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毕 胜,许云影.偏瘫上肢痉挛、联合反应与异常协同运动临床相关研究[J].中国康复医学杂志,2008,23(11):1007~1009
偏瘫上肢痉挛、联合反应与异常协同运动临床相关研究    点此下载全文
毕 胜  许云影
解放军总医院康复医学科,北京,100853
基金项目:香港理工大学重点学科基金 (ASD, No. A106),香港理工大学博士基金(No.RGO0)
DOI:
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摘要:
      目的:研究慢性脑卒中偏瘫患者上肢痉挛、联合反应与异常协同运动三种临床表现之间的关系。方法:70例脑卒中慢性期患者进行Fugl-Meyer上肢运动功能评分(FMA),联合反应分级量表(ARRS)与上肢综合痉挛指数(CSI),并对三者进行相关分析。结果:ARRS与CSI相关系数为0.619 (P<0.001);ARRS与FMA上肢肩肘部分的相关系数为-0.602(P<0.001);CSI与FMA上肢肩肘部分的相关系数为-0.588 (P<0.001)。结论:慢性偏瘫患者上肢痉挛、联合反应与异常协同运动有较明显的相关性,推测可能与三者存在部分相同的病理机制有关。
关键词:偏瘫  痉挛  联合反应  协同运动
The clinical relationship between spasticity, associated reactions and abnormal synergies in hemiplegic arm    Download Fulltext
Dept. of Rehabilitation Medicine, The General Hospital of PLA,Beijing,100853
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Abstract:
      Objective:To explore the relationship among spasticity, associated reactions and synergies in chronic stroke patients with hemiplegia. Method:Seventy chronic stroke patients were tested by Fugl-Meyer Motor Assessment (FMA), Associated Reaction Rating Scale (ARRS) and Composite Spasticity Index (CSI). The correlation of them were studied. Result: The correlation coefficient was 0.619(P<0.001) between ARRS and CSI.It was -0.602(P<0.001) between ARRS and parts of shoulder and elbow of FAM. It was -0.588 (P<0.001) between CSI and parts of shoulder and elbow of FAM. Conclusion:There were high correlations among spasticity, associated reactions and synergies in chronic stroke patients with hemiplegia. It was infered that there were parts of same pathologic mechanism of them.
Keywords:hemiplegia  spasticity  associated reactions  synergies
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