Nouvelles perspectives en réadaptation motrice après un accident vasculaire cérébral

L’accident vasculaire cerebral (AVC) constitue une des principales causes d’incapacite de l’adulte. Plus de 60% des personnes victimes d’un AVC perdront temporairement la capacite de marcher.Cet article offre un apercu de l’evolution de la reeducation de la fonction locomotrice ainsi que de l’impact du developpement des connaissances scientifiques et technologiques sur cette evolution.Ainsi, la pratique mentale, l’entrainement de la marche sur tapis roulant ainsi que l’immersion dans des environnements virtuels representent des therapeutiques fort prometteuses pour optimiser la recuperation locomotrice et favoriser la reinsertion sociale post-AVC.

[1]  C. Richards,et al.  Use of an intensive task-oriented gait training program in a series of patients with acute cerebrovascular accidents. , 1992, Physical therapy.

[2]  C. Richards,et al.  Task-specific physical therapy for optimization of gait recovery in acute stroke patients. , 1993, Archives of physical medicine and rehabilitation.

[3]  M. Jeannerod.  The representing brain: Neural correlates of motor intention and imagery , 1994, Behavioral and Brain Sciences.

[4]  T. Olsen,et al.  Recovery of walking function in stroke patients: the Copenhagen Stroke Study. , 1995, Archives of physical medicine and rehabilitation.

[5]  M. Hallett,et al.  Modulation of muscle responses evoked by transcranial magnetic stimulation during the acquisition of new fine motor skills. , 1995, Journal of neurophysiology.

[6]  A. Sirigu,et al.  The Mental Representation of Hand Movements After Parietal Cortex Damage , 1996, Science.

[7]  H. Barbeau,et al.  A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation. , 1998, Stroke.

[8]  J. McComas,et al.  Current uses of virtual reality for children with disabilities. , 1998, Studies in health technology and informatics.

[9]  Chengying Liu.  Recovery of walking function in stroke patients , 1998 .

[10]  C. Richards,et al.  Gait in stroke: assessment and rehabilitation. , 1999, Clinics in geriatric medicine.

[11]  Gerald V. Smith,et al.  "Task-oriented" exercise improves hamstring strength and spastic reflexes in chronic stroke patients. , 1999, Stroke.

[12]  G. Montagne,et al.  The study of locomotor pointing in virtual reality: The validation of a test set-up , 2000, Behavior research methods, instruments, & computers : a journal of the Psychonomic Society, Inc.

[13]  C. Richards,et al.  Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial. , 2000, Archives of physical medicine and rehabilitation.

[14]  C. Richards,et al.  Walking speed over 10 metres overestimates locomotor capacity after stroke , 2001, Clinical rehabilitation.

[15]  C. Richards,et al.  Potential role of mental practice using motor imagery in neurologic rehabilitation. , 2001, Archives of physical medicine and rehabilitation.

[16]  R. Nudo,et al.  Role of adaptive plasticity in recovery of function after damage to motor cortex , 2001, Muscle & nerve.

[17]  S. Page,et al.  Mental practice combined with physical practice for upper-limb motor deficit in subacute stroke. , 2001, Physical therapy.

[18]  Gerald V. Smith,et al.  Treadmill training improves fitness reserve in chronic stroke patients. , 2001, Archives of physical medicine and rehabilitation.

[19]  J. Desrosiers,et al.  Predictors of handicap situations following post-stroke rehabilitation , 2002, Disability and rehabilitation.

[20]  C. Richards,et al.  Brain activations during motor imagery of locomotor‐related tasks: A PET study , 2003, Human brain mapping.

[21]  Julien Doyon,et al.  Functional cerebral reorganization following motor sequence learning through mental practice with motor imagery , 2003, NeuroImage.

[22]  C. Richards,et al.  Working memory and mental practice outcomes after stroke. , 2004, Archives of physical medicine and rehabilitation.