[復健筆記]中風復健功能恢復理論

Mechanism of functional recovery:

1.Diaschisis
2.Periinfarct reorganization
3.Activity in ipsilesional hemisphere
4.Activity in the contralesional hemisphere
increased contralesional active could be most promininent in the early stage after stroke with later focus of active back to ipsilesional motor region->會有interhemispheric interaction .....(所以可以用rTMS來調節且促進)

Classification of strategy for limb paralysis

Motor learning: 

Motor recovery theory: Bobath, Rood, Brunnstrom, Kabat, Taub: CIMT, Robot-aided exercise, EMG-feedback, Now->repetitive task-orientated practice ) 
To facilitate motor learning, including methods transferring of the improved function to ADL

Biochemanical: 

splinting or Orthosis, botoulism
modification of biomechanical properties of end effector

Neuromodulation: 

tDCS and PNMES, rTMS
Preconditioning neuromodulation procedure to increase brain plasticity and/or excitability

文章 QR code

林紘毅醫師門診資訊