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Constraint-induced movement therapy promotes brain functional reorganization in stroke patients with hemiplegia

Wenqing Wang Aihui Wang Limin Yu Xuesong Han Guiyun Jiang Changshui Weng Hongwei Zhang Zhiqiang Zhou

中国神经再生研究(英文版)2012,Vol.7Issue(32):2548-2553,6.
中国神经再生研究(英文版)2012,Vol.7Issue(32):2548-2553,6.DOI:10.3969/j.issn.1673-5374.2012.32.010

Constraint-induced movement therapy promotes brain functional reorganization in stroke patients with hemiplegia

Constraint-induced movement therapy promotes brain functional reorganization in stroke patients with hemiplegia

Wenqing Wang 1Aihui Wang 2Limin Yu 3Xuesong Han 4Guiyun Jiang 1Changshui Weng 5Hongwei Zhang 1Zhiqiang Zhou1

作者信息

  • 1. Department of Rehabilitation Medicine,Affiliated Hospital of Chengde Medical College,Chengde 067000,Hebei Province,China
  • 2. Department of Computer Tomography,Affiliated Hospital of Chengde Medical College,Chengde 067000,Hebei Province,China
  • 3. Department of Anatomy,Chengde Nursing Vocational College,Chengde 067000,Hebei Province,China
  • 4. Department of Computer & Information Engineering,Chengde Petroleum College,Chengde 067000,Hebei Province,China
  • 5. Department of Rehabilitation Medicine,General Hospital of Chinese PLA,Beijing 100853,China
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摘要

Abstract

Stroke patients with hemiplegia exhibit flexor spasms in the upper limb and extensor spasms in the lower limb, and their movement patterns vary greatly. Constraint-induced movement therapy is an upper limb rehabilitation technique used in stroke patients with hemiplegia; however, studies of lower extremity rehabilitation are scarce. In this study, stroke patients with lower limb hemiplegia underwent conventional Bobath therapy for 4 weeks as baseline treatment, followed by constraint-induced movement therapy for an additional 4 weeks. The 10-m maximum walking speed and Berg balance scale scores significantly improved following treatment, and lower extremity motor function also improved. The results of functional MRI showed that constraint-induced movement therapy alleviates the reduction in cerebral functional activation in patients, which indicates activation of functional brain regions and a significant increase in cerebral blood perfusion. These results demonstrate that constraint-induced movement therapy promotes brain functional reorganization in stroke patients with lower limb hemiplegia.

关键词

stroke/constraint-induced movement therapy/functional MRI/lower extremity/maximum walking speed/Berg balance scale/central nervous injury/neuroimaging/regeneration/neural regeneration

Key words

stroke/constraint-induced movement therapy/functional MRI/lower extremity/maximum walking speed/Berg balance scale/central nervous injury/neuroimaging/regeneration/neural regeneration

引用本文复制引用

Wenqing Wang,Aihui Wang,Limin Yu,Xuesong Han,Guiyun Jiang,Changshui Weng,Hongwei Zhang,Zhiqiang Zhou..Constraint-induced movement therapy promotes brain functional reorganization in stroke patients with hemiplegia[J].中国神经再生研究(英文版),2012,7(32):2548-2553,6.

中国神经再生研究(英文版)

OACSCDCSTPCDSCI

1673-5374

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