镜像疗法在脑卒中偏瘫患者运动康复中的研究进展

doi:10.3969/j.issn.1006-9771.2018.06.008

摘要/Abstract

摘要： 镜像疗法最先用于幻肢痛的治疗,后广泛应用于脑卒中、周围神经损伤等。镜像疗法的机制包括镜像神经元系统,视觉反馈-运动观察,运动通路易化以及经胼胝体连接、抑制通路等。大多数研究认为脑卒中患者患肢对侧的肢体(健侧)运动引起运动同侧大脑半球皮质激活,锥体束传导特性改变,进而影响受支配肌肉的运动和功能恢复,可不同程度地改善脑卒中患者运动缺陷、加强运动功能(如手指运动、腕屈伸活动)。

关键词: 脑卒中, 镜像疗法, 运动功能, 康复, 综述

Abstract: Mirror therapy (MT), was first used for phantom limb pain, and afterwards used widely for stroke and peripheral nerve injury, etc. The mechanism of MT is obscure and various, mainly included mirror neuron system, visual feedback, facilitation of motor pathways, and so on. A large quantity of researches claimed that training of unaffected limb activated ipsilateral cortex, changed conduction of pyramid tracts, and promote motor function recovery of affected limb, which corrected motor deficits and improved function of patients with hemiplegia (eg. finger movement and wrist flexion-extention function).

Key words: stroke, mirror therapy, motor function, rehabilitation, review

中图分类号:

R743.3

陈英伦,白玉龙. 镜像疗法在脑卒中偏瘫患者运动康复中的研究进展[J]. 《中国康复理论与实践》, 2018, 24(6): 659-666.

CHEN Ying-lun, BAI Yu-long. Advance in Mirror Therapy for Motor Rehabilitation of Stroke Patients with Hemiplegia (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(6): 659-666.

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