摘要
偏瘫上肢运动障碍是脑中风常见的症状和体征之一 ,临床检查肌力分为6级 ,为精细观察肌力减弱程度提出一种补充分级法。其他尚可应用握力针、量角器、磁刺激反应和经皮氧张力检测等方法。中风偏瘫上肢运动障碍早期为弛缓性瘫 ,在恢复期中逐渐转变为痉挛性瘫。可伴有瘫侧上肢疼痛和反射性交感神经营养不良现象 ,并伴有各型病理性联合运动。肌电图表现为主动肌拮抗肌3相型电活动。脑内不同部位病变的上肢运动障碍各具不同特点 ,一些征象可预测中风瘫痪上肢的功能预后。
Upper extremity dyskinesia is one of common clinical features in stroke patients.Muscle power is divided into 6 grades in clincal examination.In order to observe the degree of muscle power decrease carefully,we suggested a new plus-grades of examing power. Other methods included using squeeze dynamometer,goniometer,magnetic stimular reaction and tronscutaneous oxygen tention examination etc.In the recovery of the patient with stroke there is a progression from flaccidity to spasticity with arm pain and relactive sympathetic nerve dystrophy.Various pathogenic combined movements were also founded.Agonistic and antagonistic muscle triphasic electric pattern were founded in Electromyography.Dyskinesia of upper extremity had different features in different brain area lesion. Some sign can forecast functional prognosis of brachial palsy in stroke.
出处
《现代康复》
CSCD
2000年第4期483-485,共3页
Modern Rehabilitation
关键词
上肢瘫痪
脑中风
康复
肌电图
upper extremity palsy
stroke
rehabilitation
electromyography
