脑卒中后肌痉挛评估方法概述  

Overview of the assessment methods for muscle spasm after stroke

作　　者：周吴[1] 王凤怡 陈佳佳[2] 王朴 刘沙鑫[2] ZHOU Wu;WANG Fengyi;CHEN Jiajia;WANG Pu;LIU Shaxin(Department of Ultrasound Medicine,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;The Department of Rehabilitation Medicine,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;The Department of Rehabilitation Medicine,The Seventh Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,P.R.China)

机构地区：[1]四川大学华西医院超声医学科,成都610041 [2]四川大学华西医院康复医学科,成都610041 [3]中山大学附属第七医院康复医学科,广州510080

出　　处：《中国循证医学杂志》2024年第6期739-744,共6页Chinese Journal of Evidence-based Medicine

基　　金：四川省科技厅重点研发项目(编号:2022YFS0281);国家重点研发计划资助项目(编号:2022YFC3601105)。

摘　　要：痉挛是脑卒中的常见并发症,具有高发病率、高致残率的特点。痉挛持续损害患者的运动功能,可出现肌肉缩短、关节畸形等症状,严重影响患者身心健康。目前系统治疗是控制痉挛的关键环节。然而,系统治疗以正确评估为前提。评估痉挛的工具分为主观和客观两大类,主观评估工具主要包括一些量表,由治疗师主观评定和判断。客观方法主要包括电生理测试仪、超声波测量技术、机器人、三维运动分析系统、等速肌力测试仪等。本文通过文献回顾的方式,对脑卒中后痉挛评估的方法进行分析和总结,综述各种评估方法的优缺点和实用性,并对未来研究方向提出展望。Spasm is a common complication of stroke with high morbidity and a high disability rate.Spasticity continues to impair the patient’s motor function,and symptoms such as muscle shortening and joint deformity may occur,which seriously affects the patient’s physical and mental health.Systemic therapy is a key part to control spasticity clinically.However,systematic treatment is conducted on the basis of proper assessment.The tools for assessing spasticity are divided into two categories:subjective and objective,and the subjective assessment tools mainly include some scales,which are subjectively assessed and judged by the therapist.Objective methods mainly include electrophysiology testers,ultrasonic measurement techniques,robots,three-dimensional motion analysis systems,isokinetic muscle strength testers,etc.This paper analyzes and summarizes the methods of post-hemiplegic spasticity assessment through a literature review,reviews the advantages,disadvantages and practicability of various assessment methods,and puts forward prospects for future research directions.

关 键 词：脑卒中 肌痉挛 评估方法 综述 

分 类 号：R743.3[医药卫生—神经病学与精神病学]