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关于中风偏瘫的恢复机制。

Concerning the mechanism of recovery in stroke hemiplegia.

作者信息

Fisher C M

机构信息

Neurology Service, Massachusetts General Hospital, Boston 02114.

出版信息

Can J Neurol Sci. 1992 Feb;19(1):57-63.

PMID:1562908
Abstract

Two patients with pure motor hemiplegia were regaining strength in the affected limbs when a pure motor stroke developed on the opposite side. At the same time as the new hemiplegia appeared, the recovering side became re-paralyzed, suggesting that activity in the contralateral corticospinal tract had participated in the recovery process. Pathological studies were confirmatory. The literature pertaining to contralateral motor compensation is reviewed.

摘要

两名患有纯运动性偏瘫的患者在患侧肢体恢复力量时,对侧发生了纯运动性卒中。在新的偏瘫出现的同时,正在恢复的一侧再次瘫痪,这表明对侧皮质脊髓束的活动参与了恢复过程。病理学研究证实了这一点。本文回顾了与对侧运动代偿相关的文献。

相似文献

1
Concerning the mechanism of recovery in stroke hemiplegia.关于中风偏瘫的恢复机制。
Can J Neurol Sci. 1992 Feb;19(1):57-63.
2
Motor cortex activation is preserved in patients with chronic hemiplegic stroke.慢性偏瘫性中风患者的运动皮层激活得以保留。
Ann Neurol. 2002 Nov;52(5):607-16. doi: 10.1002/ana.10351.
3
The functional anatomy of motor recovery after stroke in humans: a study with positron emission tomography.人类中风后运动恢复的功能解剖学:一项正电子发射断层扫描研究。
Ann Neurol. 1991 Jan;29(1):63-71. doi: 10.1002/ana.410290112.
4
Post-stroke hemiplegia; crural muscle strength and structure.中风后偏瘫;小腿肌肉力量与结构
Scand J Rehabil Med Suppl. 1980;7:53-67.
5
Stroke: influence of patient's sex and side of weakness on outcome.中风:患者性别及偏瘫侧对预后的影响
Arch Phys Med Rehabil. 1984 Sep;65(9):513-6.
6
Rising and sitting down in stroke patients. Auditory feedback and dynamic strength training to enhance symmetrical body weight distribution.中风患者的起立和坐下动作。听觉反馈与动态力量训练以增强身体重量的对称分布。
Scand J Rehabil Med Suppl. 1994;31:1-57.
7
[Electromyography on the healthy and affected side of the body in cerebrovascular insult].[脑血管损伤患者身体健侧与患侧的肌电图]
Neurologija. 1979;27(1-4):145-6.
8
The averaged movement potential in stroke hemiplegia: comparison of intact and pathological hemispheres.中风偏瘫患者的平均运动电位:健侧半球与患侧半球的比较。
Prog Brain Res. 1980;54:487-90. doi: 10.1016/S0079-6123(08)61664-7.
9
A longitudinal fMRI study: in recovering and then in clinically stable sub-cortical stroke patients.一项纵向功能磁共振成像研究:针对处于恢复阶段以及临床病情稳定的皮质下中风患者。
Neuroimage. 2004 Nov;23(3):827-39. doi: 10.1016/j.neuroimage.2004.07.058.
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Kinetic and static synergia and their role in the motor reeducation after cerebral stroke.
Electromyogr Clin Neurophysiol. 1984 Jan-Feb;24(1-2):81-90.

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Stimulation of the Premotor Cortex Enhances Interhemispheric Functional Connectivity in Association with Upper Limb Motor Recovery in Moderate-to-Severe Chronic Stroke.刺激运动前皮质可增强中重度慢性脑卒中患者上肢运动功能恢复的大脑两半球间功能连接。
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Clinician's Commentary on Patterson et al..临床医生对帕特森等人的评论
Physiother Can. 2017;69(2):150-151. doi: 10.3138/ptc.2015-73-CC.
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Tailoring Brain Stimulation to the Nature of Rehabilitative Therapies in Stroke: A Conceptual Framework Based on their Unique Mechanisms of Recovery.根据中风康复治疗的性质定制脑刺激:基于其独特恢复机制的概念框架
Phys Med Rehabil Clin N Am. 2015 Nov;26(4):759-74. doi: 10.1016/j.pmr.2015.07.001. Epub 2015 Sep 9.
6
Cortical Effects on Ipsilateral Hindlimb Muscles Revealed with Stimulus-Triggered Averaging of EMG Activity.通过肌电图活动的刺激触发平均法揭示皮质对同侧后肢肌肉的影响。
Cereb Cortex. 2016 Jul;26(7):3036-51. doi: 10.1093/cercor/bhv122. Epub 2015 Jun 17.
7
Motor practice promotes increased activity in brain regions structurally disconnected after subcortical stroke.运动练习可促进皮质下卒中后结构上分离的脑区活动增加。
Neurorehabil Neural Repair. 2011 Sep;25(7):607-16. doi: 10.1177/1545968311405675. Epub 2011 Jun 6.
8
A novel neuromuscular electrical stimulation treatment for recovery of ankle dorsiflexion in chronic hemiplegia: a case series pilot study.一种用于慢性偏瘫患者踝关节背屈恢复的新型神经肌肉电刺激治疗:一项病例系列试点研究。
Am J Phys Med Rehabil. 2010 Aug;89(8):672-82. doi: 10.1097/PHM.0b013e3181e29bd7.
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The role of the unaffected hemisphere in motor recovery after stroke.卒中后运动功能恢复中非受累半球的作用。
Hum Brain Mapp. 2010 Jul;31(7):1017-29. doi: 10.1002/hbm.20914.
10
Early imaging correlates of subsequent motor recovery after stroke.中风后后续运动恢复的早期影像学关联
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