Program in Physical Therapy, Program in Occupational Therapy, and Department of Neurology, Washington University, St. Louis, Missouri.
J Hand Ther. 2013 Apr-Jun;26(2):104-14;quiz 115. doi: 10.1016/j.jht.2012.06.005. Epub 2012 Sep 10.
The purpose of this review is to provide a comprehensive approach for assessing the upper extremity (UE) after stroke. First, common UE impairments and how to assess them are briefly discussed. Although multiple UE impairments are typically present after stroke, the severity of one's impairment, paresis, is the primary determinant of UE functional loss. Second, UE function is operationally defined and a number of clinical measures are discussed. It is important to consider how impairment and loss of function affect UE activity outside of the clinical environment. Thus, this review also identifies accelerometry as an objective method for assessing UE activity in daily life. Finally, the role that each of these levels of assessment should play in clinical decision making is discussed to optimize the provision of stroke rehabilitation services.
本文旨在提供一种全面的方法来评估脑卒中后的上肢（UE）。首先，简要讨论 UE 的常见损伤以及如何评估这些损伤。尽管脑卒中后通常会出现多种 UE 损伤，但损伤的严重程度（即瘫痪）是 UE 功能丧失的主要决定因素。其次，UE 功能的操作性定义以及一些临床评估方法进行了讨论。重要的是要考虑损伤和功能丧失如何影响临床环境之外的 UE 活动。因此，本综述还确定了加速度计作为评估日常生活中 UE 活动的客观方法。最后，讨论了这些评估层面在临床决策中的作用，以优化脑卒中康复服务的提供。
