中医意念康复研究进展

Research Progress of Traditional Chinese Medicine Mind-guided Rehabilitation

意念的强身健体作用充分体现在健身气功中。随着健身气功的发展,气功逐渐运用于疾病的治疗,意念疗法也随之而生,近年来意念疗法用于脑卒中的康复实践取得了明显效果。任何随意运动,总是在脑内先有运动意念,然后才有兴奋冲动传出直至出现运动。对于不完全瘫痪,不论患者有否意识,也总是先有运动意念,然后才有肌肉收缩和肢体运动,康复的作用只是反复强化这一从脑至肌群的正常运动模式。意念式康复即是通过大脑产生强烈的运动意念,通过意念来不断强化中枢神经运动冲动以支配患肢运动从而达到运动康复作用。作者就意念康复的研究进展作一综述,并与西方运动想象疗法进行了比较。

Mind-guided rehabilitation is a new rehabilitation therapy for stroke. This article gives an overview on the concept, practical strategy, physiological mechanisms and clinical application of mind-guided rehabilitation, which is meant to provide some theoretical evidence and technical guidance for the rehabilitation treatment of stroke-induced hemiplegia. Also, this article compares mind-guided rehabilitation with Western motor imagery therapy.