视觉反馈训练对脊髓损伤患者运动功能康复作用机制的功能MRI研究进展

Progress in functional MRI of the mechanism of visual feedback training on motor function rehabilitation in SCI patients

视觉反馈训练(visual feedback training, VFT)已经被广泛应用于脊髓损伤(spinal cord injury, SCI)及其他各种运动功能障碍性疾病的康复治疗,并取得较好疗效,但其对运动功能影响的神经机制尚不清楚。随着功能MRI的发展,研究发现VFT与大脑网络间和网络内的功能连接改变及感觉运动皮层的激活有一定相关性,为揭示其促进运动功能康复的神经机制提供了理论依据。因此,本文就VFT对SCI患者运动功能康复作用机制的功能MRI研究进展进行综述,旨在为VFT在SCI患者运动康复中的临床应用提供神经影像学证据。

Visual feedback training(VFT)has been widely applied in the rehabilitation of spinal cord injury(SCI)and other motor dysfunctional diseases,and has achieved good therapeutic effects.However,the neural mechanism of its effect on motor function remains unclear.With the development of functional MRI(fMRI),it has been found that VFT is related to changes in inter-and intra-network functional connectivity,as well as activation of sensory-motor cortex,which provides a theoretical basis for revealing the neural mechanism by which VFT affects motor rehabilitation.Therefore,this paper reviews the progress of fMRI research on the mechanism of VFT in motor function rehabilitation in patients with SCI,providing neuroimaging evidence for the clinical application of VFT in motor rehabilitation of SCI patients.