综述

镜像疗法在脑卒中偏瘫患者运动康复中的研究进展

  • 陈英伦 ,
  • 白玉龙
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  • 复旦大学附属华山医院康复医学科,上海市 200040
陈英伦(1995-),女,汉族,安徽合肥市人,硕士研究生,主要研究方向:脑卒中康复的临床研究。通讯作者:白玉龙(1966-),男,教授,博士生导师。

收稿日期: 2018-03-23

  修回日期: 2018-04-26

  网络出版日期: 2018-06-28

基金资助

上海市“科技创新行动计划”高新技术领域项目(No. 16111108003)

Advance in Mirror Therapy for Motor Rehabilitation of Stroke Patients with Hemiplegia (review)

  • CHEN Ying-lun ,
  • BAI Yu-long
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  • Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China

Received date: 2018-03-23

  Revised date: 2018-04-26

  Online published: 2018-06-28

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)。

本文引用格式

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 . DOI: 10.3969/j.issn.1006-9771.2018.06.008

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).

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