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Emerging Treatments for Motor Rehabilitation After Stroke

机译:脑卒中后康复的新兴治疗

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摘要

Although numerous treatments are available to improve cerebral perfusion after acute stroke and prevent recurrent stroke, few rehabilitation treatments have been conclusively shown to improve neurologic recovery. The majority of stroke survivors with motor impairment do not recover to their functional baseline, and there remains a need for novel neuror-ehabilitation treatments to minimize long-term disability, maximize quality of life, and optimize psychosocial outcomes. In recent years, several novel therapies have emerged to restore motor function after stroke, and additional investigational treatments have also shown promise. Here, we familiarize the neurohospitalist with emerging treatments for poststroke motor rehabilitation. The rehabilitation treatments covered in this review will include selective serotonin reuptake inhibitor medications, constraint-induced movement therapy, noninvasive brain stimulation, mirror therapy, and motor imagery or mental practice.
机译:尽管有许多治疗方法可改善急性中风后的脑灌注并预防复发性中风,但结论性地表明很少有康复治疗可改善神经系统的恢复。大多数患有运动障碍的中风幸存者无法恢复到其功能基线,因此仍然需要新颖的神经康复治疗,以最大程度地减少长期残疾,提高生活质量并优化社会心理结果。近年来,出现了几种新颖的疗法来恢复中风后的运动功能,另外的研究治疗方法也显示出了希望。在这里,我们使神经医院医师熟悉中风后运动康复的新兴治疗方法。本评价涵盖的康复治疗将包括选择性5-羟色胺再摄取抑制剂药物,约束诱导的运动疗法,无创性脑刺激,镜面疗法以及运动成像或精神实践。

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