脑卒中后左右制衡机制及其对上肢手功能康复的意义  

Implication of Left-Right Coordination and Counterbalance for Rehabilitation of Upper Limbs and Hand Function post Stroke (review)

作　　者：贾杰 JIA Jie(Department of Rehabilitation Medicine,Huashan Hospital,Fudan University,Shanghai 200040,China)

机构地区：[1]复旦大学附属华山医院康复医学科,上海市200040

出　　处：《中国康复理论与实践》2018年第12期1365-1370,共6页Chinese Journal of Rehabilitation Theory and Practice

基　　金：上海市科委课题(No.15441901601; No.16441905303);国家高技术研究发展计划(863计划)项目(No.SS2015AA020501);上海闵行区自然科学研究课题(No.2017MHZ27)~~

摘　　要：左右制衡是上肢和手发挥正常功能的重要规律,其异常是脑卒中患者上肢和手功能障碍的重要机制。本文提出上肢和手功能康复左右制衡的概念,梳理其主要表现和相关神经机制,分析基于左右制衡的脑卒中上肢和手功能康复评定策略和主要治疗技术,探讨该理论未来的研究要点,提出在脑卒中患者上肢和手功能康复评定和治疗中,应充分考虑左右制衡因素,以提高康复效果。The bilateral coordination and counterbalance is a major principle that governs the normal function of upper limbs and hands,and its disturbances are the important mechanism underling the dysfunction of upper limbs and hands after stroke.This paper proposed the concept of Left-Right Coordination and Counterbalance of the upper limbs and hands,summarized the normal pattern and abnormal characteristics after stroke,introduced associated neural mechanisms,and analyzed the application in the assessments and rehabilitation after stroke and the prospects in the future.It might be useful to consider this concept in practice to improve the effects of upper limb and hand function rehabilitation.

关 键 词：脑卒中 左右制衡 手功能 康复 评定 综述 

分 类 号：R743.3[医药卫生—神经病学与精神病学]