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首页> 美国卫生研究院文献>Frontiers in Human Neuroscience >Combining Mental Training and Physical Training With Goal-Oriented Protocols in Stroke Rehabilitation: A Feasibility Case Study
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Combining Mental Training and Physical Training With Goal-Oriented Protocols in Stroke Rehabilitation: A Feasibility Case Study

机译：在中风康复中将心理训练和体育锻炼与面向目标的方案相结合：一个可行性案例研究

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Stroke is one of the leading causes of permanent disability in adults. The literature suggests that rehabilitation is key to early motor recovery. However, conventional therapy is labor and cost intensive. Robotic and functional electrical stimulation (FES) devices can provide a high dose of repetitions and as such may provide an alternative, or an adjunct, to conventional rehabilitation therapy. Brain-computer interfaces (BCI) could augment neuroplasticity by introducing mental training. However, mental training alone is not enough; but combining mental with physical training could boost outcomes. In the current case study, a portable rehabilitative platform and goal-oriented supporting training protocols were introduced and tested with a chronic stroke participant. A novel training method was introduced with the proposed rehabilitative platform. A 37-year old individual with chronic stroke participated in 6-weeks of training (18 sessions in total, 3 sessions a week, and 1 h per session). In this case study, we show that an individual with chronic stroke can tolerate a 6-week training bout with our system and protocol. The participant was actively engaged throughout the training. Changes in the Wolf Motor Function Test (WMFT) suggest that the training positively affected arm motor function (12% improvement in WMFT score).
机译：中风是成人永久性残疾的主要原因之一。文献表明康复是早期运动康复的关键。然而，常规疗法是劳力和成本密集的。机器人和功能性电刺激（FES）设备可以提供高剂量的重复，因此可以提供常规康复治疗的替代方案或辅助措施。脑机接口（BCI）可以通过引入心理训练来增强神经可塑性。但是，仅靠心理训练是不够的。但是将心理训练与体育锻炼相结合可以提高结果。在当前案例研究中，引入了便携式康复平台和面向目标的支持培训协议，并与慢性中风参与者进行了测试。提出的康复平台介绍了一种新的训练方法。一名37岁的慢性中风患者参加了为期6周的培训（总共18节，每周3节，每节1小时）。在本案例研究中，我们表明，患有慢性中风的患者可以使用我们的系统和方案接受6周的训练。在整个培训过程中，参与者积极参与。狼运动功能测试（WMFT）的变化表明，训练对手臂运动功能有积极影响（WMFT得分提高了12％）。

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