脑卒中后上肢异常运动模式的分型  

Classification of abnormal movement patterns of upper limb after stroke

作　　者：刘昀曦 刘玲玉 秦文婷 靳令经[1] LIU Yunxi;LIU Lingyu;QIN Wenting;JIN Lingjing(Department of Neurology and Neurological Rehabilitation,Yangzhi Rehabilitation Hospital Tongji University(Shanghai Sunshine Rehabilitation Center),Shanghai 201619,China)

机构地区：[1]同济大学附属养志康复医院(上海市阳光康复中心)神经康复科,上海201619

出　　处：《神经病学与神经康复学杂志》2022年第4期171-178,共8页Journal of Neurology and Neurorehabilitation

摘　　要：脑卒中患者可出现一系列肢体运动障碍,表现为异常运动模式,这些异常运动模式是由上运动神经元综合征引起的,可表现为各种阴性和阳性症状,阴性症状包括肌无力和灵活度下降等,阳性症状包括痉挛以及阵挛、强直性痉挛、痉挛性肌张力障碍、共同收缩、联合反应等痉挛相关运动障碍。其中有些症状又可以进一步划分为更细致的类型。脑卒中病灶的特征影响患者的运动恢复和功能结果。不同分型的上肢异常运动模式的发生率、病灶特征以及相应的治疗手段均有所不同。不同异常运动模式的出现可能与脑卒中患者的病灶特征相关,但目前细化异常运动模式及其与病灶特征联系的相关研究很少。因此,将异常运动模式细化分类,对应不同模式的病灶特征对选择临床康复治疗手段十分重要。Stroke patients will have a series of motor disorders and manifested as the abnormal movement patterns.These abnormal movements are caused by upper motor neuron syndrome,which can be manifested as different negative and positive symptoms.Negative symptoms involve weakness and loss of dexterity.Positive symptoms involve spasticity and spasticity-associated movement disorders such as clonus,tonic spasm,spastic dystonia,co-contraction,and associated reactions.Among them,some symptoms can be further divided into more detailed types.The characteristics of stroke lesions affect the motor recovery and functional outcomes.The incidence,lesion characteristics and corresponding treatment of abnormal movement patterns vary in different types.The lesion characteristics of stroke patients may be related to the occurrence of different abnormal movement patterns,but there are few studies on refining abnormal motion patterns and their relationship with lesion characteristics.Therefore,it is important to refine the classification of motion patterns and correspond to lesion characteristics and clinical treatment of different motion patterns.

关 键 词：脑卒中 上肢 异常运动模式 运动障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]