节律性听觉刺激改善卒中后偏瘫患者步行功能的研究进展

doi:10.3969/j.issn.1006-9771.2018.12.010

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (12): 1408-1412.doi: 10.3969/j.issn.1006-9771.2018.12.010

节律性听觉刺激改善卒中后偏瘫患者步行功能的研究进展

顾卫佳^1,2, 于小明², 梁雷超³, 徐燕⁴, 吴绪波², 黄尚军²

1.上海中医药大学康复医学院,上海市 201203;
2. 上海中医药大学附属第七人民医院康复治疗科,上海市 200137;
3.上海健康医学院康复学院,上海市 201318;
4. 同济大学附属养志康复医院,上海市 201619

收稿日期:2018-06-19 修回日期:2018-09-11 出版日期:2018-12-25 发布日期:2019-01-04
通讯作者: 黄尚军(1991-),男,汉族,河南濮阳市人,硕士,主要研究方向：神经康复、运动损伤及生物力学研究。黄尚军。E-mail: shangjun.huang@hotmail.com
作者简介:顾卫佳(1996-),女,汉族,上海市人,硕士研究生,主要研究方向：神经康复。
基金资助:
1.上海市中医专科联盟建设项目(No. ZY(2018-2020)-FWTX-4009); 2.上海市浦东新区卫生和计划生育委员会重要薄弱学科建设项目(No. Pwzbr2017-04); 3.上海中医药大学预算内项目(No. 18TS088)

Advance in Rhythmic Auditory Stimulation to Improve Walking Function in Patients with Hemiplegia after Stroke (review)

GU Wei-jia^{1, 2}, YU Xiao-ming², LIANG Lei-chao³, XU Yan⁴, WU Xu-bo², HUANG Shang-jun²

1. Department of Rehabilitation Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China;
2. Department of Rehabilitation, the Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200137, China;
3. College of Rehabilitation Sciences, Shanghai University of Medicine & Health Science, Shanghai 201318, China;
4. Yangzhi Affiliated Rehabilitation Hospital of Tongji University, Shanghai 201619, China

Received:2018-06-19 Revised:2018-09-11 Published:2018-12-25 Online:2019-01-04
Contact: HUANG Shang-jun. E-mail: shangjun.huang@hotmail.com
Supported by:
Shanghai Traditional Chinese Medicine Special Union Construction Project (No. ZY(2018-2020)-FWTX-4009), Shanghai Pudong New Area Health and Family Planning Commission important weak discipline construction project (No. Pwzbr2017-04)，and Shanghai University of Traditional Chinese Medicine budget project (No. 18TS088)

摘要/Abstract

摘要： 节律性听觉刺激(RAS)通过向运动中枢提供节奏刺激,促使患者调整运动模式与外在节奏合拍,以达到改善步行障碍的目的。RAS作为一种治疗卒中后偏瘫患者的新兴干预手段,能够有效改善患者的步态时空参数(步速、步频、步长和下肢对称性等)、关节运动模式(骨盆前倾和摆动期膝屈角峰值等)及平衡功能,其作用机制可能与节奏夹带运动系统、听觉-运动同步有关,同时,RAS频率、剂量和患者本身病变部位均会对干预效果产生影响。

关键词: 脑卒中, 节律性听觉刺激, 步行, 平衡, 综述

Abstract: Through providing rhythmic stimulation to movement center, rhythmic auditory stimulation (RAS) may encourage hemiplegic patients to adjust movement pattern and external rhythm in time to improve the walking function after stroke. As an emerging intervention to treat the hemiplegic patients after stroke, RAS could effectively improve temporospatial gait parameters (gait velocity, stride length, cadence, and symmetry, etc.), joint movement pattern (angle of pelvis anterior tilt, and peak angle of knee flexion in mid-swing, etc.) and balance, which may be related to rhythmic entrainment movement system and the theory of auditory-movement synchronization. Simultaneously, frequency and dosage of RAS and the patient's lesions all have effect on the outcome of intervention.

Key words: stroke, rhythmic auditory stimulation, gait, balance, review

中图分类号:

R743.3

顾卫佳, 于小明, 梁雷超, 徐燕, 吴绪波, 黄尚军. 节律性听觉刺激改善卒中后偏瘫患者步行功能的研究进展[J]. 《中国康复理论与实践》, 2018, 24(12): 1408-1412.

GU Wei-jia, YU Xiao-ming, LIANG Lei-chao, XU Yan, WU Xu-bo, HUANG Shang-jun. Advance in Rhythmic Auditory Stimulation to Improve Walking Function in Patients with Hemiplegia after Stroke (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(12): 1408-1412.

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节律性听觉刺激改善卒中后偏瘫患者步行功能的研究进展

Advance in Rhythmic Auditory Stimulation to Improve Walking Function in Patients with Hemiplegia after Stroke (review)

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