运动想象结合作业疗法在脑卒中患者康复训练中的研究进展  

Research Progress of Motor Imagery Combined with Occupational Therapy in Rehabilitation Training of Stroke Patients

作　　者：赵欣[1] 武海霞 陈龙 王仲朋[1] 顾斌[1] 明东[1,2] Zhao Xin;Wu Haixia;Chen Long;Wang Zhongpeng;Gu Bin;Ming Dong(College of Precision Instruments&Optoelectronics Engineering,Tianjin University,Tianjin 300072,China;Academy of Medical Engineering and Translational Medicine,Tianjin University,Tianjin 300072,China)

机构地区：[1]天津大学精密仪器与光电子工程学院,天津300072 [2]天津大学医学工程与转化医学研究院,天津300072

出　　处：《中国生物医学工程学报》2021年第2期228-236,共9页Chinese Journal of Biomedical Engineering

基　　金：国家自然科学基金重点项目(81630051);天津市科技支撑计划项目(17ZXRGGX00020)。

摘　　要：运动想象(MI)与作业疗法(OT)作为传统的康复治疗手段,已经广泛应用于脑卒中患者的临床康复治疗中。首先简要阐述OT以及MI在脑卒中康复训练中的基本原理,并具体评述OT以及MI针对运动功能、认知功能等不同功能障碍在脑卒中康复临床应用的相关研究进展。其中,MI疗法具有简单易行、成本低廉、可充分调动患者主观能动性等优点,但存在形式单一、过程不易把控等不足,而OT实验范式简单且具有固定模式指导,动作众多且贴合日常生活,其能够为MI增添情景化、任务化的训练模式。最后综述MI结合OT在脑卒中康复训练中的研究进展,研究表明MI与OT结合能够发挥二者优势,有望进一步提升患者康复进程,未来将面向训练方式、神经机制及系统分类性能等层面不断优化和完善。As traditional rehabilitation methods,motor imagery(MI)and occupational therapy(OT)have been widely used in the clinical rehabilitation of stroke patients.This paper first briefly described the basic principles of OT and MI in stroke rehabilitation training,and the specifically reviewed the relevant research progress in the clinical application of OT and MI in the treatment of different functional disorders such as motor function and cognitive function in stroke rehabilitation.Among them,MI has the advantages of being simple and easy to implement,low cost,and can fully mobilize the subjective initiative of patients.However,it has the disadvantages of being single in form and difficult to control the process.The OT experiment paradigm is simple and has fixed mode guidance,with numerous actions and fits in with daily life,which can add situational and task-oriented training mode to MI.Finally,the research progress of MI combined with OT in stroke rehabilitation training was reviewed.The study showed that the combination of MI and OT could give play to the advantages of both,and is expected to further improve the rehabilitation process of patients.In the future,it will be continuously optimized and improved in terms of training methods,neural mechanism and system classification performance.

关 键 词：运动想象 作业疗法 脑卒中 康复 

分 类 号：R318[医药卫生—生物医学工程]