任务导向倾斜表交叉教育在脑卒中患者中的临床可行性评价

Chang-Yong Kim, Hyeong-Dong Kim
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摘要

这篇评论是关于在中风患者的倾斜表上使用渐进任务导向方法进行交叉教育的效果相关研究结果的推论。这些研究结果表明,在倾斜台上使用任务导向训练的交叉教育对急性和慢性偏瘫脑卒中患者的下肢功能和康复以及临床评分非常有帮助。自这些出版物发表以来,已经报道了一种使用交叉教育方法的新型神经康复策略,而不是集中在受影响一侧的康复治疗方法。这尚未用于任何针对急性和慢性中风受试者的研究。此外,后续研究还发现,在脑卒中后偏瘫受试者的亚急性期,使用倾斜台上任务导向训练的交叉教育对提高最大握力和手臂功能有更多帮助。因此,我们提出的治疗方法可能是一种新的神经康复策略,适用于各种上肢和下肢严重程度的患者。
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Commentary on Clinical Feasibility of the Crossed-Education Using the Task-Oriented Approach on the Tilt Table in Stroke Patients
This commentary regards the inferences of the findings related to the effect of crossed-education using the progressive task-oriented approach on a tilt table in stroke patients. The findings from these studies recommend that crossed-education using the task-oriented training on the tilt table was very helpful for the function and rehabilitation of lower limb and clinical scores in acute and chronic hemiplegic stroke patients. Since these publications, a novel neurorehabilitation strategy using the crossed-education approach has been reported instead of rehabilitation treatment method concentrated on the affected-side. This has not been used in any study with acute and chronic stroke subjects. Furthermore, follow-up study also obtained that the use of crossed-education using task-oriented training on a tilt table has more aids on the betterment of maximal grip strength and arm function in a sub-acute stage of post-stroke hemiplegia subjects. Therefore, our proposed therapeutic approach could be a novel neuro-rehabilitation strategy for patients with various upper and lower limb severities.
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