理学療法ジャーナル56巻9号

2022年09月発行

特集 運動イメージ—科学的根拠に基づく臨床実践をめざして

運動イメージと電気刺激療法の併用による脳卒中患者への治療アプローチ

著者： 髙橋容子¹ 川上途行²

所属機関： ¹順天堂大学保健医療学部理学療法学科 ²慶應義塾大学医学部リハビリテーション医学教室

ページ範囲：P.1046 - P.1052

Point

●運動イメージと電気刺激の併用による効果のメカニズムには，皮質脊髄路の興奮性変化や，脊髄相反性抑制の増強などによる，神経の可塑的変化が関与していると考えられる

●脳卒中患者において，上肢運動イメージと電気刺激の併用による，上肢運動機能の改善効果が報告されている

●下肢においては，運動イメージの介入効果は脳卒中患者において検討されているものの，電気刺激との併用効果の報告は限られており，新しい研究が期待される

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