的研究进展[J]. 《中国康复理论与实践》, 2017, 23(4): 390-393.

LUO Ze-ru-xin, TAN Bo-tao, WU Ya-min. Advance in Cognitive Impairment and Its Related Mechanisms for Patients with Spinal Cord Injury (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(4): 390-393.

参考文献

[1] 李建军,杨明亮. 四肢瘫患者的上肢功能重建[J]. 中国康复理论与实践, 2002, 8(3): 142-146.
[2] Spinal Cord Injury (SCI) 2016 Facts and Figures at a Glance [J]. J Spinal Cord Med, 2016, 39(4): 493-494.
[3] Abdulkader SN, Atia A, Mostafa MM. Brain computer interfacing: applications and challenges [J]. Egypt Inform J, 2015, 16(2): 213-230.
[4] Wang W, Collinger JL, Perez MA, et al. Neural interface technology for rehabilitation: exploiting and promoting neuroplasticity [J]. Phys Med RehabilClin N Am, 2010, 21(21): 157-178.
[5] 马贇,王毅军,高小榕,等. 基于脑-机接口技术的虚拟现实康复训练平台[J]. 中国生物医学工程学报, 2007, 26(3): 373-378.
[6] Daly JJ, Wolpaw JR. Brain-computer interfaces in neurological rehabilitation [J]. Lancet Neurol, 2008, 7(11): 1032-1043.
[7] Bastos TF, Muller SM, Benevides AB, et al. Robotic wheelchair commanded by SSVEP, motor imagery and word generation [C]. Conf Proc IEEE Eng Med Biol Soc, 2011: 4753-4756.
[8] Mcfarland DJ, Sarnacki WA, Wolpaw JR. Electroencephalographic (EEG) control of three-dimensional movement [J]. J Neural Eng, 2010, 7(3): 189-190.
[9] Farwell LA, Donchin E. Talking off the top of your head: toward a mental prosthesis utilizing event-related brain potentials [J]. Electroencephalogr Clin Neurophysiol, 1988, 70(6): 510-523.
[10] 陈真诚,庞雪燕,孙统雷,等. 脑控智能轮椅控制系统[J]. 电子技术应用, 2014, 40(9): 126-129.
[11] 邢潇. 基于便携式脑-机接口的智能家电控制系统研究[D]. 天津:天津职业技术师范大学, 2014.
[12] 李耀楠,张小栋,王云霞. 脑-机接口驱动神经义肢手系统的研究[J]. 中国医疗设备, 2011, 26(4): 5-8.
[13] Bouton CE, Shaikhouni A, Annetta NV, et al. Restoring cortical control of functional movement in a human with quadriplegia [J]. Nature, 2016, 533(7602): 247-250.
[14] Schwartz AB, Cui XT, Weber DJ, et al. Brain-controlled interfaces: movement restoration with neural prosthetics [J]. Neuron, 2006, 52(1): 205-220.
[15] 程明,任宇鹏,高小榕,等. 脑电信号控制康复机器人的关键技术[J]. 机器人技术与应用, 2003(4): 45-48.
[16] 孟宪鹏. 多关节机械臂的脑机控制方法探索[D]. 长沙:国防科学技术大学, 2011.
[17] 任宇鹏,王广志,程明,等. 基于脑-机接口的康复辅助机械手控制[J]. 中国康复医学杂志, 2004, 19(5): 330-333.
[18] Yahud S, Osman NAA. Prosthetic Hand for the Brain-computer Interface System. 3rd Kuala Lumpur International Conference on Biomedical Engineering, 2006 [M]. Berlin: Springer, 2007: 643-646.
[19] Simeral JD, Kim SP, Black MJ, et al. Neural control of cursor trajectory and click by a human with tetraplegia 1000 days after implant of an intracortical microelectrode array [J]. J Neural Eng, 2011, 8(2): 587-589.
[20] Hochberg LR, Bacher D, Jarosiewicz B, et al. Reach and grasp by people with tetraplegia using a neurally controlled robotic arm [J]. Nature, 2012, 485(7398): 372-375.
[21] Collinger JL, Wodlinger B, Downey JE, et al. High-performance neuroprosthetic control by an individual with tetraplegia [J]. Lancet, 2013, 381(9866): 557-564.
[22] McDonnell M. Action research arm test [J]. Aust J Physiother, 2008, 54(3): 220.
[23] Lee K, Liu D, Perroud L, et al. A brain-controlled exoskeleton with cascaded event-related desynchronization classifiers [J]. Robot Auton Syst, 2017. 90: 15-23.
[24] Collinger JL, Boninger ML, Bruns TM, et al. Functional priorities, assistive technology, and brain-computer interfaces after spinal cord injury [J]. J Rehabil Res Dev, 2013, 50(2): 145-160.
[25] Gorman PH, Wuolle KS, Peckham PH, et al. Patient selection for an upper extremity neuroprosthesis in tetraplegic individuals [J]. Spinal Cord, 1997, 35(9): 569-573.
[26] Mcfarland DJ, Wolpaw JR. Brain-computer interfaces for communication and control [J]. Commun ACM, 2011, 54(5): 60-66.
[27] Osuagwu BC, Wallace L, Fraser M, et al. Rehabilitation of hand in subacute tetraplegic patients based on brain computer interface and functional electrical stimulation: a randomised pilot study [J]. J Neural Eng, 2016, 13(6): 065002.
[28] Vidaurre C, Klauer C, Schauer T, et al. EEG-based BCI for the linear control of an upper-limb neuroprosthesis [J]. Med Eng Phys, 2016, 38(11): 1195-1204.
[29] Vu?kovi? A, Wallace L, Allan DB. Hybrid brain-computer interface and functional electrical stimulation for sensorimotor training in participants with tetraplegia [J]. J Neurol Phys Ther, 2015, 39(1): 3-14.
[30] Rohm M, Schneiders M, Müller C, et al. Hybrid brain-computer interfaces and hybrid neuroprostheses for restoration of upper limb functions in individuals with high-level spinal cord injury [J]. Artif Intell Med, 2013, 59(2): 133-142.
[31] Rohm M, Müller-Putz GR, Ascheberg AV, et al. Modular FES-hybrid orthosis for individualized setup of BCI controlled motor substitution and recovery [J]. Inter J Bioelectromag, 2011, 13(3): 127-128.
[32] 周鹏,曹红宝,熊屹,等. 基于脑机接口的智能康复系统的设计[J]. 计算机工程与应用, 2007, 43(26):1-4.
[33] Do AH, Wang PT, King CE, et al. Brain-computer interface controlled functional electrical stimulation system for ankle movement [J]. J Neuroeng Rehabil, 2011, 8(1): 49.
[34] 姚林,张定国,王颖. 脑机接口控制的下肢功能性电刺激系统研究[J]. 中国生物医学工程学报, 2012, 31(5): 690-696.
[35] Gourab K, Schmit BD. Changes in movement-related β-band EEG signals in human spinal cord injury [J]. Clin Neurophysiol, 2010, 121(12): 2017-2023.

脊髓损伤导致认知障碍及其相关机制的研究进展

Advance in Cognitive Impairment and Its Related Mechanisms for Patients with Spinal Cord Injury (review)

PDF (PC)

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

Metrics

本文评价

推荐阅读 0

[1]	邵伟婷, 雷江华. 反应中断再定向干预孤独症谱系障碍儿童刻板语言的效果：Scoping综述[J]. 《中国康复理论与实践》, 2024, 30(1): 10-20.
[2]	王航宇, 葛可可, 范永红, 都丽露, 邹敏, 封磊. 基于ICD-11和ICF主动式音乐疗法改善认知障碍老年人认知功能的系统综述[J]. 《中国康复理论与实践》, 2024, 30(1): 36-43.
[3]	闻嘉宁, 金秋艳, 张琦, 李杰, 司琦. 认知参与型身体活动对发展儿童青少年执行功能的效果：基于ICF的系统综述[J]. 《中国康复理论与实践》, 2024, 30(1): 44-53.
[4]	葛可可, 范永红, 王航宇, 都丽露, 李长江, 邹敏. 失眠老年人正念干预健康效益的系统综述[J]. 《中国康复理论与实践》, 2024, 30(1): 54-60.
[5]	刘冬, 徐子涵, 李江, 鞠萍. M1区联合背外侧前额叶高频重复经颅磁刺激对脊髓损伤后神经病理性疼痛患者脑电图θ振幅的效果[J]. 《中国康复理论与实践》, 2024, 30(1): 87-94.
[6]	张婧雅, 邹敏, 孙宏伟, 孙昌隆, 朱峻同. 听障儿童青少年焦虑或抑郁情绪心理干预效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1004-1011.
[7]	王俊宇, 杨永, 袁逊, 谢婷, 庄洁. 高强度间歇训练对健康儿童青少年执行功能效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1012-1020.
[8]	魏晓微, 杨剑, 魏春艳. 特殊教育学校孤独症谱系障碍儿童参与适应性瑜伽活动的心理与行为效益的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1021-1028.
[9]	杨亚茹, 杨剑. 基于WHO-HPS架构学校身体活动相关健康服务及其健康效益：系统综述的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1040-1047.
[10]	史佳伟, 李凌宇, 杨浩杰, 王琴潞, 邹海欧. 预康复对全膝关节置换术后患者的有效性：系统综述的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1057-1064.
[11]	蒋长好, 黄辰, 高晓妍, 戴元富, 赵国明. 神经反馈训练对老年人认知功能效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(8): 903-909.
[12]	魏晓微, 杨剑, 魏春艳, 贺启令. 学校环境下适应性体育课程促进智力与发展性残疾儿童心理运动发展的系统综述[J]. 《中国康复理论与实践》, 2023, 29(8): 910-918.
[13]	李芳, 霍速, 杜巨豹, 刘秀贞, 李小爽, 宋为群. 经颅直流电刺激联合任务导向性康复训练对脊髓损伤大鼠前肢运动障碍的效果[J]. 《中国康复理论与实践》, 2023, 29(7): 777-781.
[14]	张园, 杨剑. 基于世界卫生组织健康促进学校架构的学校健康服务及效果：Scoping综述[J]. 《中国康复理论与实践》, 2023, 29(7): 791-799.
[15]	王少璞, 陈钢. 基于世界卫生组织健康促进学校架构的心理行为健康服务及其健康效益：系统综述的系统综述[J]. 《中国康复理论与实践》, 2023, 29(7): 800-807.