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On the understanding and development of modern physical neurorehabilitation methods: robotics and non-invasive brain stimulation

机译:关于现代物理神经康复方法的理解和发展:机器人技术和非侵入性脑刺激

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摘要

The incidence of physical disability in the community resulting from neurological dysfunction is predicted to increase in the coming years. The impetus for immediate and critical evaluation of physical neurorehabilitation strategies stems from the largely incomplete recovery following neurological damage, questionable efficacy of individual rehabilitation techniques, and the progressive acceptance of evidence-based medicine. The emergent technologies of non-invasive brain stimulation (NBS) and rehabilitation robotics enable a better understanding of the recovery process, as well as the mechanisms and effectiveness of intervention. With a more precise grasp of the relationship between dysfunctional and treatment-related plasticity, we can anticipate a move toward highly controlled and individualised prescription of rehabilitation. Both robotics and NBS can also be used to enhance motor control and learning in patients with neurological dysfunction. The merit of these contemporary methods as investigative and rehabilitation tools requires clarification and discussion. In this thematic series, five cohesive and eloquent papers address this issue from leading clinicians and scientists in the fields of robotics, NBS, plasticity and motor learning.
机译:预计在未来几年中,由神经功能障碍导致的社区肢体残疾发生率将会增加。立即和批判性评估物理神经康复策略的动力来自神经损伤后恢复不完全,个体康复技术的疗效令人怀疑以及循证医学的逐步接受。非侵入性脑刺激(NBS)和康复机器人技术的新兴技术使人们能够更好地了解康复过程以及干预的机制和有效性。通过更精确地掌握功能障碍和与治疗相关的可塑性之间的关系,我们可以预见将朝着高度控制和个性化的康复处方迈进。机器人技术和NBS还可用于增强神经功能障碍患者的运动控制和学习能力。这些当代方法作为调查和康复工具的优点需要澄清和讨论。在这个专题系列中,来自机器人技术,NBS,可塑性和运动学习领域的顶尖临床医生和科学家针对这一问题发表了五篇具有凝聚力和雄辩性的论文。

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