Yetisgin Alparslan
Department of Physical Medicine and Rehabilitation, Harran University Medical School, Turkey.
J Phys Ther Sci. 2017 Feb;29(2):216-220. doi: 10.1589/jpts.29.216. Epub 2017 Feb 24.
[Purpose] To describe the clinical characteristics affecting motor recovery and ambulation in stroke patients. [Subjects and Methods] Demographic and clinical characteristics of 53 stroke patients (31 M, 22 F), such as age, gender, etiology, hemiplegic side, Brunnstrom stage, functional ambulation scale scores, history of rehabilitation, and presence of shoulder pain and complex regional pain syndrome were evaluated. [Results] The etiology was ischemic in 79.2% of patients and hemorrhagic in 20.8%. Brunnstrom hand and upper extremity values in females were lower than in males. Complex regional pain syndrome was observed at a level of 18.9% in all patients (more common in females). Brunnstrom hand stage was lower in complex regional pain syndrome patients than in those without the syndrome. Shoulder pain was present in 44.4% of patients. Brunnstrom lower extremity values and functional ambulation scale scores were higher in rehabilitated than in non-rehabilitated cases. [Conclusion] Brunnstrom stages of hand and upper extremity were lower and complex regional pain syndrome was more common in female stroke patients. Shoulder pain and lower Brunnstrom hand stages were related to the presence of complex regional pain syndrome.
[目的]描述影响中风患者运动恢复和步行能力的临床特征。[对象与方法]评估了53例中风患者（31例男性，22例女性）的人口统计学和临床特征，如年龄、性别、病因、偏瘫侧、Brunnstrom分期、功能性步行量表评分、康复史以及肩痛和复杂性区域疼痛综合征的存在情况。[结果]79.2%的患者病因是缺血性的，20.8%是出血性的。女性的Brunnstrom手部和上肢评分低于男性。所有患者中复杂性区域疼痛综合征的发生率为18.9%（在女性中更常见）。复杂性区域疼痛综合征患者的Brunnstrom手部分期低于无该综合征的患者。44.4%的患者存在肩痛。接受康复治疗的患者Brunnstrom下肢评分和功能性步行量表评分高于未接受康复治疗的患者。[结论]女性中风患者的手部和上肢Brunnstrom分期较低，复杂性区域疼痛综合征更常见。肩痛和较低的Brunnstrom手部分期与复杂性区域疼痛综合征的存在有关。
