功能性近红外光谱应用于康复领域的可视化分析

Application of functional near-infrared spectroscopy in rehabilitation:a visualized analysis

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。

Objective To summarize the current situation,hot spots and frontiers of the application of functional near-infrared spec‐troscopy(fNIRS)in rehabilitation in recent ten years.Methods Literature related to the application of fNIRS in rehabilitation was retrieved from the core collection of Web of Science from January,2003 to December,2022,and the visualized analysis was performed by CiteSpace 6.1.R6 software.Results A total of 828 literatures were included.The annual publication volume was on the rise.The most prolific author was LI Zengyong.The most published country was the United States.And the most published institution was Karolinska Institute.Hot keywords included children,stroke,activation,quality of life,cerebral palsy,etc.The hot keywords of bursting intensity included early intervention,speech perception,cerebral palsy,plasticity,spinal cord injury,physical therapy,visual feedback,Parkinson's disease,etc.Cluster analysis suggested that in the past decade,the application of fNIRS in rehabilitation involved physical therapy,speech therapy,occupational thera‐py,pre-rehabilitation and early rehabilitation of surgery,mainly focusing on six themes:the rehabilitation of motor dysfunction after stroke,cognitive impairment,hearing and speech dysfunction,children with cerebral palsy,cardiopulmonary function monitoring in severe diseases and long-term nursing of chronic diseases.Among them,the application of fNIRS in neurological rehabilitation of stroke patients occupied a large proportion,which might be the current research hot spot and trend.Conclusion The application of fNIRS in rehabilitation is on the rise.In the future,more attention should be paid to the application of fNIRS in the study of the injury and recovery mechanism of neurological disorders,especially the effects of various rehabilitation interventions on cortical plasticity and the etiology of neurological disorders.