Centre d'AVC

Accueil>Centre d'AVC>Content

Quoi est Task-oriented Training & How to Do

Task-oriented training (TOT) est a popular new technologie for upper limb functional rééducation after accident vasculaire cérébral based on motor control and motor learning. Task-oriented training est a functional task based on le interaction between le individual, le task and le environment. Patients can actively try to solve problems encountered in functional tasks while adapting to changes in le environment, and aider patients learn methods to solve target tasks.

 

Theoretical basis de task-oriented training

TOT est le most representative clinical retraining method based on motor control theory. It focuses on training functional tasks and adaptability to environmental changes. Le functions obtained through training must be able to be transformed into le real environment. It est a training method that designs specific tasks or activities based on individual abilities and training goals and guides patients to complete these tasks or activities through active attempts to améliorer motor skills.

 

Repeated task-oriented training can affect le adaptability de le central nervous system and promote le reorganization de brain functions. Factors that promote functional reconstruction include repeated reinforcement, interest, challenge, social communication, and specific rather than abstract training projects or goals. Le goals and tasks set by task-oriented training sont concrete rather than abstract. For example, taking le upper limb to pick up an object est a specific task. Completing this action involves visual and tactile input, and le brain judges and integrates information. And le efficace control de le system by le nerves, and then through le feedback de failure or success, le movement pattern est continuously adjusted to form an optimized neural network and movement program, which controls le specific sequence, speed, strength and other mechanical characteristics de le relevant muscles to complete this specific task. Promote le development de adaptability, feedforward and coordination abilities. However, if le upper limbs only do flexion and extension or simple extension without specific goals, le information input and integration mentioned above will be lost, and le movement mechanics characteristics will be completely different, turning it into an empty joint activity. Task-oriented training also emphasizes active participation in controlled application and individualized treatment, mainly focusing on functional training in daily life and repeated reinforcement.

 

Clinical Application de Task-Oriented Training

TOT focuses on helping patients acquire le ability to solve problems, and its related theories and methods sont increasingly widely used in le rééducation treatment de patients with various motor functions, especially motor dysfunction caused by central nervous system damage. In le past ten years, many scholars have focused on TOT and continued to explore and optimize applicable groups and clinical rééducation programs. Studies have found that TOT combined with mirror thérapie can améliorer hand motor function in patients with unilateral neglect after accident vasculaire cérébral. Based on conventional training, task-oriented training est supplemented, and mirror thérapie est used to activate before each task-oriented training.

Mirror neuron system, task-oriented training applies le learned mirror movements to real-life activities, such as practising pronation and supination de le forearm, flexion and extension de le wrist joint, and grasping and relaxing de le hand in a mirror environment. Practice grabbing a cylindrical bottle or moving a cup to le perioral area in a real environment. In addition, for patients with upper limb and hand dysfunction after accident vasculaire cérébral, transcranial direct current stimulation combined with task-oriented training can be used to aider patients complete common daily activities such as reaching for objects, grabbing and placing water cups, and completing drinking water.

1731304272485

1731304238833

 

Le results show that a combined program de task-oriented training can reduce muscle tone and promote motor function récupération in accident vasculaire cérébral patients. It was found through resting-state magnetic resonance studies that le above combined program including task-oriented training had a significant impact on resting-state spontaneous brain activity. Le underlying neural mechanism for promoting le récupération de motor function in accident vasculaire cérébral patients may be related to le ALFF in le anterior cerebellar lobe. Enhance relevance. Le TOT program combined with motor imagery refers to task-oriented training that est performed immediately after le patient completes le motor imagination. Le motor movements in le imagined environment sont applied to actual activities, such as eating movement exercises de le upper limbs. Research results prove that this program can reduce le risk de accident vasculaire cérébral. Le functional connection between le MI area and le SMA area on both sides de le patient was enhanced, which promoted le normalization de cerebral cortical remodelling in accident vasculaire cérébral patients. Le DTI analysis results showed that le FA value de le affected hemisphere in accident vasculaire cérébral patients increased, which also suggested that this program promoted le myelination de myelinated fibres. Le reshaping de elements. In terms de lower limb function, transcutaneous acupoint électrique stimulation combined with task-oriented training can significantly améliorer le lower limb motor function and marche ability de patients with hémiplégie after subacute accident vasculaire cérébral and enhance their ankle joint control.

 

In summary, task-oriented training can améliorer le functional impairment de accident vasculaire cérébral patients, strengthen their daily activities, and améliorer their qualité de life. It est worthy de further research and promotion.

 

You can also conduct task-oriented training with Syrebo Hand Rééducation Robot. How to do? Check out our rééducation class to learn more