查詢結果分析
來源資料
相關文獻
- 侷限誘發療法與雙側動作訓練對中風病患腦重組機制之綜論
- 中風患者抓握動作功能性磁振造影研究文獻回顧
- 腦中風患者吞嚥功能臨床評估可靠性之探討
- 上矢狀竇栓塞併雙側偏癱:病例報告
- 運動後低血壓反應與血壓控制之探討
- The Effect of Sphenopalatine Postganglionic Neurotomy on the Alteration of Local Cerebral Blood Flow of Normotensive and Hypertensive Rats in Acute Cold Stress
- 以動脈注射血栓溶劑治療急性缺血性腦中風:七例報告
- 成功使用血栓溶解劑治療急性缺血性腦中風:一病例報告暨文獻回顧
- 臺北市機構式長期照護體系之腦中風物理治療服務需求調查
- 糖尿病與腦中風
頁籤選單縮合
題名 | 侷限誘發療法與雙側動作訓練對中風病患腦重組機制之綜論=Cortical Reorganization after Constraint-Induced Therapy and Bilateral Training in Patients with Stroke: A Review of Mechanisms and Empirical Evidence |
---|---|
作者姓名(中文) | 張雅棻; 魏慈慧; 吳菁宜; | 書刊名 | 臺灣職能治療研究與實務雜誌 |
卷期 | 2:2 民95 |
頁次 | 頁74-81 |
分類號 | 418.996 |
關鍵詞 | 侷限誘發療法; 雙側動作訓練; 腦重組; 腦中風; Constraint-induced therapy; Bilateral training; Cortical reorganization; Stroke; |
語文 | 中文(Chinese) |
中文摘要 | 目的:侷限誘發療法與雙側動作訓練已證實有助於中風病患之上肢動作功能及動作控制,本文從兩者之腦重組機制來探究其治療機轉,以提供對治療引起之腦塑性更深入瞭解。綜論概要:文獻顯示侷限誘發療法有助於輕度至中度動作受損之中風病患的功能恢復;功能性腦影像學研究指出此種療法可讓腦部活化改變,且讓兩側大腦半球之興奮性回復平衡。對於患側手動作極度受損之中風病患,研究卻顯示雙側動作訓練效益優於侷限誘發療法,不但同時活化兩腦相似的神經網絡,還徵召健側腦至患側手之同側神經路徑,以促進患側手之動作控制。結論:本文藉由對照侷限誘發療法與雙側動作訓練之腦重組機制,提供臨床工作者對於中風患者治療方案之選擇依據。未來研究可進一步針對可能影響兩者治療效益之因子進行探究。 |
英文摘要 | Objective: Constraint-induced therapy (CIT) and bilateral training have shown beneficial effects in improving motor function and control of upper extremity (UE) for patients with stroke. This review intends to underscore the treatment mechanisms of CIT and bilateral trainings from the perspective of brain plasticity and reorganization. Summary of Reviews: CIT consists of restricted use of the unaffected UE, intensive training of the affected UE, and is usually applied to stroke patients with mild-to-moderate motor impairments. The CIT studies using the functional neuroimaging techniques have shown that the CIT induced changes in activity in ipsileional sensorimotor cortex, contralesional motor cortex, and perilesional cortex, and facilitate restoration of the normal balance of excitability of the two hemispheres. In contrast, patients with severe motor impairment are more appropriate to be treated by the bilateral training than by the CIT because existing neural networks and connections in patients with lower motor function are not sufficient for activation of the recovered limb. The bilateral symmetrical movements could activate similar neural networks in both hemispheres, reinforce the coupling effects between the two limbs, and promote the involvement of ipsileional projections to restoration of function in affected UE. Conclusions: This review summarized and compared the brain reorganizations after CIT and bilateral training for understanding the neural basis of treatment-induced plasticity, and to promote the optimum of motor rehabilitation for patients with stroke. Future research may underscore the factors that might mediate effects of CIT and bilateral trainings. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。