Task-oriented allenamento (TOT) is a popular new tecnologia for upper arto functional riabilitazione after ictus based on motor control and motor learning. Task-oriented allenamento is a functional task based on the interaction between the individual, the task and the environment. Patients can actively try to solve problems encountered in functional tasks while adapting to changes in the environment, and aiuto patients learn methods to solve target tasks.
Theoretical basis of task-oriented allenamento
TOT is the most representative clinico retraining method based on motor control theory. It focuses on allenamento functional tasks and adaptability to environmental changes. The functions obtained through allenamento must be able to be transformed into the real environment. It is a allenamento method that designs specific tasks or activities based on individual abilities and allenamento goals and guides patients to complete these tasks or activities through active attempts to migliorare motor skills.
Repeated task-oriented allenamento can affect the adaptability of the central nervous sistema and promote the reorganization of brain functions. Factors that promote functional reconstruction include repeated reinforcement, interest, challenge, social communication, and specific rather than abstract allenamento projects or goals. The goals and tasks set by task-oriented allenamento are concrete rather than abstract. For example, taking the upper arto to pick up an object is a specific task. Completing this action involves visual and tactile input, and the brain judges and integrates information. And the effective control of the sistema by the nerves, and then through the feedback of failure or successo, the movement pattern is continuously adjusted to form an optimized neural network and movement program, which controls the specific sequence, speed, forza and other mechanical characteristics of the relevant muscles to complete this specific task. Promote the development of adaptability, feedforward and coordinazione abilities. However, if the upper limbs only do flexion and extension or simple extension without specific goals, the information input and integration mentioned above will be lost, and the movement mechanics characteristics will be completely different, turning it into an empty joint activity. Task-oriented allenamento also emphasizes active participation in controlled applicazione and individualized trattamento, mainly focusing on functional allenamento in daily life and repeated reinforcement.
clinico applicazione of Task-Oriented allenamento
TOT focuses on helping patients acquire the ability to solve problems, and its related theories and methods are increasingly widely used in the riabilitazione trattamento of patients with various motor functions, especially motor dysfunction caused by central nervous sistema damage. In the past ten years, many scholars have focused on TOT and continued to explore and optimize applicable groups and clinico riabilitazione programs. Studies have found that TOT combined with terapia dello specchio can migliorare mano motor function in patients with unilateral neglect after ictus. Based on conventional allenamento, task-oriented allenamento is supplemented, and terapia dello specchio is used to activate before each task-oriented allenamento.
Mirror neuron sistema, task-oriented allenamento applies the learned mirror movements to real-life activities, such as practising pronation and supination of the forearm, flexion and extension of the wrist joint, and grasping and relaxing of the mano in a mirror environment. Practice grabbing a cylindrical bottle or moving a cup to the perioral area in a real environment. In addition, for patients with upper arto and mano dysfunction after ictus, transcranial direct current stimulation combined with task-oriented allenamento can be used to aiuto patients complete common daily activities such as reaching for objects, grabbing and placing water cups, and completing drinking water.


The results show that a combined program of task-oriented allenamento can ridurre muscle tone and promote motor function recupero in ictus patients. It was found through resting-state magnetic resonance studies that the above combined program including task-oriented allenamento had a significant impact on resting-state spontaneous brain activity. The underlying neural mechanism for promoting the recupero of motor function in ictus patients may be related to the ALFF in the anterior cerebellar lobe. migliorare relevance. The TOT program combined with motor imagery refers to task-oriented allenamento that is performed immediately after the paziente completes the motor imagination. The motor movements in the imagined environment are applied to actual activities, such as eating movement exercises of the upper limbs. ricerca results prove that this program can ridurre the risk of ictus. The functional connection between the MI area and the SMA area on both sides of the paziente was enhanced, which promoted the normalization of cerebral cortical remodelling in ictus patients. The DTI analysis results showed that the FA value of the affected hemisphere in ictus patients increased, which also suggested that this program promoted the myelination of myelinated fibres. The reshaping of elements. In terms of lower arto function, transcutaneous acupoint electrical stimulation combined with task-oriented allenamento can significantly migliorare the lower arto motor function and cammino ability of patients with emiplegia after subacute ictus and migliorare their ankle joint control.
In summary, task-oriented allenamento can migliorare the functional impairment of ictus patients, strengthen their daily activities, and migliorare their qualità of life. It is worthy of further ricerca and promotion.
You can also conduct task-oriented allenamento with Syrebo mano robot per la riabilitazione. How to do? Check out our riabilitazione class to learn more