中国卒中杂志 ›› 2025, Vol. 20 ›› Issue (9): 1073-1077.DOI: 10.3969/j.issn.1673-5765.2025.09.001

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融合·闭环·精准:神经调控技术重塑卒中康复

刘丽旭   

  1. 北京 100068 中国康复研究中心北京博爱医院神经康复中心,首都医科大学康复医学院
  • 收稿日期:2025-06-01 修回日期:2025-08-20 接受日期:2025-08-27 出版日期:2025-09-20 发布日期:2025-09-20
  • 通讯作者: 刘丽旭 liulixu2004@163.com
  • 基金资助:
    国家重点研发计划(2022YFC3602802)
    首都卫生发展科研专项(首发2024-2-6012)
    中央级公益性科研院所基本科研业务费专项资金(CRSI2025ZH-5)

Integration, Closed-Loop, Precision: Neuromodulation Technology Reshaping Stroke Rehabilitation

LIU Lixu   

  1. Neurorehabilitation Center, Beijing Boai Hospital, China Rehabilitation Research Center, School of Rehabilitation Medicine, Capital Medical University, Beijing 100068, China
  • Received:2025-06-01 Revised:2025-08-20 Accepted:2025-08-27 Online:2025-09-20 Published:2025-09-20
  • Contact: LIU Lixu, E-mail: liulixu2004@163.com

摘要: 卒中具有高发病率、高死亡率和高致残率的特点。我国卒中负担沉重,幸存者多遗留运动、认知等功能障碍,而传统康复技术存在一定局限性。在此背景下,神经调控技术正以融合化、闭环化、精准化为主要趋势,引领卒中康复领域的革新。其中,脑机接口(brain-computer interface,BCI)作为当前研究热点,凭借“意念-动作”闭环等独特机制,在卒中康复领域展现出了强劲的潜力。不过,单一神经调控技术的效果较为有限,而多模态融合策略可通过技术协同进一步提升康复疗效,逐渐成为了应用和研究的新趋势。神经调控技术的作用机制主要涉及神经可塑性与功能性重组,其中BCI与其他设备联合构成的闭环调控系统,在卒中康复中表现突出。目前,神经调控领域仍面临疗效异质性、响应机制不明确等挑战。未来发展应聚焦个体化、精准化和智能化方向。随着神经调控技术与人工智能等前沿科技的深度融合,卒中的个体化精准康复前景可期。

关键词: 卒中; 康复; 神经调控技术; 脑机接口; 神经可塑性

Abstract: Stroke is characterized by high incidence, high mortality, and high disability rates. The burden of stroke is severe in China, with survivors often experiencing motor, cognitive, and other functional impairments. However, conventional rehabilitation techniques have certain limitations. Against this backdrop, neuromodulation technology is driving innovation in stroke rehabilitation, guided by the key trends of integration, closed-loop systems, and precision. As a current research focus, brain-computer interface (BCI) demonstrates strong potential in the field of stroke rehabilitation through unique mechanisms such as the “intent-action” closed loop. However, the efficacy of single neuromodulation techniques remains limited, making multimodal integration strategies an emerging application and research trend aimed at enhancing rehabilitation outcomes through technological synergy. The mechanisms of neuromodulation primarily involve neuroplasticity and functional reorganization. The closed-loop systems combining BCI with other devices have shown remarkable advantages in stroke rehabilitation. Currently, the field still faces challenges such as heterogeneous treatment effects and unclear response mechanisms. Future development should focus on individualization, precision, and intelligence. With the deep integration of neuromodulation technology and cutting-edge technologies such as artificial intelligence, the prospect of individualized and precision stroke rehabilitation is promising.

Key words: Stroke; Rehabilitation; Neuromodulation technology; Brain-computer interface; Neuroplasticity

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