一种新的神经康复方法用于神经系统疾病患者的神经可塑性过度刺激和重组

IF 0.5 4区 医学 Q4 REHABILITATION Physikalische Medizin Rehabilitationsmedizin Kurortmedizin Pub Date : 2021-12-04 DOI:10.1055/a-2004-5836
A. Alashram, G. Annino
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引用次数: 0

摘要

摘要神经系统疾病是指与神经系统损伤有关的疾病。这些损伤会影响患者的日常生活活动。最近,许多先进的模式已被用于康复领域,以治疗各种神经损伤。然而,其中许多模式仅在诊所提供,有些模式价格昂贵。大多数神经系统疾病患者很难到达诊所。这篇综述旨在建立一种新的基于科学方法的神经康复方法,以改善患者在诊所或家中神经疾病后的功能恢复。人脑是一个网络,一个复杂的、集成的系统,在数十亿个单位之间协调操作。事实上,灰质包含了大部分神经元细胞体。它包括大脑和脊髓区域,涉及肌肉控制、感官感知、记忆、情绪、决策和自我控制。因此,患者的功能能力是由不同大脑和脊髓区域以及神经肌肉系统之间的复杂相互作用产生的。虽然白质纤维连接着许多大脑区域,但刺激或改善非运动症状,如除运动症状外的动机、认知和感觉症状,可能会增强神经系统疾病患者的功能恢复。目前治疗方法的基本原则是基于大脑连接建立的。在康复过程中使用运动、感觉、动机和认知(MSMC)干预可以促进神经系统疾病患者的神经可塑性并最大限度地恢复功能。我们迫切需要进行实验研究来验证我们的理论和假设。
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A Novel Neurorehabilitation Approach for Neural Plasticity Overstimulation and Reorganization in Patients with Neurological Disorders
Abstract Neurological disorders are those that are associated with impairments in the nervous system. These impairments affect the patient’s activities of daily living. Recently, many advanced modalities have been used in the rehabilitation field to treat various neurological impairments. However, many of these modalities are available only in clinics, and some are expensive. Most patients with neurological disorders have difficulty reaching clinics. This review was designed to establish a new neurorehabilitation approach based on the scientific way to improve patients’ functional recovery following neurological disorders in clinics or at home. The human brain is a network, an intricate, integrated system that coordinates operations among billions of units. In fact, grey matter contains most of the neuronal cell bodies. It includes the brain and the spinal cord areas involved in muscle control, sensory perception, memory, emotions, decision-making, and self-control. Consequently, patients’ functional ability results from complex interactions among various brain and spinal cord areas and neuromuscular systems. While white matter fibers connect numerous brain areas, stimulating or improving non-motor symptoms, such as motivation, cognitive, and sensory symptoms besides motor symptoms may enhance functional recovery in patients with neurological disorders. The basic principles of the current treatment approach are established based on brain connectivity. Using motor, sensory, motivation, and cognitive (MSMC) interventions during rehabilitation may promote neural plasticity and maximize functional recovery in patients with neurological disorders. Experimental studies are strongly needed to verify our theories and hypothesis.
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来源期刊
CiteScore
1.10
自引率
25.00%
发文量
70
审稿时长
3 months
期刊介绍: The Journal of Physical and Rehabilitation Medicine offers you the most up-to-date information about physical medicine in clinic and practice, as well as interdisciplinary information about rehabilitation medicine and spa medicine. Publishing 6 issues a year, the journal includes selected original research articles and reviews as well as guidelines and summaries of the latest research findings. The journal also publishes society news and editorial material. “Online first” publication ensures rapid dissemination of knowledge.
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