《中国康复理论与实践》 ›› 1997, Vol. 3 ›› Issue (04): 164-167.

• 理论与实践 • 上一篇    下一篇

中风对健侧上肢感觉运动功能影响的初步评价

窦祖林; 邱卫红   

  1. 中山医科大学附属第三医院康复科
  • 收稿日期:1997-03-17 出版日期:1997-12-25 发布日期:1997-12-25

An Evaluation about Effect of Stroke on the Sensorimotor Performance of the Unaffected Upper Extremity

Dou Zulin,Qiu Weihong   

  1. Chinese Journal of Rehabilitation Theory & Practice.-1997,3(4):164~167
  • Received:1997-03-17 Published:1997-12-25 Online:1997-12-25

摘要: 本文旨在将老年中风患者健侧上肢与健康老年人同侧上肢的感觉运动功能进行比较。30例经筛选的中风后患者与30名年龄、性别严格配对的健康老人参与了本项研究。应用简易手功能评定箱和木钉板、普通血压计评价了7项感觉运动参数。结果表明中风后健侧上肢粗大、精细徒手操作技能、健侧上肢日常生活动作、运动协调性与对照组同侧上肢相比有显著性差异(P<0.05至P<0.0001),但在握力、两点识别党、运动党等方面差异无显著性(P>0.05)。作者认为健侧手的使用频度、感觉、运动相互作用、皮质脊髓投射纤维受损等均可影响中风后健侧上肢的功能活动。由此可见,康复治疗及出院后,在不影响患侧上肢再教育的同时,重视健侧上肢的功能活动有重要意义。

关键词: 偏瘫, 感觉运动测评, 定量化

Abstract: The main objectives of this study was to compare the sensorimdt afar Performance of the unaffected upper extremity of elderly stroke patients with that of healthy elderly people. Methods: The groupof stroke patients was of 30 hemiplegic subjects who had had a cerebrovasculai accident at least 6 monthsearlier. A group of 30 healthy subjects matched for age and sex was used for comparison. The main parameters of the performance of the unaffected upper extremity of the stroke subjects and of the same side of the healthy subjects were measured with valid,reliable instruments. Some variables potentially related to theunaffected upper extremity were also measured:length of time since the stroke,activity level,etc.Results;Statistical analyses showed significant deficits in the unaffected upper extremity of hemiplegic subjecs compared with normal subjects with regard to the following parameters: gross manual dexterity, fine manualdexterity, motor coordination,global performance (P<0. 05 to P<0. 0001 ). No significant clinical or statistical difference was found for grip strength,two-- point discrimination and kindethesia.-- Conclusions: Manyfactors (frequency of use of the unaffected hand sensorimotor interaction task,sevrity of the the deficits in corticifugal projection and deficits in postural stabilization)could interact to provide the clinical picture obtainedin the present study.

Key words: hemiplegia, sensorimotor evaluation, quantitative