目的对近10年功能性近红外光谱(fNIRS)应用于康复领域相关研究的现状、热点及前沿进行可视化分析。方法检索2003年1月至2022年12月Web of Science核心合集数据库中fNIRS应用于康复领域的相关文献,采用CiteSpace 6.1.R6进行可视化分析。...目的对近10年功能性近红外光谱(fNIRS)应用于康复领域相关研究的现状、热点及前沿进行可视化分析。方法检索2003年1月至2022年12月Web of Science核心合集数据库中fNIRS应用于康复领域的相关文献,采用CiteSpace 6.1.R6进行可视化分析。结果共纳入828篇文献,年发文量总体呈上升趋势,发文量最多的作者是李增勇,发文量最多的国家是美国,发文量最多的机构是卡罗林斯卡学院。热点关键词包括儿童、脑卒中、激活、生活质量、脑瘫等。突现强度排在前列的关键词包括早期干预、言语知觉、脑瘫、可塑性、脊髓损伤、物理治疗、视觉反馈、帕金森病等。聚类分析显示,近10年fNIRS于康复领域的应用涉及物理治疗、言语治疗、作业治疗以及手术的预康复和早期康复,主要集中于6大主题:脑卒中患者运动功能康复、认知功能康复、听力及言语功能康复、脑瘫儿童功能康复、重症康复心肺功能监测、慢性疾病长期康复护理。fNIRS应用于脑卒中患者神经康复的研究占据较大的比重。结论fNIRS应用于康复领域相关研究的热度总体呈上升趋势,未来可持续关注fNIRS在研究神经疾患损伤和恢复机制中的应用,尤其是各种康复干预手段对皮质可塑性的影响以及病因学研究。展开更多
OBJECTIVE: To assess the effectiveness of a comprehensive rehabilitation approach combining Traditional Chinese Medicine Daoyin with lower limb robotics during the recovery phase of stroke patients.METHODS: Stroke pat...OBJECTIVE: To assess the effectiveness of a comprehensive rehabilitation approach combining Traditional Chinese Medicine Daoyin with lower limb robotics during the recovery phase of stroke patients.METHODS: Stroke patients meeting the specified criteria were randomly assigned to one of four groups using a random number table: Control group, Daoyin group, lower limb robot group(LLR group), and Daoyin and lower limb robot group(DLLR group). Each group received distinct treatments based on conventional rehabilitation training.The treatment duration spanned two weeks with two days of rest per week. Pre-and post-intervention assessments included various scales: Fugl-Meyer Assessment(FMA),Berg balance scale(BBS), Barthel index(BI), Fatigue Scale-14(FS-14), Pittsburgh sleep quality index(PSQI),Hamilton Anxiety Scale(HAMA), and Hamilton Depression Scale(HAMD).RESULTS: Statistically significant differences were observed in the lower limb function measured by FAM between the Control group(15 ± 5) and the DLLR group(18 ± 5)(P = 0.049). In the Barthel index, a statistically significant difference was noted between the Control group(54 ± 18) and the DLLR group(64 ± 11)(P = 0.041).Additionally, significant differences were found in the Berg balance scale between the Control group(21 ± 10)and the DLLR group(27 ± 8)(P = 0.024), as well as between the Control group(21 ± 10) and the LLR group(26 ± 10)(P = 0.048).CONCLUSION: The findings of this study suggest that the combined use of Daoyin and robotics not only enhances motor function in stroke patients but also has a positive impact on fatigue, sleep quality, and mood. This approach may offer a more effective rehabilitation strategy for stroke patients.展开更多
文摘目的对近10年功能性近红外光谱(fNIRS)应用于康复领域相关研究的现状、热点及前沿进行可视化分析。方法检索2003年1月至2022年12月Web of Science核心合集数据库中fNIRS应用于康复领域的相关文献,采用CiteSpace 6.1.R6进行可视化分析。结果共纳入828篇文献,年发文量总体呈上升趋势,发文量最多的作者是李增勇,发文量最多的国家是美国,发文量最多的机构是卡罗林斯卡学院。热点关键词包括儿童、脑卒中、激活、生活质量、脑瘫等。突现强度排在前列的关键词包括早期干预、言语知觉、脑瘫、可塑性、脊髓损伤、物理治疗、视觉反馈、帕金森病等。聚类分析显示,近10年fNIRS于康复领域的应用涉及物理治疗、言语治疗、作业治疗以及手术的预康复和早期康复,主要集中于6大主题:脑卒中患者运动功能康复、认知功能康复、听力及言语功能康复、脑瘫儿童功能康复、重症康复心肺功能监测、慢性疾病长期康复护理。fNIRS应用于脑卒中患者神经康复的研究占据较大的比重。结论fNIRS应用于康复领域相关研究的热度总体呈上升趋势,未来可持续关注fNIRS在研究神经疾患损伤和恢复机制中的应用,尤其是各种康复干预手段对皮质可塑性的影响以及病因学研究。
基金Scientific and Technological Innovation Project of China Academy of Chinese Medical Sciences:Study on the Scheme of Combining Brain Regulation and Training Techniques with Traditional Chinese Medicine Acupuncture Treatment for Hand Dysfunction After Stroke (CI2021A03010)The 13th Five-Year Project of China Academy of Chinese Medical Sciences:Studying on the Innovative Treatment of Limb Dysfunction after Stroke-Traditional Chinese Medicine Daoyin Combined with Lower Limb Robot Technology (ZZ10-015)。
文摘OBJECTIVE: To assess the effectiveness of a comprehensive rehabilitation approach combining Traditional Chinese Medicine Daoyin with lower limb robotics during the recovery phase of stroke patients.METHODS: Stroke patients meeting the specified criteria were randomly assigned to one of four groups using a random number table: Control group, Daoyin group, lower limb robot group(LLR group), and Daoyin and lower limb robot group(DLLR group). Each group received distinct treatments based on conventional rehabilitation training.The treatment duration spanned two weeks with two days of rest per week. Pre-and post-intervention assessments included various scales: Fugl-Meyer Assessment(FMA),Berg balance scale(BBS), Barthel index(BI), Fatigue Scale-14(FS-14), Pittsburgh sleep quality index(PSQI),Hamilton Anxiety Scale(HAMA), and Hamilton Depression Scale(HAMD).RESULTS: Statistically significant differences were observed in the lower limb function measured by FAM between the Control group(15 ± 5) and the DLLR group(18 ± 5)(P = 0.049). In the Barthel index, a statistically significant difference was noted between the Control group(54 ± 18) and the DLLR group(64 ± 11)(P = 0.041).Additionally, significant differences were found in the Berg balance scale between the Control group(21 ± 10)and the DLLR group(27 ± 8)(P = 0.024), as well as between the Control group(21 ± 10) and the LLR group(26 ± 10)(P = 0.048).CONCLUSION: The findings of this study suggest that the combined use of Daoyin and robotics not only enhances motor function in stroke patients but also has a positive impact on fatigue, sleep quality, and mood. This approach may offer a more effective rehabilitation strategy for stroke patients.
