Archive for Декабрь 13th, 2011

Rehabilitation of gait after stroke: a review towards a top-down approach.

Дата: Декабрь 13th, 2011 Автор:
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  • Тип контента: Научная статья
  • Номер документа: 6444
  • Название документа: Rehabilitation of gait after stroke: a review towards a top-down approach.
  • Номер (DOI, IBSN, Патент): 10.1186/1743-0003-8-66
  • Изобретатель/автор: Juan-Manuel Belda-Lois, Silvia Mena-del Horno, Ignacio Bermejo-Bosch, Juan C. Moreno, Jose L. Pons, Dario Farina, Marco Iosa, Marco Molinari, Federica Tamburella, Ander Ramos, Andrea Caria, Teodoro Solis-Escalante, Clemens Brunner, Massimiliano Rea
  • Правопреемник/учебное заведение: Не заполнено
  • Дата публикации документа: 2011-12-13
  • Страна опубликовавшая документ: Не заполнено
  • Язык документа: Английский
  • Наименование изделия: Не заполнено
  • Источник: Journal of NeuroEngineering and Rehabilitation
  • Вложения: Да
  • Аналитик: Глаголева Елена

This document provides a review of the techniques and therapies used in gait rehabilitation after stroke. It also examines the po-ssible benefits of including assistive robotic devices and brain-computer interfaces in this field, according to a top-down appro-ach, in which rehabilitation is driven by neural plasticity. The methods reviewed comprise classical gait rehabilitation techniques (neurophysiological and motor learning approaches), functional electrical stimulation (FES), robotic devices, and brain-computer interfaces (BCI). From the analysis of these approaches, we can draw the following conclusions. Regarding classical rehabilitation techniques, there is insufficient evidence to state that a particular approach is more effective in promoting gait recovery than other. Combination of different rehabilitation strategies seems to be more effective than over-ground gait training alone. Robotic devices need further research to show their suitability for walking training and their effects on over-ground gait. The use of FES combined with different walking retraining strategies has shown to result in improvements in hemiplegic gait. Reports on non-inva-sive BCIs for stroke recovery are limited to the rehabilitation of upper limbs; however, some works suggest that there might be a common mechanism which influences upper and lower limb recovery simultaneously, independently of the limb chosen for the rehabi-litation therapy. Functional near infrared spectroscopy (fNIRS) enables researchers to detect signals from specific regions of the cortex during performance of motor activities for the development of future BCIs. Future research would make possible to analyze the impact of rehabilitation on brain plasticity, in order to adapt treatment resources to meet the needs of each patient and to optimize the recovery process.


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