| 陆蓉蓉,白玉龙.意识障碍康复的物理因子治疗专家共识[J].中国康复,2025,40(6):323-331 |
| 意识障碍康复的物理因子治疗专家共识 |
| Expert consensus on physical modalities for rehabilitation in disorders of consciousness |
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| DOI：10.3870/zgkf.2025.06.001 |
| 中文关键词: 物理因子治疗 意识障碍 康复 专家共识 |
| 英文关键词: physical modalities disorders of consciousness rehabilitation expert consensus |
| 基金项目:国家科技部重点研发计划（2022YFC3601204, 2022YFC3601200） |
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| 摘要点击次数: 283 |
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| 中文摘要: |
| 目的：制定物理因子治疗促进意识障碍康复的专家共识，为意识障碍患者物理因子治疗的选择提供指导意见。方法：由国家科技部重点研发计划（2022YFC3601204, 2022YFC3601200）项目组牵头制定，组成康复医学和神经科学专家团队。经多轮会议讨论，结合循证医学方法学，系统检索临床研究数据并评价证据质量，制订共识内容。结果：本共识聚焦于物理因子治疗促进意识障碍康复，内容包含中枢刺激（重复经颅磁刺激、经颅直流电刺激、经颅超声）、外周神经刺激（正中神经电刺激、迷走神经电刺激、三叉神经刺激）、感官刺激（光刺激治疗、音乐治疗、重力刺激）等在意识障碍康复中的应用。结论：本共识对物理因子治疗促进意识障碍康复治疗领域现有证据进行归纳，有助于促进该技术的临床应用，为相关研究和实践提供重要依据。 |
| 英文摘要: |
| Objective:To establish an expert consensus on physical modalities for promoting the rehabilitation of disorders of consciousness (DoC), providing clinical guidance for the selection of such therapies.Methods:Led by the National Key R&D Program of China (2022YFC3601204, 2022YFC3601200), a multidisciplinary expert team in rehabilitation medicine and neuroscience was formed. Through iterative discussions and evidence-based methodologies, clinical research data were systematically reviewed, and evidence quality was evaluated to formulate the consensu.Results:This consensus focuses on physical modalities for DoC rehabilitation, covering central stimulation techniques ［repetitive transcranial magnetic stimulation（rTMS）, transcranial direct current stimulation（tDCS）, transcranial ultrasound］, peripheral nerve stimulation (median nerve electrical stimulation, vagus nerve stimulation, trigeminal nerve stimulation), and sensory stimulation (photic stimulation, music therapy, gravity stimulation).Conclusion:The consensus synthesizes current evidence on physical modalities for DoC rehabilitation, facilitating clinical application and offering a foundation for future research and practice. |
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