实用医学杂志2025,Vol.41Issue(1) :134-140.DOI:10.3969/j.issn.1006-5725.2025.01.022

肌骨超声技术在脑卒中后肢体痉挛评定的研究进展

Research progress of musculoskeletal ultrasound technique in the evaluation of limb spasticity after stroke

张帅迪 张建云 李晶晶 顾昌宇 郭健 李瑞青
实用医学杂志2025,Vol.41Issue(1) :134-140.DOI:10.3969/j.issn.1006-5725.2025.01.022

肌骨超声技术在脑卒中后肢体痉挛评定的研究进展

Research progress of musculoskeletal ultrasound technique in the evaluation of limb spasticity after stroke

张帅迪 1张建云 2李晶晶 1顾昌宇 1郭健 3李瑞青3
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作者信息

  • 1. 河南中医药大学第一附属医院康复诊疗中心 (河南 郑州 450000);河南中医药大学康复医学院 (河南 郑州 450046)
  • 2. 河南中医药大学康复医学院 (河南 郑州 450046);郑州工业应用技术学院 (河南 郑州 451100)
  • 3. 河南中医药大学第一附属医院康复诊疗中心 (河南 郑州 450000)
  • 折叠

摘要

肢体痉挛是脑卒中后的常见并发症,临床表现为肌张力升高、肢体僵硬、疼痛等,降低患者日常生活质量,增加经济负担.目前临床上多采用量表、表面肌电图和生物力学方法评估肢体痉挛,但临床量表依赖经验,主观性强;表面肌电容易出现代偿,存在测试误差;生物力学方法限制性较强.肌骨超声不仅能够检测肌肉参数,提供肌肉硬度、弹性等定量信息,而且具有高分辨率和实时成像的独特优势,在临床诊断和治疗中的应用越来越广泛.该文通过综述肌骨超声与肢体痉挛评定的相关证据,以期探索出一种简单合理的量化评估方法,为肢体痉挛的临床评估提供一定的思考.

Abstract

Limb spasticity is a common complication after stroke,with clinical manifestations such as increased muscle tone,limb stiffness and pain,which reduces the quality of patients'daily life and increases the economic burden.Currently,scales,surface electromyography and biomechanical methods are mostly used to assess limb spasticity in clinical practice,but clinical scales rely on experience and are highly subjective;surface electromyography is prone to compensations and test errors;and biomechanical methods are more restrictive.Musculoskeletal ultrasound is not only capable of detecting muscle parameters and providing quantitative information such as muscle hardness and elasticity,but also has the unique advantages of high-resolution and real-time imag-ing,which has been increasingly used in clinical diagnosis and treatment.In this paper,we review the evidence related to musculoskeletal ultrasound and limb spasticity assessment,with the aim of exploring a simple and reasonable quantitative assessment method,which will provide some thoughts for the future clinical assessment of limb spasticity.

关键词

肌骨超声/脑卒中/肌肉痉挛/评定

Key words

musculoskeletal ultrasound/stroke/muscle cramp/evaluation

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出版年

2025
实用医学杂志
广东省医学情报研究所

实用医学杂志

北大核心
影响因子:1.549
ISSN:1006-5725
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