■中风是一种高患病率和死亡率的脑血管疾病,上肢偏瘫是限制脑卒中患者功能恢复的主要因素。近年来,通过各种形式的约束诱导运动疗法(CITM)改善中风患者的运动功能已被认为是安全有效的。这一研究领域缺乏全面系统清晰的脉络梳理分析,分析了近三十年来CIMT在康复领域的文献研究,总结了该领域的研究热点和前沿趋势,努力为后续研究人员提供思路和参考。
■使用CiteSpace6.1,VOSviewer1.6.18,R-bibliometrix4.6.1,Pajek5.16,ScimagoGraphica1.0.26软件,从1996年至2024年在WebofScience数据库的核心数据集中收集了康复中有关CIMT的相关文献,用于可视化和分析。
■美国共有970篇论文,其中401篇论文排名第一。阿拉巴马大学以53篇论文排名第一。神经康复和神经修复以78篇论文排名第一,TaubE以64篇论文在作者出版物中排名第一。研究关键词wereCIMT,中风康复,上肢功能,下肢步态平衡,随机对照试验,物理治疗技术(经颅磁刺激和感觉振幅电刺激),初级运动皮质可塑性,横向优势(空间行为),脑血管意外,日常生活活动,手功能,残疾,功能恢复,两手训练,失语症,获得性无效,A型肉毒杆菌毒素和操纵杆骑行玩具。
■目前的研究状况表明,CIMT在康复研究领域仍具有巨大的发展潜力。研究热点是CIMT联合其他疗法的临床疗效(A型肉毒杆菌毒素,经颅直流电刺激,虚拟现实,镜子疗法,机器人辅助)增强中风患者上肢偏瘫的功能,CIMT通过电生理和成像方法改善运动皮质可塑性的机制,改善脑卒中患者下肢步态平衡功能和失语症的应用,最佳干预时间和剂量,并在新的环境中探索CIMT,如机器人辅助,远程医疗,家庭康复。
UNASSIGNED: Stroke is a cerebrovascular disease with high prevalence and mortality, and upper limb hemiparesis is a major factor limiting functional recovery in
stroke patients. Improvement of motor function in
stroke patients through various forms of constraint-induced movement therapy (CITM) has been recognized as safe and effective in recent years. This research field lacks a comprehensive systematic and clear vein combing analysis, analyzing the literature research of CIMT in the field of rehabilitation in the past three decades, summarizing the research hotspots and cutting-edge trends in this field, in an effort to offer ideas and references for subsequent researchers.
UNASSIGNED: Relevant literature on CIMT in rehabilitation was collected from 1996 to 2024 within the Web of Science database\'s core dataset by using CiteSpace6.1, VOSviewer1.6.18, R-bibliometrix4.6.1, Pajek5.16, Scimago Graphica 1.0.26 software for visualization and analysis.
UNASSIGNED: There were 970 papers in all United States was ranked first with 401 papers. Alabama Univ was ranked first for institutions with 53 papers. Neurorehabilitation and Neural Repair was ranked first for journals with 78 papers, and Taub E was ranked first for author publications with 64 papers. Research keywords were CIMT,
stroke rehabilitation, upper extremity function, lower extremity gait balance, randomized controlled trials, physical therapy techniques (transcranial magnetic stimulation and sensory amplitude electrical stimulation), primary motor cortex plasticity, lateral dominance (spatial behaviors), cerebral vascular accidents, activities of daily living, hand function, disability, functional restoration, bimanual training, aphasia, acquired invalidity, type A Botulinum toxin and joystick riding toys.
UNASSIGNED: The current state of research shows that CIMT still has a vast potential for development in the field of rehabilitation research. The research hotspots are the clinical efficacy of CIMT combined with other therapies (botulinum toxin type A, transcranial direct current stimulation, virtual reality, mirror therapy, robotic-assisted) to enhance the functionality of upper limb hemiparesis in
stroke patients, the mechanism of CIMT to improve the plasticity of the motor cortex through electrophysiological and imaging methods, and improvement of lower limb gait balance function in stroke patients and aphasia applications, the optimal intervention time and dose, and exploration of CIMT in new settings such as robot-assisted, telemedicine, and home rehabilitation.