摘要
脑卒中作为一种严重威胁中国国民健康的慢性非传染性疾病,具有高患病率、高病残率、高致死率、高复发性、高经济压力性五大特性。全球疾病负担研究(global burden of disease study, GBD)数据显示,中国脑卒中患病人数高居世界首位,脑卒中已经成为伤残致死的第一位发病原因。脑卒中会导致多种功能障碍,如运动、言语、吞咽障碍等,其中运动功能障碍最为常见。近年来,越来越多的治疗方法被应用于实践中,有关资料建议应及早介入脑卒中康复,早期康复已经被证实对脑卒中患者功能预后具有改善作用。在早期康复中,运动想象(motor imagery, MI)疗法作为一种新型的治疗方式,因其实施受限制程度较小、操作简单、经济便捷,目前已在脑卒中患者的康复治疗中表现出积极的作用。然而,当前主流的MI解释模型对其具体的神经作用机制仍存在较大的模糊性,特别是在分子和细胞水平。此外,单纯的运动想象疗法主要应用于脑卒中后超早期和早期康复,治疗效果有限,但随着MI与心理学中第二代具身认知理论的融合与深入,新的具身化运动想象疗法也开始逐渐引起关注。因此,很有必要对MI进行梳理整合与探讨,本文将结合近些年的相关研究,阐述运动想象疗法在脑卒中后运动功能康复中的研究进展,以期为未来相关问题的深入研究及解决提供一定的参考。
As a chronic non-communicable disease,stroke poses a serious threat to the health of Chinese people,and has five major characteristics:high prevalence,high disability,high mortality,high recurrence,and high economic pressure.According to the global burden of disease(GBD)study,the number of people suffering from stroke in China is the highest in the world,and stroke has already become the first cause of disability and death.Strokes cause a variety of functional disorders,such as motor,speech,and swallowing disorders,among which motor dysfunction is the most common.In recent years,more and more therapeutic methods have been applied in practice,and relevant data suggest that early intervention in stroke rehabilitation is needed,and early rehabilitation has been shown to improve the functional prognosis of stroke patients.In early rehabilitation,motor imagery(MI)therapy,as a new and innovative therapeutic modality,has been shown to play a positive role in the rehabilitation of stroke patients due to its less restrictive implementation,simple operation,and economic convenience.However,the current mainstream explanatory model of MI still has a large ambiguity about its specific neurological mechanism of action,especially at the molecular and cellular levels.In addition,pure motor imagery therapy is mainly applied to ultra-early and early post-stroke rehabilitation with limited therapeutic effects,but with the integration and deepening of MI with second-generation embodied cognition theories in psychology,new embodied motor imagery therapies have begun to be gradually compelling.Therefore,it is very necessary to sort out,integrate and explore MI.In this paper,we will elaborate the research progress of motor imagery therapy in post-stroke motor function rehabilitation by combining the relevant studies in recent years,with a view to providing certain reference value for the depth of research and even the solution of the relevant problems in the future.
作者
林志强
王安妮
高润
刘莉
LIN Zhiqiang;WANG Anni;GAO Run;LIU Li(Graduate Department of Nanjing Sports Institute,Nanjing,Jiangsu 210014,China;不详)
出处
《中华全科医学》
2024年第1期117-120,139,共5页
Chinese Journal of General Practice
基金
江苏省卫生健康委员会2022年度医学科研重点项目(ZD2022030)
江苏省研究生科研与实践创新计划项目(KYCX22_2255)。
关键词
脑卒中
运动想象
运动功能康复
Stroke
Motor imagery
Motor function rehabilitation
