脑卒中后感觉功能障碍的康复——范围综述

D. Gandhi, I. Sebastian, Komal Bhanot
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引用次数: 3

摘要

感觉功能障碍是卒中后常见的损伤之一。随着各种形式的感官变化,它也会影响生活质量并激发自杀念头。这篇文章试图回顾和描述目前各种评估和康复中风后感觉功能障碍方法的证据。在Medline、Embase、EBSCO和Cochrane图书馆进行了广泛的电子数据库搜索后,产生了2433个结果。根据纳入和排除标准筛选后,我们纳入了11项研究。我们根据感觉缺陷的类型和患病率、感觉系统在运动行为中的作用、干预类型、目标感觉方式、干预剂量和用于康复的结果措施对数据进行分类。结果发现有力的证据表明,初级和次级运动区分别参与了体感的处理和反应。我们将康复方法分为感觉刺激法和感觉再训练法,分别以外部刺激和再学习为重点。然而,随着目标的变化和有针对性的感官参与,研究的适用性受到影响。因此,未来需要对卒中后感觉康复评估和康复的循证实践进行广泛的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rehabilitation of Post Stroke Sensory Dysfunction—A Scoping Review
Sensory dysfunction is one of the common impairments that occurs post stroke. With sensory changes in all modalities, it also affects the quality of life and incites suicidal thoughts. The article attempts to review and describe the current evidence of various approaches of assessment and rehabilitation for post-stroke sensory dysfunction. After extensive electronic database search across Medline, Embase, EBSCO, and Cochrane library, it generated 2433 results. After screening according to inclusion and exclusion criteria, we included 11 studies. We categorized data based on type of sensory deficits and prevalence, role of sensory system on motor behavior, type of intervention, sensory modality targeted, and dosage of intervention and outcome measures used for rehabilitation. Results found the strong evidence of involvement of primary and secondary motor areas involved in processing and responding to somatosensation, respectively. We divided rehabilitation approaches into sensory stimulation approach and sensory retraining approach focused on using external stimuli and relearning, respectively. However, with varied aims and targeted sensory involvement, the study applicability is affected. Thus, this emerges the need of extensive research in future for evidence-based practice of assessments and rehabilitation on post-stroke sensory rehabilitation.
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