外在注意力焦点策略在脑卒中患者康复中的研究进展

doi:10.3969/j.issn.1006-9771.2019.00.015

Abstract

Abstract:

External attentional focus strategy (EFs) is wildly used for athletes and healthy people to learn motor skills, and is also useful for motor function rehabilitation in patients with neurological disorders. This paper reviewed the concept, theoretical basis and application of EFs in stroke rehabilitation, which is effective on motor function. However, the timing of intervention remains to be further clarified.

Key words: stroke, external attentional focus, rehabilitation, review

CLC Number:

R743.3

PEI Zi-wen,ZHU Yuan-xiao,LI Bei,WANG Mian,MA Yan,MENG Xian-mei. Advances in External Attentional Focus Strategy for Stroke Rehabilitation (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(3): 315-318.

References 36

[1]	王陇德, 王金环, 彭斌, 等. 《中国脑卒中防治报告2016》概要[J]. 中国脑血管病杂志, 2017, 14(4):217-224.
[2]	卓大宏. 中国康复医学[M]. 2版. 北京: 华夏出版社, 2003: 758.
[3]	张静, 邱卓英, 陈迪, 等. 基于ICF的脑卒中功能障碍的测量:理论、方法及研究进展[J]. 中国康复理论与实践, 2012, 18(5):430-432.
[4]	Wulf G. Attentional focus and motor learning: a review of 15 years[J]. Int Rev Sport Exerc Psychol, 2013, 6(1):77-104. doi: 10.1080/1750984X.2012.723728
[5]	Wulf G, Höß M, Prinz W. Instructions for motor learning: differential effects of internal versus external focus of attention[J]. J Mot Behav, 1998, 30(2):169-179. doi: 10.1080/00222899809601334
[6]	李文思, 刘云发. 注意焦点对运动技能表现影响的研究综述[J]. 辽宁体育科技, 2018, 40(4):74-78.
[7]	Jazaeri S Z, Azad A, Mehdizadeh H, et al. The effects of anxiety and external attentional focus on postural control in patients with Parkinson's disease[J]. PLoS One, 2018, 13(2):e0192168. doi: 10.1371/journal.pone.0192168
[8]	戴兴鸿, 尹碧昌, 陶小平. 注意力焦点策略对短跑专项力量训练效果及能量节省化影响的实验研究[J]. 成都体育学院学报, 2018, 44(1):98-103.
[9]	张树利. 注意力焦点对脚背内侧踢球学习效果影响的研究[J]. 南京体育学院学报(自然科学版), 2013, 12(2):96-100.
[10]	Lohse K R, Sherwood D E, Healy A F. How changing the focus of attention affects performance, kinematics, and electromyography in dart throwing[J]. Hum Mov Sci, 2010, 29(4):542-555. doi: 10.1016/j.humov.2010.05.001
[11]	Chiviacowsky S, Wulf G, Wally R. An external focus of attention enhances balance learning in older adults[J]. Gait Posture, 2010, 32(4):572-575. doi: 10.1016/j.gaitpost.2010.08.004 pmid: 20850325
[12]	Shafizadeh M, Platt G K, Mohammadi B. Effects of different focus of attention rehabilitative training on gait performance in multiple sclerosis patients[J]. J Bodyw Mov Ther, 2013, 17(1):28-34. doi: 10.1016/j.jbmt.2012.04.005 pmid: 23294680
[13]	Wulf G, Landers M, Lewthwaite R, et al. External focus instructions reduce postural instability in individuals with Parkinson disease[J]. Phys Ther, 2009, 89(2):162-168. doi: 10.2522/ptj.20080045
[14]	Fasoli S E, Trombly C A, Tickle-Degnen L, et al. Effect of instructions on functional reach in persons with and without cerebrovascular accident[J]. Am J Occup Ther, 2002, 56(4):380-390. pmid: 12125827
[15]	Durham K F, Sackley C M, Wright C C, et al. Attentional focus of feedback for improving performance of reach-to-grasp after stroke: a randomized crossover study[J]. Physiotherapy, 2014, 100(2):108-115. doi: 10.1016/j.physio.2013.03.004 pmid: 23796803
[16]	Kim G J, Hinojosa J, Rao A K, et al. Randomized trial on the effects of attentional focus on motor training of the upper extremity using robotics with individuals after chronic stroke[J]. Arch Phys Med Rehabil, 2017, 98(10):1924-1931. doi: 10.1016/j.apmr.2017.06.005
[17]	Kal E C, van der Kamp J, Houdijk H, et al. Stay Focused! The effects of internal and external focus of attention on movement automaticity in patients with stroke[J]. PLoS One, 2015, 10(8):e0136917. doi: 10.1371/journal.pone.0136917
[18]	Shea C H, Wulf G. Enhancing motor learning through external-focus instructions and feedback[J]. Hum Mov Sci, 1999, 18(4):553-571. doi: 10.1016/S0167-9457(99)00031-7
[19]	Wulf G, Lauterbach B, Toole T. The learning advantages of an external focus of attention in golf[J]. Res Q Exerc Sport, 1999, 70(2):120-126. doi: 10.1080/02701367.1999.10608029
[20]	Prinz W. Perception and action planning[J]. Eur J Cognit Psychol, 1997, 9(2):129-154. doi: 10.1080/713752551
[21]	Hommel B, Müsseler J, Aschersleben G, et al. The Theory of Event Coding (TEC): a framework for perception and action planning[J]. Behav Brain Sci, 2001, 24(5):849-878. pmid: 12239891
[22]	Wulf G, Lewthwaite R. Effortless motor learning? An external focus of attention enhances movement effectiveness and efficiency [M]// Wulf G, Lewthwaite R. Effortless Attention: A New Perspective in the Cognitive Science of Attention and Action. Cambridge: MIT Press, 2010: 74-102.
[23]	Vance J, Wulf G, Töllner T, et al. EMG activity as a function of the performer's focus of attention[J]. J Mot Behav, 2004, 36(4):450-459. doi: 10.3200/JMBR.36.4.450-459
[24]	Durham K, Van Vliet P M, Badger F, et al. Use of information feedback and attentional focus of feedback in treating the person with a hemiplegic arm[J]. Physiother Res Int, 2009, 14(2):77-90. doi: 10.1002/pri.431
[25]	Johnson L, Burridge J H, Demain S H. Internal and external focus of attention during gait re-education: an observational study of physical therapist practice in stroke rehabilitation[J]. Phys Ther, 2013, 93(7):957-966. doi: 10.2522/ptj.20120300 pmid: 23559523
[26]	Kal E, van den Brink H, Houdijk H, et al. How physical therapists instruct patients with stroke: an observational study on attentional focus during gait rehabilitation after stroke[J]. Disabil Rehabil, 2018, 40(10):1154-1165. doi: 10.1080/09638288.2017.1290697
[27]	Wulf G, Shea C, Lewthwaite R. Motor skill learning and performance: a review of influential factors[J]. Med Educ, 2010, 44(1):75-84. doi: 10.1111/med.2009.44.issue-1
[28]	Reichenbach A, Diedrichsen J. Processing reafferent and exafferent visual information for action and perception[J]. J Vis, 2015, 15(8):11.
[29]	Goodman R, Tremblay L. Using proprioception to control ongoing actions: dominance of vision or altered proprioceptive weighing?[J]. Exp Brain Res, 2018, 236(7):1897-1910. doi: 10.1007/s00221-018-5258-7 pmid: 29696313
[30]	Latash M L. The hand: shall we ever understand how it works?[J]. Motor Control, 2015, 19(2):108-126. doi: 10.1123/mc.2014-0025 pmid: 25271803
[31]	Mückel S, Mehrholz J. Immediate effects of two attention strategies on trunk control on patients after stroke. A randomized controlled pilot trial[J]. Clin Rehabil, 2014, 28(7):632-636. doi: 10.1177/0269215513513963
[32]	刘斐雯, 黄佳, 刘娇, 等. 脑卒中发病部位和性质与注意力障碍的关系[J]. 中国康复理论与实践, 2016, 22(4):443-447.
[33]	Winstein C J, Wolf S L, Dromerick A W, et al. Effect of a task-oriented rehabilitation program on upper extremity recovery following motor stroke: the ICARE randomized clinical trial[J]. JAMA, 2016, 315(6):571-581. doi: 10.1001/jama.2016.0276 pmid: 26864411
[34]	McCabe J, Monkiewicz M, Holcomb J, et al. Comparison of robotics, functional electrical stimulation, and motor learning methods for treatment of persistent upper extremity dysfunction after stroke: a randomized controlled trial[J]. Arch Phys Med Rehabil, 2015, 96(6):991-993 doi: 10.1016/j.apmr.2015.02.004
[35]	Kal E, Houdijk H, van der Kamp J, et al. Are the effects of internal focus instructions different from external focus instructions given during balance training in stroke patients? A double-blind randomized controlled trial[J]. Clin Rehabil, 2019, 33(2):207-221. doi: 10.1177/0269215518795243
[36]	Sakurada T, Nakajima T, Morita M, et al. Improved motor performance in patients with acute stroke using the optimal individual attentional strategy[J]. Sci Rep, 2017, 7:40592. doi: 10.1038/srep40592 pmid: 28094320

Advances in External Attentional Focus Strategy for Stroke Rehabilitation (review)

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