Department of Physical Medicine and Rehabilitation, University of Manitoba, Riverview Health Center, Winnipeg, Canada.
Disabil Rehabil. 2011;33(17-18):1715-8. doi: 10.3109/09638288.2010.540290. Epub 2010 Dec 22.
Alien hand syndrome (AHS) is a neurological disorder in which movements are performed against conscious will. It is rare but significant due to its disability impact on everyday life. This case highlights the clinical features, recovery course and response to rehabilitation of a patient with a dominant anterior cerebral artery territory infarct.
Single case report.
Clinical signs and symptoms included right hemiparesis, hemianesthesia, dysphagia, language and cognitive dysfunction, personification and autonomous movement of the affected limb; involuntary grasping of objects interfered with his activities of daily living (ADL). Education for diagnosis and compensatory strategies of AHS, including visualisation, distraction of affected limb and maintaining a slow/steady pace with activities decreased the frequency of his AHS movements from 10 times to twice a day. Over the course of 4 months the rehabilitation treatment targeted toward the specific needs of the patient, allowed improvement in his ADL. Commonly used upper extremity motor recovery outcome measures like the Chedoke McMaster Stroke Assessment cannot be considered as a sensitive tool for AHS. More sensitive outcome measures are needed to be determined for this condition.
This case distinguishes the clinical findings and description to rehabilitation in a case of AHS.
异手综合征（AHS）是一种神经系统疾病，其运动是在意识的控制下进行的。由于其对日常生活的残疾影响，这种疾病非常罕见但很重要。本病例突出了具有优势大脑前动脉区域梗死的患者的临床特征、恢复过程和对康复的反应。
单病例报告。
临床症状和体征包括右侧偏瘫、半身感觉缺失、吞咽困难、语言和认知功能障碍、人格和受影响肢体的自主运动；受影响肢体的无意识抓取干扰了他的日常生活活动（ADL）。对 AHS 的诊断和补偿策略进行教育，包括可视化、分散受影响肢体的注意力以及在活动中保持缓慢/稳定的节奏，将 AHS 运动的频率从每天 10 次减少到 2 次。在 4 个月的康复治疗过程中，针对患者的具体需求进行治疗，提高了他的 ADL。像 Chedoke McMaster 中风评估这样常用的上肢运动恢复的评估方法不能被认为是 AHS 的敏感工具。需要确定更敏感的评估方法来评估这种情况。
本病例区分了 AHS 病例的临床发现和康复描述。
