《中国康复理论与实践》

《中国康复理论与实践》

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双侧丘脑出血伴舞蹈样运动的康复1 例报道①

刘平1,2a，胡雪艳1,2a，何静杰1,2a，张庆苏1,2b，黄梦洁1,2c，杨旭1,2d，杨交荣1,2a   

  1. 1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心北京博爱医院，a.神经康复科；b.言语治疗科；c.运动疗法科；d.作业疗法科，北京市100068。
  • 出版日期:2016-01-25 发布日期:2016-05-23

Rehabilitation for Chorea after Bilateral Thalamus Hemorrhage: A Case Report

LIU Ping1,2a, HU Xue- yan1,2a, HE Jing- jie1,2a, ZHANG Qing- su1,2b, HUANG Meng- jie1,2c, YANG Xu1,2d, YANG Jiaorong1,2a   

  1. 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 2. a. Neurorehabilitation Department; b. Speech Therapy Department; c. Physical Therapy Department; d. Occupational Therapy Department; Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Published:2016-01-25 Online:2016-05-23

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摘要： 目的探讨双侧丘脑出血并发舞蹈样运动患者的康复。方法报道1 例双侧丘脑出血后并发舞蹈样运动患者的康复评定和过程。结果治疗后，患者情绪改善，不自主舞蹈样动作减少，康复信心提高，坐、立位平衡改善；Fugl-Meyer 平衡功能评分由0 分增加到7 分，改良Barthel 指数由25 分提高到50 分，肢体运动的协调性明显提高。结论丘脑出血可并发舞蹈样运动，并可累及头颈部及双侧肢体。早期综合康复治疗，包括药物治疗与躯干平衡训练，可改善情绪，减轻舞蹈样动作，改善平衡功能，提高日常生活活动能力。

关键词: 丘脑, 脑出血, 舞蹈症, 平衡, 康复

Abstract: Objective To explore the rehabilitation for chorea after bilateral thalamus hemorrhage. Methods A case was reviewed. Results The score of Fugl-Meyer Assessment of balance increased from 0 to 7, the modified Barthel Index increased from 25 to 50, and the coordination of movement improved significantly after rehabilitation treatment. Conclusion Early comprehensive rehabilitation may reduce the chorea movement, improve the activities of daily living and balance for chorea after bilateral thalamus hemorrhage.

Key words: thalamus, encephalorrhagia, chorea, balance, rehabilitation