《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (6): 576-578.

• 论文 • 上一篇    下一篇

脑卒中后下肢痉挛性偏瘫运动功能及平衡能力的关系

陈奕雄，倪莹莹，陈为坚，张芸，邱承尧，刘云义，冯重睿，陈星   

  1. 广东三九脑科医院神经康复科，广东广州市 510510。
  • 收稿日期:2010-03-04 修回日期:1900-01-01 出版日期:2010-06-25 发布日期:2010-06-25

Relationship between Motor Function and Balance for Spastic Hemiplegia after Stroke

CHEN Yi-xiong, NI Ying-ying, CHEN Wei-jian, et al.   

  1. Guangdong 999 Brain Hospital, Guangzhou 510510, Guangdong, China
  • Received:2010-03-04 Revised:1900-01-01 Published:2010-06-25 Online:2010-06-25

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被引次数

27

摘要： 目的探讨脑卒中后痉挛性偏瘫与运动功能、平衡能力等临床变量之间的相互关系。方法分别用CSI量表测评痉挛侧下肢临床痉挛指数、Fugl-Meyer法测评下肢运动功能，Berg平衡量表测定平衡功能。对偏瘫下肢临床痉挛指数与运动功能、平衡能力临床变量之间进行Pearson相关分析，然后进行逐步回归分析确定影响临床变量最重要的下肢临床痉挛指数因素。结果患者偏瘫侧下肢临床痉挛指数与运动功能、平衡之间负相关(P<0.05)，偏瘫侧腱反射、肌张力、阵挛分别是下肢运动功能(P<0.05)、平衡能力(P<0.05)最重要的决定因素。结论脑卒中患者的偏瘫侧下肢临床痉挛指数可显著影响患者肢体运动功能、平衡的恢复，合理的评价和改善偏瘫侧下肢临床痉挛指数，对优化康复治疗程序有重要意义。

关键词: 痉挛, 偏瘫, 下肢, 运动功能, 平衡

Abstract: ObjectiveTo discuss the relationships among spastic paralysis and motor function, balance function and other clinical variables after stroke.MethodsAssessed the clinical spastic index of hemiplegic lower limbs with CSI scale, motor function with Fugl-Meyer Assessment, and balance function with Berg Equilibrium Scale, respectively. And then analyzed the relationship between clinical spasm index with motor function, balance function of the hemiplegic lower limbs with Pearson correlation analysis. Finally, ascertained which was the most important factor affecting the clinical spasm index of spastic lower limbs with stepwise regression analysis.ResultsThere is negative correlation between clinical spasm index with motor function and balance function, respectively. Tendon reflex, muscular tension and clonus are the deciding factors to motor function(P<0.05) and balance function(P<0.05) of the hemiplegic lower limbs.ConclusionThe clinical spasm index of hemiplegic limbs can affect the recovery of motor function and balance function significantly. So, assessing and improving the clinical spasm index of paralytic lower limbs can optimize the rehabilitation program to stroke patients.

Key words: spasticity, hemiplegia, lower limb, motor function, balance