朱弘鹏,拜承萍

本文主旨基于EEG技术的运动想象康复训练对缺血性脑卒中患者神经可塑性的影响研究。首先阐述了脑卒中的严峻现状、康复治疗的紧迫性及运动想象疗法提出的背景。接着深入剖析运动功能恢复与神经可塑性、运动想象引发的神经电生理现象以及EEG技术在脑卒中康复研究中的优势等理论基础。根据目前国内外在该领域的研究过程中取得的成果与面临的困难。围绕研究目的与意义、研究方法、预期结果等方面展开论述，旨在全面探讨该疗法对改善患者短期预后的影响及在脑卒中后运动功能康复中的可行性，为后续研究和临床实践提供参考。

缺血性脑卒中；运动想象疗法；EEG；神经可塑性

[1] Smoker WR,Corbett JJ,Gentry LR,et al.High-resolution computed tomography of the basilar artery:2.Veilar dolichoectasia:clinical- pathologic correlation and review.AJNR American journal of neuroradiology 1986.7:61-72. [2] Katan M,Luft A.Global Burden of Stroke[J].Semin Neurol,2018,38(2):208-211. [3] Bartur G,Pratt H,Soroker N.Changes in mu and beta amplitude of theEEG during upper limb movement correlate with motor impairment and structural damage in subacute stroke[J].Clin Neurophysiol,2019,130(9):1644-1651. [4] Chen S,Shu X,Jia J,et al.Relation between sensorimotor rhythmduring motor attempt/imagery and upper-limb motor impairment in stroke[J].Clin EEG Neurosci,2022,53(3):238-247. [5] Zhou L,Zhu QQ,Wu B,et al.A comparison of directed functional connectivity among fist-related brain activities during movement imagery,movement execution,and movement observation[J].Brain Res,2022,1777:147769. [6] Hallett M,Delrosso LM,Elble R,et al.Evaluation of movement and brain activity[J].Clin Neurophysiol,2021,132(10):2608-2638. [7] Kai K A,Guan C,Engineering R.EEG-Based Strategies to Detect Motor Imagery for Control and Rehabilitation[J].IEEE Transactions on Neural Systems&Rehabilitation Engineering,2017,25(4):1-1. [8] Pichiorri F,Morone G,Petti M,et al.Brain-computer interface boosts motor imagery practice during stroke recovery[J].Annals of Neurology,2015,77(5):851-865. [9] 高俊丽.现代康复治疗技术在脑卒中患者步行功能障碍中的应用进展[J].医学综述,2019,25(15):3059-3064. [10] Hann RD,Limburg M,Bossuyt P,et al.The clinical meaning of Rankin'handicap'grades after stroke[J]Stroke,1995,26(11):2027-2030. [11] Cirillo C,Brihmat N,Castel-Lacanal E,et al.Post-stroke remodeling processes in animal models and humans[J]J Cereb Blood Flow Metab,2020,40(1):3-22. [12] 燕铁斌,许俭兴.脑卒中病人早期运动功能恢复的评估-FMA与MAS量表比较[J].神经损伤与功能重建,1996,16(2):65-67.Yan TB,Xu JX.Assessment of early motor function recovery in stroke patients:comparison of FMA and MAS scale[J]Neural Injury and Functional Reconstruction,1996,16(2):65-67. [13] Crofts A,Kelly ME,Gibson CL.Imaging functional recovery following ischemic stroke:clinical and preclinical fMRI studies[J].J uroimaging,2020,30(1):5-14. [14] Sun JY,Pang RC,Chen SS,et al.Near-infrared spectroscopy as a promising tool in stroke:current applications and future perspectives[J]. J Innov Opt Heal Sci,2021,14(6):19-41. [15] Vatinno A,Simpson A,Ramakrishnan V,et al.The prognostic utility of electroencephalography in stroke recovery:a systematic review and Meta-analysis[J].Neurorehabil Neural Repair,2022, 36(4):255-268. [16] Brambilla C,Pirovano I,Mira RM,et al.Combined use of EMG and EEG techniques for neuromotor assessment in rehabilitative applications:a systematic review[J].Sensors(Basel),2021, 21:7014-7039. [17] Paggiaro A,Birbaumer N,Cavinato M,et al.Magnetoencephalography. [18] in stroke recovery and rehabilitation[J].Front Neurol,2016,3(7):35-45. [19] 程振仕.基于EEG的脑卒中评估方法研究及病灶定位[D].秦皇岛:燕山大学,2019.Cheng ZS.The stud [20] Klimesch,W.,EEG alpha and theta oscillations reflect cognitive and memory performance:a review and analysis.Brain Research Reviews,1999.29(2-3):p.169-195. [21] Schaechter,J.D.,Motor rehabilitation and brain plasticity after hemiparetic stroke.Progress in Neurobiology,2004.73(1):p.61-72. [22] 庄平.EEG事件相关去同步化和同步化活动与运动相关性作业[J].中国组织工程研究,2004,8(1):152-154.

点击下载PDF