康复学报2025，Vol.35Issue(2)：205-211,220,8.DOI:10.3724/SP.J.1329.2025.02014
运动想象在脑卒中康复中的应用
Application of Motor Imagery in Stroke Rehabilitation
摘要
Abstract
Motor imagery(MI)refers to an active central nervous system intervention involving conscious mental rehearsal of specific motor actions without producing physical movement,in order to activate neural networks analogous to those engaged during actual movement performance to achieve cerebral functional reorganization.Characterized by high operational safety,procedural simplicity,and cost-effectiveness,MI serves as an effective adjunctive approach for rehabilitation training in stroke patients.This review systematically examines five critical aspects,including concept and development of MI,motor imagery-based brain-comput-er interface(MI-BCI)technologies,MI capability assessment methods,clinical applications of MI in stroke rehabilitation,and neuro-physiological mechanisms of MI,aiming to establish standardized implementation guidelines for MI interventions in stroke recov-ery.MI capability assessment incorporates three primary approaches,including standardized questionnaires[Motor Imagery Ques-tionnaire(MIQ),Vividness of Movement Imagery Questionnaire(VMIQ),Kinesthetic-Visual Imagery Questionnaire(KVIQ)],psy-chometric evaluations(mental chronometry and psychomotor rotation tasks),and supplementary measures(temporal consistency analysis and autonomic nervous system parameters).Clinical applications of MI in stroke rehabilitation encompass four domains,in-cluding upper extremity motor dysfunction after stroke,lower extremity motor dysfunction after stroke,swallowing/speech impair-ments after stroke,and depression after stroke.Neurophysiological mechanisms of MI included functional near-infrared spectroscopy(fNIRS)for cortical activation mapping during MI training,functional magnetic resonance imaging(fMRI)for neural circuit analy-sis,neuroelectrophysiological recordings for cortical excitability assessment,and resting-state functional connectivity(rs-FC)for baseline neural network characterization during MI.However,there are still some limitations in the application of MI in stroke reha-bilitation,such as incomplete elucidation of MI's neuroplasticity mechanisms,prerequisite MI capability screening for individualized therapy,and lack of standardized protocols for treatment parameters(e.g.,session duration,operational instructions,procedural speci-fications)in clinical implementation.关键词
脑卒中/功能障碍/运动想象/运动想象脑机接口/康复治疗Key words
stroke/dysfunction/motor imagery/motor imagery brain-computer interface/rehabilitation therapy引用本文复制引用
王嘉雨,王杰宁,齐瑞..运动想象在脑卒中康复中的应用[J].康复学报,2025,35(2):205-211,220,8.基金项目
国家中医药管理局高水平中医药重点学科建设项目(ZYYZDXK-2023065) （ZYYZDXK-2023065）
国家重点研发计划"中医药现代化研究"重点专项课题(2019YFC1711805) （2019YFC1711805）
上海市临床重点专科项目(shslczdzk04601) （shslczdzk04601）
