《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (10): 1173-1177.

• 基础研究 • 上一篇    下一篇

脑卒中后上肢和手运动功能康复评定的研究进展

姜荣荣，陈艳，潘翠环   

  1. 广州医科大学附属第二医院，广东广州市 510260。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-10-25 发布日期:2015-10-25

Advance in Assessment of Upper Limb and Hand Motor Function in Patients after Stroke (review)

JIANG Rong-rong, CHEN Yan, PAN Cui-huan   

  1. Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong 510260, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-10-25 Online:2015-10-25

PDF (PC)

被引次数

47

摘要： 脑卒中后患者常常遗留肢体功能障碍，上肢和手功能较下肢功能恢复缓慢，其功能康复成为康复医学领域的研究热点之一。及时、有效的评定对于指导脑卒中患者的上肢和手功能康复治疗、评价治疗疗效、预测功能恢复均有重要的作用。目前的评定方法主要分为主观性评定和客观性评定两部分，前者多采用量表，主要包括以肌肉情况变化、运动模式、上肢功能变化和手功能为主的评定四大类。后者多采用生物力学方法、神经电生理、功能磁共振和上肢机器人评估系统。量表评定具有良好的信效度，在临床实践中广泛应用，但其主观性较强，难以精确地反映患者功能，且数据不易保存，计算机辅助下的评估系统逐渐在临床开展应用。本文将对上肢和手功能障碍康复评定方法进行综述。

关键词: 脑卒中, 上肢, 手, 功能障碍, 康复评定, 综述

Abstract: Patients often suffered limb dysfunction after stroke. Upper limb and hand function recovered more slowly than lower limb, and became one of the research focuses in rehabilitation medicine. Timely and effective assessments were important to guide the rehabilitation treatment, evaluate the treatment efficacy and predict functional recovery of upper extremity and hand function. The assessment methods of upper limb and hand motor function included subjective evaluations and objective evaluations. The former included different kinds of scales, which involved assessment focusing on muscle, motor pattern, change of upper limb and hand function. While the latter contained biomechanics, neuroelectrophysiology, functional magnetic resonance imaging, upper limb robotic evaluation system and so on. Scales were proved to have good reliability and validity. But they could not show patients' function accurately because of the subjectivity, and the data could not be kept. Evaluation system with computer was applied in clinical practice more and more widely. In this review, we summarized the assessments on upper limb and hand motor function in patients after stroke.

Key words: stroke, upper limb, hand, dysfunction, rehabilitation evaluation, review