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脑卒中后上肢手运动功能恢复的预测与评估

Prediction and evaluation of upper limb motor function recovery after stroke

  • 摘要: 脑卒中是常见的脑血管疾病,运动功能障碍是脑卒中疾病后遗症中的主要问题,同时也是脑卒中康复治疗的重难点。在脑卒中后手运动功能的康复过程中,需要对患者预后以及运动功能的恢复潜能进行科学的预测与评估,以给予相应合适的治疗干预。本文对脑卒中后,手运动功能恢复的各种预测技术与评估进行综述,如功能磁共振(functional magnetic resonance imaging,fMRI)、弥散张量成像(diffusion tensor imaging,DTI)、正电子发射型计算机体层扫描(positron emission tomography,PET)及无创性脑刺激如经颅磁刺激(transcranial magnetic stimulation,TMS)、定量脑电图(quantitative electroencephalography,qEEG)、功能近红外光谱(functional near-infrared spectroscopy,fNIRS)等,以指导临床工作者科学地为患者提供更加有效、针对性强、个性化的康复治疗,同时更好地分配医疗资源。

     

    Abstract: Stroke is a common cerebrovascular disease. Motor dysfunction is the main problem in the sequelae of stroke disease, and it is also a serious difficulty in the rehabilitation treatment of stroke. In the process of hand motor rehabilitation after stroke, it is necessary to scientifically predict and evaluate the prognosis of patients and the recovery potential of motor function, so as to give appropriate treatment and intervention in a targeted manner. This paper reviews the prediction and evaluation of hand motor function recovery after stroke, such as functional magnetic resonance imaging (fMRI), diffusion tensor imaging (DTI), positron emission tomography (PET), and non-invasive brain stimulation methods like transcranial magnetic stimulation (TMS), quantitative electroencephalography (qEEG), and functional near-infrared spectroscopy (fNIRS), so as to guide clinicians with more effective, targeted and personalized rehabilitation treatment to patients, while better allocate medical resources.

     

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