《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (1): 49-52.

• 论文 • 上一篇    下一篇

运动功能与脑缺血后锥体束重塑的关系

张婵娟,温红梅   

  1. 中山大学附属第三医院康复科,广东广州市510630。
  • 收稿日期:2013-06-10 修回日期:2013-08-29 出版日期:2014-01-25 发布日期:2014-01-25
  • 通讯作者: 温红梅

Motor Rehabilitation and Pyramidal Tract Remodeling after Cerebral Infarction (review)

ZHANG Chan-juan, WEN Hong-mei.

  

  1. Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong, China
  • Received:2013-06-10 Revised:2013-08-29 Published:2014-01-25 Online:2014-01-25

摘要: 运动功能障碍是脑梗死后主要的问题之一。皮质梗死部位和梗死体积对运动功能的影响不大,而白质通路,特别是锥体束损伤对运动功能有重要影响。运动功能恢复与梗死灶对侧皮质神经通路的重塑密切相关;健侧锥体束轴突出芽并生长至对侧白质可促进脑缺血后运动功能恢复。运动训练及其他康复因子可对脑缺血后锥体束神经纤维重塑发挥作用。

关键词: 脑缺血, 锥体束, 运动功能, 康复, 综述

Abstract: Motor dysfunction is one of the leading problems after stroke. The evidence existed that motor performance is largely affected by the location and volume of white matter especially the pyramidal tract, but not the cortex. The remodeling of contralesional primary motor output tract highly correlated with motor improvement. The unaffected pyramidal tract axons regenerate and cross into the affected side after ischemia can promte motor recovery after ischemia. Exercise and other rehabilitation may play a role on remodeling of pyramidal tract subsequent after cerebral infarction.

Key words: cerebral ischemia, pyramidal tract, motor, rehabilitation, review