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On the importance of long-term functional assessment after stroke to improve translation from bench to bedside

机译:关于中风后长期功能评估对改善从板凳到床边翻译的重要性

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Despite extensive research efforts in the field of cerebral ischemia, numerous disappointments came from the translational step. Even if experimental studies showed a large number of promising drugs, most of them failed to be efficient in clinical trials. Based on these reports, factors that play a significant role in causing outcome differences between animal experiments and clinical trials have been identified; and latest works in the field have tried to discard them in order to improve the scope of the results. Nevertheless, efforts must be maintained, especially for long-term functional evaluations. As observed in clinical practice, animals display a large degree of spontaneous recovery after stroke. The neurological impairment, assessed by basic items, typically disappears during the firsts week following stroke in rodents. On the contrary, more demanding sensorimotor and cognitive tasks underline other deficits, which are usually long-lasting. Unfortunately, studies addressing such behavioral impairments are less abundant. Because the characterization of long-term functional recovery is critical for evaluating the efficacy of potential therapeutic agents in experimental strokes, behavioral tests that proved sensitive enough to detect long-term deficits are reported here. And since the ultimate goal of any stroke therapy is the restoration of normal function, an objective appraisal of the behavioral deficits should be done.
机译:尽管在脑缺血领域进行了广泛的研究,但翻译步骤仍然令人失望。即使实验研究显示出大量有前途的药物,但大多数仍无法在临床试验中有效。根据这些报告,已经确定了在动物实验和临床试验之间导致结果差异的重要因素。为了改善结果范围,该领域的最新作品已尝试将其丢弃。但是,必须保持努力,特别是对于长期功能评估。如在临床实践中观察到的,中风后动物表现出很大程度的自发恢复。通过基本项目评估的神经系统损害通常在啮齿动物中风后的第一周内消失。相反,要求更高的感觉运动和认知任务强调了其他缺陷,这些缺陷通常是长期存在的。不幸的是,针对此类行为障碍的研究较少。由于长期功能恢复的特征对于评估潜在的治疗剂在实验性卒中中的疗效至关重要,因此,这里报道了行为敏感性足以检测长期缺陷的行为测试。并且由于任何中风疗法的最终目标是恢复正常功能,因此应该对行为缺陷进行客观评估。

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