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中华脑血管病杂志(电子版) ›› 2026, Vol. 20 ›› Issue (03) : 231 -239. doi: 10.3877/cma.j.issn.1673-9248.2026.03.001

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临床视角下人工智能赋能脑卒中康复的范式重塑
刘诗馨1, 宋晓微1, 武剑1,2,3,()   
  1. 1 102218 北京,清华大学北京清华长庚医院神经内科 清华大学临床医学院
    2 100084 北京,清华大学医疗管理学院
    3 100084 北京,清华大学-IDG/麦戈文脑科学研究院
  • 收稿日期:2026-01-29 出版日期:2026-06-01
  • 通信作者: 武剑
  • 基金资助:
    国家重点研发计划(2023YFC2506600)

Clinical perspective of the paradigm shift in stroke rehabilitation driven by artificial intelligence

Shixin Liu1, Xiaowei Song1, Jian Wu1,2,3,()   

  1. 1 Department of Neurology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing 102218, China
    2 School of Healthcare Management, Beijing 100084, China
    3 IDG/McGovern Institute for Brain Research at Tsinghua University, Beijing 100084, China
  • Received:2026-01-29 Published:2026-06-01
  • Corresponding author: Jian Wu
引用本文:

刘诗馨, 宋晓微, 武剑. 临床视角下人工智能赋能脑卒中康复的范式重塑[J/OL]. 中华脑血管病杂志(电子版), 2026, 20(03): 231-239.

Shixin Liu, Xiaowei Song, Jian Wu. Clinical perspective of the paradigm shift in stroke rehabilitation driven by artificial intelligence[J/OL]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2026, 20(03): 231-239.

脑卒中后功能障碍的康复是神经康复领域的难点,该领域正在从依赖医师经验判断的传统模式,走向更智能、更强调人机交互的新模式。本综述以“临床需求-技术融合-决策支持-系统重塑”为主线,梳理了智能传感和数字疗法在脑卒中康复中的新进展。具有代表性的突破包括:(1)柔性智能传感和多模态数据融合,用于精准量化评估功能障碍的程度;(2)脑机接口搭建的闭环反馈系统,用于驱动主动且自适应的神经重塑;(3)“元诊疗”模式,用于构建医院、社区、家庭之间连续协同的康复服务体系。这些进展共同推动脑卒中康复向更精准、更个性化、更经济的方向发展。本文还讨论了当前临床转化面临的主要挑战及跨学科合作方向,期望为构建以人为中心的智慧康复生态系统提供理论思路和实践路径。

Helping stroke survivors regain function has long been a challenge in neurorehabilitation, and the field is changing from traditional, experience-based clinical judgments towards smarter and more interactive human-machine models. In this review, we follow a simple thread: start with clinical needs, then look at technology integration, then decision support, and finally system reshaping. We survey recent advances in intelligent sensing and digital therapeutics for stroke rehabilitation, and three stand out. First, flexible smart sensors plus multimodal data fusion now enable us to measure dysfunction precisely and quantitatively. Second, brain-computer interfaces with closed-loop feedback systems can drive active and adaptive neural remodeling. Third, a "Meta-consultation" model helps build a coordinated rehab network which connects hospital, community, and home-based training. Together, these changes push stroke rehabilitation toward more precise, more personalized, and more affordable care. We also discuss the major challenges that remain before these technologies can be used widely in clinics, and suggest directions for future interdisciplinary research. Our goal is to provide both theoretical frameworks and practical pathways for building a human-centered smart rehab ecosystem.

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