脑卒中后步行功能障碍的临床评估与弥散张量成像的应用  

Clinical evaluation of walking dysfunction and the application of diffusion tensor imaging after stroke

作　　者：宋杰[1] 王大明 李永祥 李莉[1] 张梦也 

机构地区：[1]浙江中医药大学 [2]浙江省金华市中医医院康复医学科,浙江金华321000 [3]浙江大学医学院附属第四医院康复医学科,浙江义乌322000

出　　处：《中国现代医生》2017年第34期165-168,共4页China Modern Doctor

基　　金：浙江省公益技术应用研究计划(2016C37131)

摘　　要：脑卒中后步行功能障碍是常见的卒中后运动障碍,卒中后步行功能的恢复情况直接影响患者的生活能力。随着神经影像学技术的发展,神经影像学及其相关生物学标志物(如弥散张量成像)已成为预测卒中后运动功能恢复的重要手段。本文通过复习脑卒中患者步行功能临床评估方法及相关神经功能影像学文献。总结卒中后患者步行功能障碍的临床评估方法,主要有足印目测法、录像法、量表评定法、三维步态分析。并重点讨论如何运用弥散张量成像技术预测卒中后步行功能,从而为脑卒中后步行康复计划制定的合理性提供依据。Walking dysfunction after stroke is a common post-stroke dyskinesia, and the recovery of walking function after stroke directly affects the patient＇s life ability. With the development of neuroimaging technology, neuroimaging and its related biological markers（for example, diffusion tensor imaging） have become an important means to predict the recovery of motor function after stroke. In this paper, the clinical assessment methods of walking dysfunction after stroke were summarized, by reviewing the clinical assessment of walking function in stroke patients and related neurological imaging literature. There are footprint visual method, video method, scale evaluation method and three-dimensional gait analysis. And this paper mainly discusses how to use the diffusion tensor imaging technique to predict the walking function after stroke, so as to provide the basis for the rationality of walking rehabilitation plan after stroke.

关 键 词：脑卒中 步行功能 脑重塑 弥散张量成像 

分 类 号：R743.33[医药卫生—神经病学与精神病学]