Raghavan Preeti
Motor Recovery Research Laboratory, Department of Rehabilitation Medicine, Rusk Rehabilitation, New York University School of Medicine, 240 East 38th Street, 17th Floor, New York, NY 10016, USA.
Phys Med Rehabil Clin N Am. 2015 Nov;26(4):599-610. doi: 10.1016/j.pmr.2015.06.008. Epub 2015 Aug 25.
Understanding poststroke upper limb impairment is essential to planning therapeutic efforts to restore function. However, determining which upper limb impairment to treat and how is complex because the impairments are not static and multiple impairments may be present simultaneously. How impairments contribute to upper limb dysfunction may be understood by examining them from the perspective of their functional consequences. There are 3 main functional consequences of impairments on upper limb function: (1) learned nonuse, (2) learned bad use, and (3) forgetting as determined by behavioral analysis of tasks. The impairments that contribute to each of these functional limitations are described.
了解中风后上肢损伤对于规划恢复功能的治疗措施至关重要。然而，确定治疗哪种上肢损伤以及如何治疗是复杂的，因为这些损伤并非一成不变，而且可能同时存在多种损伤。通过从其功能后果的角度来审视损伤，或许可以理解损伤是如何导致上肢功能障碍的。损伤对上肢功能有3个主要的功能后果：（1）习得性废用，（2）习得性误用，以及（3）通过任务行为分析确定的遗忘。文中描述了导致这些功能限制的损伤情况。
