5. Reference:
Hyungjun Im, Jeunghun Ku, Hyun Jung Kim,, Youn Joo Kang, "Virtual Reality-Guided Motor Imagery Increases Corticomotor Excitability in Healthy Volunteers and Stroke Patients", Ann Rehabil Med
2016;40(3):420-431, 2016
(Motor Imagery)
运动想象
6. Reference:
[1] Denis Ertelt, Steven Small, Ana Solodkin, Christian Dettmers, Adam McNamara, Ferdinand Binkofski, and Giovanni
Buccinod, “Action observation has a positive impact on rehabilitation of motor deficits after stroke”, NeuroImage 36 (2007)
T164–T173, 2007
[2] DL Eaves, M Riach, PS Holmes, DJ Wright, “Motor Imagery during Action Observation: A Brief Review of Evidence,
Theory and Future Research Opportunities”, Frontiers in Neuroscience, 10(514):514, 2016
[3] S.V. Adamovicha, K.Augusta, A.Meriansb and E.Tunik, “A virtual reality-based system integrated with fMRI to study
neural mechanisms of action observation-execution: a proof of concept study“, Restorative Neurology and Neuroscience 27
(2009) 209–223, 2009
(Action Observation)
行为观察
• 行为观察通过激活镜像神经元系统有效增加
卒中后康复效果 [1]
• 行为观察+运动想象对卒中康复效果优于
单独的运动想象 [2]
• 在VR环境下同样有效 [3]
7. Reference:
[1] Holden M K , Dyar T , Holden, MD. Virtual environment traing: a new tool for neurorehabilitation[J].
Journal of Neurologic Physical Therapy Jnpt, 2002, 26(2):62-71.
[2] 梁明[1], 窦祖林[1], 王清辉[2], et al. 虚拟现实技术在脑卒中患者偏瘫上肢功能康复中的应用[J]. 中国康复医
学杂志, 2013, 28(2):114-118.
[3] Kiper P , Piron L , Turolla A , et al. The effectiveness of reinforced feedback in virtual environment in the
first 12 months after stroke[J]. Neurologia i Neurochirurgia Polska, 2011, 45(5):436-444.
应用情况
• Holden等人最先使用VR对脑卒中患者进行运动训练，
通过模仿虚拟老师的动作，加快康复进程[1]
• 梁明、窦祖林等人使用虚拟厨房系统对患者进行上
肢康复训练，结合常规OT治疗，结果显示能更好的
改善脑卒中恢复期患者上肢运动功能 [2]
• Kiper等人将虚拟强化反馈技术与传统神经运动疗法
比较，结果也显示使用虚拟技术结合神经运动疗法相
较于单一使用神经运动疗法能更好改善脑卒中后患者
的上肢功能 [3]
