《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2022, Vol. 28 ›› Issue (1): 62-68.doi: 10.3969/j.issn.1006-9771.2022.01.010
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CHEN Lilin,HUANG Mudan,ZHENG Haiqing()
Received:
2021-07-25
Revised:
2021-08-21
Published:
2022-01-25
Online:
2022-02-11
Contact:
ZHENG Haiqing
E-mail:zhenghaiqing0909@aliyun.com
Supported by:
CLC Number:
CHEN Lilin,HUANG Mudan,ZHENG Haiqing. Identification and evaluation of post-stroke spasticity: a scoping review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(1): 62-68.
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作者 | 国家 | n | 部位 | 评价工具 | 结局 |
---|---|---|---|---|---|
Poon等[ | 中国 | 78 | 踝 | CSS 比目鱼肌牵张反射 肌电图肌肉共收缩指数 | 重测信度0.78~0.97 |
Choi等[ | 韩国 | 28 | 膝、踝 | 基于惯性传感器的MTS 传统MTS | 基于惯性传感器准确率高(均方根误差< 3.2°),重测信度和评估者间信度高(组内相关系数> 0.8) |
Udby Blicher等[ (2009) | 丹麦 | 42 | 肘、腕 | MAS F波振幅 F波频率 M波振幅 | 痉挛组和非痉挛组间F波频率无显著性差异 |
Leng等[ | 中国 | 27 | 腕 | MAS NeuroFlexor神经、弹性和黏性成分 MyotonPRO中F值、S值 EIM中电阻和电抗 | MAS评分降低不伴痉挛相关神经成分的变化 |
Phadke等[ | 美国 | 36 | 腕 | MAS H反射 M波 Hmax/Mmax Hslp/Mslp HTH/MTH | Hmax/Mmax、Hslp/Mslp和HTH/MTH重测组内相关系数分别为0.85、0.88和0.69;H反射相关指标与MAS评分无相关性 |
Kumru等[ | 西班牙 | 21 | 膝 | MAS H反射 M波 Hmax/Mmax T反射 屈肌反射 | MAS评分降低不伴H反射相关指标变化 |
Fujiwara等[ | 日本 | 61 | 腕 | MAS SICI RI | RI-3的变化与腕痉挛程度的变化负相关 |
Sangari等[ | 美国 | 60 | 膝 | MAS 钟摆实验 Hmax/Mmax MEP MRI | MEP与痉挛程度相关(r = 0.55) |
Piscitelli等[ | 加拿大 | 44 | 肘 | CSS MEP TSRT | MEP阈值与痉挛程度呈正相关(r = 0.62);MEP振幅增量与痉挛程度负相关(r = -0.464),与TSRT增量强相关(r = 0.691) |
Choudhury等[ | 英国、印度 | 114 | 腕 | MAS ARAT 关节活动席 VRT VART VSRT | 痉挛程度越高,惊跳反射越强 |
Miller等[ | 美国 | 17 | 肘、踝 | MAS AGSI VEMP不对称指数、非痉挛侧校正振幅、痉挛侧校正振幅 | 不对称指数与抗重力痉挛指数正相关;非痉挛侧与痉挛侧校正振幅比与抗重力痉挛指数负相关 |
Chen等[ | 美国 | 22 | 肘、腕、指 | MAS 背景肌电均方根值 肌电平均振幅 MEP | 痉挛相关的RST兴奋抑制皮质脊髓束电活动 |
Rasool等[ | 美国 | 25 | 肘 | MAS 肌电均方根值 肌肉激活模式图(支持向量机) 肌电相关性和欧几里得距离 肌肉活动域 | 肌肉活动域的增大、肌肉激活区的转变与痉挛程度相关 |
Misgeld等[ | 德国 | 14 | 膝、踝 | MAS 肌电图 ICA | ICA与MAS评分线性相关 |
Ellis等[ | 丹麦 | 26 | 肘 | MAS 肌电平均振幅 | 屈肌协同运动是脑卒中患者功能障碍的主要原因,屈肌痉挛与被动支撑下运动受阻有关 |
Yu等[ | 中国 | 15 | 肘 | MAS 肌电图 TSRT | sEMG-ANFIS模型与MAS线性相关,R2 = 0.97 |
Afzal等[ | 美国 | 19 | 肘 | MAS 肌电图 TSRT | 脑卒中患者的痉挛侧和非痉挛侧均存在TSRT调节紊乱,与RST双侧下行调节脊髓运动神经元有关 |
Turpin等[ | 加拿大 | 13 | 肘 | DSRT TSRT ΔTSRT | ΔTSRT与CSS负相关(r = -0.68),主动与被动伸肘时的TSRT有显著性差异,与不同活动状态下脊髓运动神经元兴奋性调节有关 |
Levin等[ | 加拿大 | 33 | 肘 | MAS DSRT TSRT | 亚急性期与慢性期脑卒中患者间TSRT无显著性差异;拮抗肌和主动肌过度共同激活和交互抑制障碍可能与两组肌肉TSRT调节障碍有关 |
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