Patten Carolynn, Lexell Jan, Brown Heather E
Neuromuscular Systems Section, Rehabilitation R&D Center/153, VA Palo Alto Health Care System, 3801 Miranda Ave., Palo Alto, CA 94304, USA.
J Rehabil Res Dev. 2004 May;41(3A):293-312. doi: 10.1682/jrrd.2004.03.0293.
Several converging lines of contemporary evidence suggest that weakness presents a more serious compromise to movement function in poststroke hemiplegia than spasticity. This review examines the clinical and functional phenomena of weakness in poststroke hemiplegia, currently available evidence identifying physiologic substrates contributing to weakness, and reports of early investigations involving high-resistance training targeted at improving strength and the transfer of strength to improvements in functional capacity. Based on this information, we describe some unsolved problems and indicate some likely lines of development to increase our knowledge regarding how resistance training can be included in effective stroke rehabilitation.
当代几条相互汇聚的证据表明，在中风后偏瘫中，肌无力对运动功能的损害比痉挛更为严重。本综述探讨了中风后偏瘫中肌无力的临床和功能现象、目前确定导致肌无力的生理底物的现有证据，以及早期涉及针对增强力量以及将力量转化为功能能力改善的高阻力训练的研究报告。基于这些信息，我们描述了一些未解决的问题，并指出了一些可能的发展方向，以增加我们对如何将阻力训练纳入有效的中风康复的认识。
