脑卒中后肌痉挛评估方法概述
Overview of the assessment methods for muscle spasm after stroke
周吴 1王凤怡 2陈佳佳 2王朴 3刘沙鑫2
作者信息
- 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)
- 折叠
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.
Abstract
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Key words
Stroke/Muscle spasm/Assessment methods/Review引用本文复制引用
基金项目
四川省科技厅重点研发项目(2022YFS0281)
国家重点研发计划资助项目(2022YFC3601105)
出版年
2024
NETL
NSTL
万方数据