《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (7): 634-636.

• 论文 • 上一篇    下一篇

脑卒中后运动功能恢复中皮质脊髓束作用的研究现状

朱琳   

  1. 首都医科大学宣武医院，北京市100051。
  • 收稿日期:2013-11-05 修回日期:2013-11-27 出版日期:2014-07-25 发布日期:2014-07-25

Research Status of Corticospinal Tract on Motor Function Recovery after Stroke (review)

ZHU Lin.   

  1. Department of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2013-11-05 Revised:2013-11-27 Published:2014-07-25 Online:2014-07-25

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摘要： 皮质脊髓束(CST)是调节随意运动的主要神经通路。CST在脑卒中患者运动功能恢复中的作用反映在以下几个方面：恢复受损的CST、在皮层下水平病灶周围的重组、在皮层水平病灶周围的重组、从受损半球到受损肢体的同侧运动通路的恢复和运动恢复。

关键词: 脑卒中, 皮质脊髓束, 运动恢复, 偏瘫, 综述

Abstract: Corticospinal tract (CST) is the major neuronal pathway that mediates voluntary movements. This article reviewed the literature related to the role of the CST in motor recovery in stroke patients with respect to the following: recovery of a damaged CST, perilesional reorganization at the subcortical level, perilesional reorganization at the cortex level, the ipsilateral motor pathway from the affected hemisphere to the affected extremities, and locomotor recovery.

Key words: stroke, corticospinal tract, motor recovery, hemiplegia, review