神经技术的前景带来有意义的减少神经损伤。

IF 3.7 2区 医学 Q1 CLINICAL NEUROLOGY
David Putrino, John W Krakauer
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引用次数: 3

摘要

在这里,我们报告并评论了目前使用新神经技术观察到的中风后损伤减少的幅度。我们认为,神经技术的最佳用例是减少损伤,因为这既不是传统康复的主要力量,也不是主要目标,传统康复更适合针对ICF的活动和参与水平。这里讨论的神经技术可以分为两种,一种是作为辅助手段来加强传统的康复治疗,另一种是引入一种全新的行为干预。前者的例子包括侵入性和非侵入性脑刺激。后者的例子包括机器人和某些形式的严肃游戏。我们认为运动学习和训练相关的恢复在概念和机制上是不同的。根据我们对最近结果的调查,我们得出结论,要想大幅度减少损伤,需要从新形式的高剂量、高强度的行为干预开始,这与传统的康复治疗在本质上是不同的。辅助形式的神经技术,如果要发挥作用,就需要借助这些新的行为干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neurotechnology's Prospects for Bringing About Meaningful Reductions in Neurological Impairment.

Here we report and comment on the magnitudes of post-stroke impairment reduction currently observed using new neurotechnologies. We argue that neurotechnology's best use case is impairment reduction as this is neither the primary strength nor main goal of conventional rehabilitation, which is better at targeting the activity and participation levels of the ICF. The neurotechnologies discussed here can be divided into those that seek to be adjuncts for enhancing conventional rehabilitation, and those that seek to introduce a novel behavioral intervention altogether. Examples of the former include invasive and non-invasive brain stimulation. Examples of the latter include robotics and some forms of serious gaming. We argue that motor learning and training-related recovery are conceptually and mechanistically distinct. Based on our survey of recent results, we conclude that large reductions in impairment will need to begin with novel forms of high dose and high intensity behavioral intervention that are qualitatively different to conventional rehabilitation. Adjunct forms of neurotechnology, if they are going to be effective, will need to piggyback on these new behavioral interventions.

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来源期刊
CiteScore
8.30
自引率
4.80%
发文量
52
审稿时长
6-12 weeks
期刊介绍: Neurorehabilitation & Neural Repair (NNR) offers innovative and reliable reports relevant to functional recovery from neural injury and long term neurologic care. The journal''s unique focus is evidence-based basic and clinical practice and research. NNR deals with the management and fundamental mechanisms of functional recovery from conditions such as stroke, multiple sclerosis, Alzheimer''s disease, brain and spinal cord injuries, and peripheral nerve injuries.
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