卒中急性期患者闭环康复脑机接口训练1例报告

doi:10.3969/j.issn.1673-5765.2025.10.006

中国卒中杂志 ›› 2025, Vol. 20 ›› Issue (10): 1242-1246.DOI: 10.3969/j.issn.1673-5765.2025.10.006

卒中急性期患者闭环康复脑机接口训练1例报告

吴理剑¹，张舒阳²，贺新源³，李欣⁴，贾杰⁵

1 泉州 362000 福建医科大学附属泉州第一医院康复医学科
2 福建医科大学附属第一医院康复医学科
3 河南医药大学第一附属医院康复医学科
4 成都大学附属医院康复医学科
5 复旦大学附属华山医院康复医学科

收稿日期:2025-07-16 修回日期:2025-09-28 接受日期:2025-10-05 出版日期:2025-10-20 发布日期:2025-10-20
通讯作者: 贾杰 shannonjj@126.com
基金资助:
福建省科技创新联合资金项目（2021Y9130）
福建医科大学启航基金一般项目（2024QH1337）

A Case Report of Closed-Loop Rehabilitation Brain-Computer Interface Training for a Patient in the Acute Phase of Stroke

WU Lijian¹, ZHANG Shuyang², HE Xinyuan³, LI Xin⁴, JIA Jie⁵

1 Department of Rehabilitation Medicine, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou 362000, China
2 Department of Rehabilitation Medicine, The First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, China
3 Department of Rehabilitation Medicine, The First Affiliated Hospital of Henan Medical University, Xinxiang 453000, China
4 Department of Rehabilitation Medicine, Affiliated Hospital of Chengdu University, Chengdu 610081, China
5 Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China

Received:2025-07-16 Revised:2025-09-28 Accepted:2025-10-05 Online:2025-10-20 Published:2025-10-20
Contact: JIA Jie, E-mail: shannonjj@126.com

摘要/Abstract

摘要： 卒中急性期患者常出现上肢运动功能障碍，此类功能障碍可显著影响其日常生活活动能力。传统的卒中急性期上肢功能康复多以外周干预为主，患者主动训练的时间不足。本文报道1例因急性大血管闭塞导致左侧肢体瘫痪的卒中患者，在经皮颅内动脉取栓术后早期，即接受了以基于运动想象的康复脑机接口为核心的主动康复训练。该患者于发病3 d后启动并完成9次床旁康复脑机接口训练，其上肢运动功能与日常生活活动能力均有改善。本文通过分析该患者接受康复脑机接口训练前后的功能变化，旨在为卒中急性期患者提供康复治疗方案的新思路，以更有效地促进其上肢运动功能恢复。

关键词: 卒中; 急性期; 脑机接口; 运动想象; 康复

Abstract: Upper limb motor dysfunction is common in patients in the acute phase of stroke, which can significantly affect their activity of daily living. Conventional upper limb functional rehabilitation in the acute phase of stroke primarily focuses on peripheral intervention, resulting in insufficient time for patients to engage in active training. This article reports a case of a stroke patient with left-sided limb paralysis caused by acute large vessel occlusion. Early after endovascular thrombectomy, the patient received active rehabilitation training centered on motor imagery-based brain-computer interface. The patient initiated rehabilitation training 3 days after stroke onset. After completing 9 sessions of bedside rehabilitation brain-computer interface training, both the patient’s upper limb motor function and activity of daily living showed improvement. By analyzing the patient’s functional changes before and after rehabilitation brain-computer interface training, this article aims to provide new insights into rehabilitation treatment approach for patients in the acute phase of stroke, so as to more effectively promote the recovery of their upper limb motor function.

Key words: Stroke; Acute phase; Brain-computer interface; Motor imagery; Rehabilitation

中图分类号:

吴理剑, 张舒阳, 贺新源, 李欣, 贾杰. 卒中急性期患者闭环康复脑机接口训练1例报告[J]. 中国卒中杂志, 2025, 20(10): 1242-1246.

WU Lijian, ZHANG Shuyang, HE Xinyuan, LI Xin, JIA Jie. A Case Report of Closed-Loop Rehabilitation Brain-Computer Interface Training for a Patient in the Acute Phase of Stroke[J]. Chinese Journal of Stroke, 2025, 20(10): 1242-1246.

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卒中急性期患者闭环康复脑机接口训练1例报告

A Case Report of Closed-Loop Rehabilitation Brain-Computer Interface Training for a Patient in the Acute Phase of Stroke

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