Jung Han Young, Yoon Joon Shik, Park Bong Soon
Department of Rehabilitation Medicine, Inha University Medical School, Inchon, Korea.
NeuroRehabilitation. 2002;17(2):153-9.
Conservation of the ipsilateral upper limb function is important in stroke subjects with contralateral hemiplegia, because often it must serve as a compensatory tool for activities of daily livings (ADLs). However, the amount of functional loss and/or the recovery pattern of the ipsilateral upper limb are not well known. We plan to investigate how to measure the progress of the ipsilateral upper limb function after the onset of stroke. Once a week we used the Manual Function Test (MFT) to evaluate the ipsilateral upper limb weakness of 72 stroke subjects with contralateral hemiplegia until maximum recovery. Proximal and distal arm weaknesses in the ipsilateral upper limb were maximally recovered within one month following the onset of hemispheric stroke, but their weakness was not to be completely recovered. Also the amounts of their recoveries were different from each other. These results indicate that the ipsilateral upper limb weakness in stroke is not a temporary event and that motor function of the proximal and distal arm might be mediated by different neuronal circuits.
对于患有对侧偏瘫的中风患者而言，保留同侧上肢功能至关重要，因为它常常必须充当日常生活活动（ADL）的代偿工具。然而，同侧上肢的功能丧失量和/或恢复模式尚不为人所知。我们计划研究如何在中风发作后测量同侧上肢功能的进展情况。我们每周一次使用手动功能测试（MFT）来评估72例患有对侧偏瘫的中风患者同侧上肢的无力情况，直至达到最大恢复程度。半球性中风发作后的一个月内，同侧上肢近端和远端的无力情况得到了最大程度的恢复，但其无力并未完全恢复。而且它们的恢复量也各不相同。这些结果表明，中风后同侧上肢无力并非是一个暂时的现象，并且近端和远端手臂的运动功能可能由不同的神经回路介导。
