Brunnstrom六期评估法在脑卒中偏瘫康复中的应用价值和局限性

被引:72
作者
吴远
高强
机构
[1] 华西医院康复医学科
关键词
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)]; R493 [医学康复(康复疗法)];
学科分类号
100204 [神经病学]; 100232 [康复医学];
摘要
<正>脑卒中会导致患者的运动、感觉、言语、认知、情感及活动参与等功能受限[1]。其中,偏侧身体的无力和随意运动不全等运动功能障碍被称为偏瘫,其表现包括患侧身体肌电的兴奋性下降、共同运动模式出现和运动较少产生的关节活动受限等[2],以及因此导致的患侧肩痛和肩关节半脱位[3]。患者在活动中会表现出上肢够物能力障碍、手功能障碍、步行功能障碍。多种量表可以被用来评估脑卒中偏瘫,以反映患者的功能状况、评价预后并指导治疗,而Brunnstrom六期评估法是当前应用最为广泛的偏瘫评估量表之一。
引用
收藏
页码:505 / 509
页数:5
相关论文
共 40 条
[1]
Progress in sensorimotor rehabilitative physical therapy programs for stroke patients [J].
Chen, Jia-Ching ;
Shaw, Fu-Zen .
WORLD JOURNAL OF CLINICAL CASES, 2014, 2 (08) :316-326
[2]
偏瘫康复的理论与实践 [J].
于维东 .
现代康复, 2001, (03) :5-8
[3]
神经康复物理治疗技能操作手册.[M].何成奇.人民卫生出版社.2017, 978-7-117-24194-6
[4]
The effect of task-oriented electromyography-triggered electrical stimulation of the paretic wrist extensors on upper limb motor function early after stroke: a pilot randomized controlled trial [J].
Kirac-Unal, Zeynep ;
Gencay-Can, Asli ;
Karaca-Umay, Ebru ;
Cakci, Fatma A. .
INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH, 2019, 42 (01) :74-81
[5]
Virtual Reality in Upper Extremity Rehabilitation of Stroke Patients: A Randomized Controlled Trial [J].
Afsar, Sevgi Ikbali ;
Mirzayev, Ilkin ;
Yemisci, Oya Umit ;
Saracgil, Sacide Nur Cosar .
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2018, 27 (12) :3473-3478
[6]
Factors affecting post-stroke motor recovery: Implications on neurotherapy after brain injury.[J].Ali Alawieh;Jing Zhao;Wuwei Feng.Behavioural Brain Research.2018,
[7]
2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association [J].
Powers, William J. ;
Rabinstein, Alejandro A. ;
Ackerson, Teri ;
Adeoye, Opeolu M. ;
Bambakidis, Nicholas C. ;
Becker, Kyra ;
Biller, Jose ;
Brown, Michael ;
Demaerschalk, Bart M. ;
Hoh, Brian ;
Jauch, Edward C. ;
Kidwell, Chelsea S. ;
Leslie-Mazwi, Thabele M. ;
Ovbiagele, Bruce ;
Scott, Phillip A. ;
Sheth, Kevin N. ;
Southerland, Andrew M. ;
Summers, Deborah V. ;
Tirschwell, David L. .
STROKE, 2018, 49 (03) :E46-E110
[8]
Effects of mirror therapy combined with neuromuscular electrical stimulation on motor recovery of lower limbs and walking ability of patients with stroke: a randomized controlled study [J].
Xu, Qun ;
Guo, Feng ;
Salem, Hassan M. Abo ;
Chen, Hong ;
Huang, Xiaolin .
CLINICAL REHABILITATION, 2017, 31 (12) :1583-1591
[9]
Influence of Penumbral Reperfusion on Clinical Outcome Depends on Baseline Ischemic Core Volume [J].
Chen, Chushuang ;
Parsons, Mark W. ;
Clapham, Matthew ;
Oldmeadow, Christopher ;
Levi, Christopher R. ;
Lin, Longting ;
Cheng, Xin ;
Lou, Min ;
Kleinig, Timothy J. ;
Butcher, Kenneth S. ;
Dong, Qiang ;
Bivard, Andrew .
STROKE, 2017, 48 (10) :2739-+
[10]
Stroke Impact Scale version 3.0の日本語版の作成および信頼性と妥当性の検討.[J].Mitsuhiro OCHI;Hiroshi OHASHI;Kenji HACHISUKA;Satoru SAEKI.Journal of UOEH.2017, 3