Stroke rehabilitation: recent advances and future therapies

被引:110
作者
Brewer, L. [1 ]
Horgan, F. [2 ]
Hickey, A. [3 ]
Williams, D. [1 ]
机构
[1] Royal Coll Surgeons Ireland, Dept Stroke & Geriatr Med, Dublin 2, Ireland
[2] Royal Coll Surgeons Ireland, Dept Physiotherapy, Dublin 2, Ireland
[3] Royal Coll Surgeons Ireland, Dept Psychol, Dublin 2, Ireland
关键词
LOW-FREQUENCY RTMS; RANDOMIZED CONTROLLED-TRIAL; COLONY-STIMULATING FACTOR; INDUCED MOVEMENT THERAPY; ROBOT-ASSISTED THERAPY; UPPER-LIMB IMPAIRMENT; MOTOR RECOVERY; FUNCTIONAL RECOVERY; SUBACUTE STROKE; ELECTRICAL-STIMULATION;
D O I
10.1093/qjmed/hcs174
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Despite advances in the acute management of stroke, a large proportion of stroke patients are left with significant impairments. Over the coming decades the prevalence of stroke-related disability is expected to increase worldwide and this will impact greatly on families, healthcare systems and economies. Effective neuro-rehabilitation is a key factor in reducing disability after stroke. In this review, we discuss the effects of stroke, principles of stroke rehabilitative care and predictors of recovery. We also discuss novel therapies in stroke rehabilitation, including non-invasive brain stimulation, robotics and pharmacological augmentation. Many trials are currently underway, which, in time, may impact on future rehabilitative practice.
引用
收藏
页码:11 / 25
页数:15
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