Arm rehabilitation. Current concepts and therapeutic options

作者：Platz T^*; Schmuck L

来源：Nervenarzt, 2016, 87(10): 1057-1061.

DOI：10.1007/s00115-016-0187-9

• Neurorehabilitation
• Transcranial stimulation
• Robotics
• Movement therapy
• Randomized controlled trials

Arm paralysis after a stroke is a major cause of impairment.
Presentation of therapeutic options and the efficacy in arm rehabilitation after stroke.
Based on a systematic critical appraisal of randomized controlled trials (RCT) the therapeutic procedures for arm paralysis after stroke in the context of their effectiveness are introduced, including robotic therapy, mirror therapy, constraint-induced movement therapy (CIMT), arm basis training, arm ability training, neuromuscular electrical stimulation, bilateral and task-specific training, mental training and transcranial stimulation techniques, such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS).
Several therapeutic procedures with proven efficacy are currently available for arm rehabilitation after stroke. Their differential indications are presented and associated with conclusions for clinical practice.

• 出版日期2016-10