脑电图揭示中风康复过程中的运动控制和神经可塑性

IF 7.8 1区 医学 Q1 CLINICAL NEUROLOGY Stroke Pub Date : 2024-10-01 Epub Date: 2024-08-22 DOI:10.1161/STROKEAHA.124.048458
Célia Delcamp, Ramesh Srinivasan, Steven C Cramer
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引用次数: 0

摘要

在许多医学分支中,治疗都是通过测量其对潜在生理机能的影响来指导的。在这方面,如果能通过测量直接捕捉治疗对神经功能的影响来指导康复/恢复疗法的实施,就能提高其疗效。通过脑电图测量大脑功能可能有助于实现这一目标,并且具有床旁采集方便、安全和成本低等优点。本综述综合了脑卒中后亚急性期的脑电图研究,此时自发恢复达到最大程度,研究重点是运动。事件相关测量反映了大脑皮层的激活和抑制,而连接性测量则反映了大脑皮层网络的功能。一些基于脑电图的测量与脑卒中后的运动结果有关,值得进一步评估。最终,它们可能有助于脑卒中神经康复的临床决策和临床试验设计。
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EEG Provides Insights Into Motor Control and Neuroplasticity During Stroke Recovery.

In many branches of medicine, treatment is guided by measuring its effects on underlying physiology. In this regard, the efficacy of rehabilitation/recovery therapies could be enhanced if their administration was guided by measurements that directly capture treatment effects on neural function. Measures of brain function via EEG may be useful toward this goal and have advantages such as ease of bedside acquisition, safety, and low cost. This review synthetizes EEG studies during the subacute phase poststroke, when spontaneous recovery is maximal, and focuses on movement. Event-related measures reflect cortical activation and inhibition, while connectivity measures capture the function of cortical networks. Several EEG-based measures are related to motor outcomes poststroke and warrant further evaluation. Ultimately, they may be useful for clinical decision-making and clinical trial design in stroke neurorehabilitation.

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来源期刊
Stroke
Stroke 医学-临床神经学
CiteScore
13.40
自引率
6.00%
发文量
2021
审稿时长
3 months
期刊介绍: Stroke is a monthly publication that collates reports of clinical and basic investigation of any aspect of the cerebral circulation and its diseases. The publication covers a wide range of disciplines including anesthesiology, critical care medicine, epidemiology, internal medicine, neurology, neuro-ophthalmology, neuropathology, neuropsychology, neurosurgery, nuclear medicine, nursing, radiology, rehabilitation, speech pathology, vascular physiology, and vascular surgery. The audience of Stroke includes neurologists, basic scientists, cardiologists, vascular surgeons, internists, interventionalists, neurosurgeons, nurses, and physiatrists. Stroke is indexed in Biological Abstracts, BIOSIS, CAB Abstracts, Chemical Abstracts, CINAHL, Current Contents, Embase, MEDLINE, and Science Citation Index Expanded.
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