《中国康复理论与实践》

《中国康复理论与实践》

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脑卒中平衡功能障碍治疗的研究进展①

庄霁雯1，郑洁皎2，陈秀恩2，王雪强1   

  1. 1. 上海体育学院，上海市200438；2. 复旦大学附属华东医院，上海市200040。
  • 出版日期:2016-10-25 发布日期:2016-12-05

Advance in Treatment for Balance Dysfunction in Stroke (review)

ZHUANG Ji-wen1, ZHENG Jie-jiao2, CHEN Xiu-en2, WANG Xue-qiang1   

  1. 1. Shanghai University of Sport, Shanghai 200438, China; 2. Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China
  • Published:2016-10-25 Online:2016-12-05

PDF (PC)

摘要： 脑卒中平衡功能障碍主要由本体感觉障碍、视觉障碍、前庭功能障碍、中枢神经系统整合功能下降、核心肌力下降、肌群协同能力降低以及认知功能障碍引起。本文介绍如何从病理因素着手提高患者的平衡功能，并系统回顾近年来国内外对脑卒中平衡障碍康复治疗的最新研究进展，提出临床运动疗法和利用计算机等高科技进行治疗可以有效改善患者平衡功能，同时要依据患者平衡障碍的病理因素进行一种或多种方法联合治疗。

关键词: 脑卒中, 平衡功能, 障碍, 治疗, 康复, 综述

Abstract: Balance dysfunction in stroke was mainly caused by proprioception disorder, visual impairment, vestibular dysfunction, poor integration function in the central nervous system, core muscle strength decrease, and decrease in muscle coordination ability and cognitive dysfunction. This article described how to improve the balance function of patients from pathological factors, and systematically reviewed the latest research progress in the treatment of balance disorder after stroke. The clinical exercise therapy and the use of computers and other high-tech treatment can effectively improve the balance function of patients. These methods should be combined according to the pathological factors of patients with balance disorders.

Key words: stroke, balance function, dysfunction, treatment, rehabilitation, review