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뇌졸중 후 상지 기능 개선을 위한 재활치료의 전략

Optimal Strategies of Upper Limb Motor Rehabilitation after Stroke

김상훈|이창형|신용일|신명준
대한뇌신경재활학회 (Korean Society for NeuroRehabilitation)|2014.03|뇌신경재활 (Brain & NeuroRehabilitation)|제7권 제1호|pp. 21-29

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참고문헌

키워드

strokerehabilitationneuroplasticityupper extremity

초록

The purpose of this review is to provide a comprehensive approach for optimal strategies of upperlimb motor rehabilitation after stroke. Stroke is a common, serious, and disabling global health-careproblem. Optimal organization of rehabilitation for stroke patients has been extensively documented. However, between 30% and 66% of individuals with stroke do not obtain satisfactory motor recoveryof the affected upper limb with rehabilitative interventions. The recovery of the affected upper extremitydepends on intensity, task progression, and repetition to neural plasticity, namely, the ability of centralnervous system cells to modify their structure and function in response to external stimuli. Recently,constraint-induced movement therapy, motor imagery, action observation, or mirror therapy has emergedas interesting options as add-on interventions to standard physical therapies. In this review, we willdiscuss to establish a framework by which several promising interventions for neural plasticity.

Abstract

The purpose of this review is to provide a comprehensive approach for optimal strategies of upperlimb motor rehabilitation after stroke. Stroke is a common, serious, and disabling global health-careproblem. Optimal organization of rehabilitation for stroke patients has been extensively documented. However, between 30% and 66% of individuals with stroke do not obtain satisfactory motor recoveryof the affected upper limb with rehabilitative interventions. The recovery of the affected upper extremitydepends on intensity, task progression, and repetition to neural plasticity, namely, the ability of centralnervous system cells to modify their structure and function in response to external stimuli. Recently,constraint-induced movement therapy, motor imagery, action observation, or mirror therapy has emergedas interesting options as add-on interventions to standard physical therapies. In this review, we willdiscuss to establish a framework by which several promising interventions for neural plasticity.

참고문헌 (57)

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