Conducting research in the area of neurorehabilitation has never been more exciting. Over the past few decades, the field has transformed from a discipline largely focused on helping those with neurological damage learn to compensate for their lost function, to one focused on neuroplasticity and recovery of function. This transformation resulted from research demonstrating that the nervous system can change and re-organize in response to a variety of triggers, such as disease and exercise.

从补偿到恢复的这种转变中，没有什么比脊髓损伤（SCI）的康复更为明显的了。我们最近完成了正在进行的研究的环境扫描，该研究重点是SCI后的运动和功能恢复。

一项试验是将脊髓的刺激与机器人辅助站立和行走的实践相结合。

机器人技术和各种形式的电刺激目前是研究最多的康复方法，这表明技术将在SCI康复的未来中发挥主要作用。这些技术正在帮助患者获得足够高的运动实践来推动神经可塑性和功能恢复，这是对治疗过程的重要贡献，因为在医疗保健环境中提供高强度康复的能力变得越来越具有挑战性。

Some of the most exciting research studies are combining two approaches to augment movement practice. Typically these trials are combing a form of electrical simulation with the use of a robotic device, virtual reality training or a second form of electrical stimulation. For example, one trial is combining stimulation of the spinal cord with robotic-assisted practice of standing and walking.

另一个试验是在上肢功能任务实践中，应用非侵入性脑刺激在周围神经刺激中。有趣的是，这些创造性组合如何加剧更传统的运动训练的影响。

Barriers to clinical practice

Despite how beneficial these new technologies may prove to be, what is the likelihood that they can be successfully implemented into clinical practice? Often numerous barriers must be overcome as new treatments and technologies are introduced into clinical environments. For example, do the purchase and maintenance costs of the technology exceed a typical clinical budget? Does the clinical staff have the requisite knowledge and time to administer the new treatment to patients? Does the treatment or technology address an issue that is valued by the patient?

To consider the translational potential of the treatments and technologies identified in the environmental scan we used the FAME Framework, which was designed by Pearson and colleagues (2005) to assist clinicians in their decision-making around selecting treatments to incorporate into their practice.

The framework suggests considering theFeasibility of implementation as well as theAppropriateness of the treatment for the given therapeutic environment. TheMeaningfulness, or whether the intended outcomes matter to the target populations, is a key factor in the translation decision. TheEffectiveness and theEconomicE治疗的vidence是框架的最终要素。

Through application of this framework to the research studies identified in the environmental scan, we identified gaps of current SCI rehabilitation research that warrant reflection.

传统上，将研究结果转换为临床实践一直是医疗保健专业人员和管理人员的责任。但是，研究人员也可以在这项工作中发挥重要作用。我们建议研究人员认为，随着新的处理和技术的开发和测试，研究人员在分阶段的方法中考虑了名声元素。随着可行性，适当性和有意义的及早考虑，研究人员将促进并可能加速有效治疗和技术为神经康复实践。