卒中后痉挛状态的评价和治疗

被引：25

作者：

卢柳梅 ^{[1
]}

田帅 ^{[2
]}

张圣浛 ^{[2
]}

机构：

[1] 河北医科大学第三医院康复科

[2] 河北医科大学第三医院老年病科

来源：

国际脑血管病杂志 | 2014年 / 22卷 / 07期

关键词：

卒中; 肌痉挛状态; 物理治疗方法; 肉毒杆菌毒素类; 神经肌肉药;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

100204 [神经病学];

摘要：

痉挛状态是卒中的一种常见并发症,可造成患者功能能力显著受限,并影响患者及其看护者的生活质量。卒中后痉挛状态（poststroke spasticity,PSS）的患病率估计为19%42.6%。通常可采用改良Ashworth量表、改良Tardieu量表和肌电描记术评价PSS。PSS的治疗方法包括物理疗法和药物治疗,应个体化选择治疗方案。

引用

共 32 条

[1]

Objective measurement of clinical findings in the use of botulinum toxin type A for the management of children with cerebral palsy..RN Boyd;HK Graham;.Eur J Neurol.1999,

[2]

Management of spasticity revisited..Graham LA;.Age Ageing.2013,

[3]

A biomechanical investigation into the validity of the modified Ashworth Scale as a measure of elbow spasticity..Pandyan Anand D;Price Christopher I M;Barnes Michael P;Johnson Garth R;.Clinical rehabilitation.2003,

[4]

....,

[5]

Spasticity after stroke: Physiology, assessment and treatment [J].

Thibaut, Aurore ;

Chatelle, Camille ;

Ziegler, Erik ;

Bruno, Marie-Aurelie ;

Laureys, Steven ;

Gosseries, Olivia .

BRAIN INJURY, 2013, 27 (10) :1093-1105

[6]

Toward an epidemiology of poststroke spasticity.[J].J?rg Wissel;Aubrey Manack;Michael Brainin.Neurology.2013, 3_Su

[7]

Assessing and treating functional impairment in poststroke spasticity.[J].Katharina S. Sunnerhagen;John Olver;Gerard E. Francisco.Neurology.2013, 3_Su

[8]

The Pharmacological Management of Post-Stroke Muscle Spasticity [J].

Bakheit, Abdel Magid O. .

DRUGS & AGING, 2012, 29 (12) :941-947

[9]

Five‐year experience with incobotulinumtoxinA (Xeomin<sup>?</sup>): the first botulinum toxin drug free of complexing proteins.[J].D.Dressler.European Journal of Neurology.2012, 3

[10]

Successful Treatment of Long-Term, Poststroke, Upper-Limb Spasticity With OnabotulinumtoxinA [J].

Patel, Atul T. .

PHYSICAL THERAPY, 2011, 91 (11) :1636-1641

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