Neuroplasticity as the basis of motor rehabilitation

A. E. Amamchyan, G. S. Gafiyatullina
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Abstract

Diseases of the nervous system, accompanied by impaired locomotor reactions, occupy a leading place among the causes of disability. In this regard, the review carried out an analysis of national and foreign scientific data devoted to current views about the neurophysiological mechanisms of plasticity and their leading role in ensuring the recovery of movements in neuromotor disorders. Special attention is given both to the organization of the spinal locomotor center as a common final path in the implementation of motor rehabilitation, and to the management of the locomotor center, taking into account modern ideas about the structure of the locomotor body system. Based on the results of systematic literature data, the authors concluded that neuroplasticity of the spinal locomotor center and supraspinal centers of movement regulation is proven, and indicate the expediency of searching for methods which activating the plasticity of the central nervous system.
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神经可塑性是运动康复的基础
伴有运动反应障碍的神经系统疾病是导致残疾的主要原因。为此,本综述对国内外科学数据进行了分析,专门探讨了目前关于可塑性神经生理机制及其在确保神经运动障碍患者恢复运动方面的主导作用的观点。其中特别关注了脊柱运动中枢的组织,将其作为实施运动康复的共同最终途径,以及运动中枢的管理,同时考虑到有关运动机体系统结构的现代观点。根据系统性文献资料的结果,作者得出结论:脊柱运动中枢和脊髓上运动调节中枢的神经可塑性已得到证实,并指出寻找激活中枢神经系统可塑性的方法是适宜的。
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