Chinese Journal of Stroke ›› 2025, Vol. 20 ›› Issue (11): 1371-1379.DOI: 10.3969/j.issn.1673-5765.2025.11.005

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Core Strategies and Digital Health Technology Empowerment for Co-Rehabilitation of Cerebrocardiovascular Diseases

ZHOU Jing1,2, YUAN Jian1, YE Liang2, WANG Yulong1   

  1. 1 Department of Rehabilitation Medicine, Shenzhen Second People’s Hospital (The First Affiliated Hospital of Shenzhen University), Shenzhen 518035, China
    2 Department of Rehabilitation Medicine, Hangzhou Linping District Hospital of Integrated Traditional Chinese and Western Medicine, Hangzhou 311103, China
  • Received:2025-08-20 Revised:2025-11-07 Accepted:2025-11-10 Online:2025-11-20 Published:2025-11-20
  • Contact: WANG Yulong, E-mail: ylwang668@163.com

脑心同康的核心策略与数字健康技术赋能

周静1,2,袁健1,叶亮2,王玉龙1   

  1. 1 深圳 518035 深圳市第二人民医院(深圳大学第一附属医院)康复医学科
    2 杭州市临平区中西医结合医院康复医学科
  • 通讯作者: 王玉龙 ylwang668@163.com
  • 基金资助:
    2025年度广东省医学科研基金(B2025081)
    深圳市‘医疗卫生三名工程’项目资助(SZSM202111010)

Abstract: Cerebrocardiovascular diseases exhibit a high degree of comorbidity, interacting through neural pathways, baroreceptor pathways, and biochemical pathways. The conventional department-based rehabilitation model is limited to a single organ system, making it difficult to address issues such as conflicts in exercise intensity setting and poor patient compliance. The co-rehabilitation of cerebrocardiovascular diseases model based on the theory of neurocardiology relies on the multidisciplinary collaboration of neurology, cardiology, and rehabilitation medicine. With “comprehensive assessment, risk stratification, dynamic adjustment, and individualized intervention” as its core principles, it builds a closed-loop management system of “assessment-stratification-intervention-reassessment”. This system encompasses multiple dimensions, including comprehensive assessment, risk stratification, individualized exercise, neurorehabilitation and neuromodulation, psychological rehabilitation, nutritional management and risk factor control, as well as digital health technologies. By integrating individualized exercise prescription with neurodevelopmental therapy, transcranial magnetic stimulation, brain-computer interfaces, and virtual reality technology, the model facilitates the repair of cardiac and neurological functions. With the support of digital health technologies, such as wearable devices, mobile health applications, and artificial intelligence-powered big data analysis, it enables remote monitoring and dynamic program adjustment, ultimately providing a precise and efficient integrated rehabilitation program for patients with comorbid cerebrocardiovascular diseases.

Key words: Co-rehabilitation of cerebrocardiovascular disease; Integrated rehabilitation; Multidisciplinary collaboration; Digital health

摘要: 脑心血管疾病存在高度共病关联,二者通过神经通路、压力感受性通路及生化通路相互影响。传统分科康复模式局限于单一器官系统,难以解决运动强度设定矛盾、患者依从性差等问题。基于神经心脏病学理论的脑心同康模式,依托神经科、心血管科、康复医学科等多学科协作,以“综合评估、风险分层、动态调整、个体化干预”为核心原则,构建覆盖综合评估、风险分层、个性化运动、神经康复与神经调控、心理康复、营养管理与危险因素控制、数字健康技术等多维度的“评估-分层-干预-再评估”闭环管理体系。应用个体化运动处方、神经发育疗法、经颅磁刺激、脑机接口及虚拟现实技术的综合康复措施以促进心脏和神经功能修复;借助可穿戴设备、移动健康应用、人工智能与大数据分析等数字健康技术,实现远程监测与动态方案调整,为脑心血管疾病共病患者提供精准、高效的整合康复方案。

关键词: 脑心同康; 整合康复; 多学科协作; 数字健康

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