右侧偏瘫患者左侧运动功能的损伤与恢复
Impairment and recovery of left motor function in patients with right hemiplegia.
作者信息
Marque P, Felez A, Puel M, Demonet J F, Guiraud-Chaumeil B, Roques C F, Chollet F
机构信息
Department of Rehabilitation, Hôpital Rangueil, Toulouse, France.
出版信息
J Neurol Neurosurg Psychiatry. 1997 Jan;62(1):77-81. doi: 10.1136/jnnp.62.1.77.
Abstract
OBJECTIVE
To assess the motor function of the left, supposedly unaffected, limbs of patients with an acute right vascular hemiplegia.
METHODS
Fifteen patients with an acute vascular right hemiplegia and 16 matched healthy controls were studied. Motor function of the left limbs of each patient was evaluated on days 20 and 90 after their stroke using four validated tools (hand dynamometer, isokinetic dynamometer, finger tapping, and nine hole peg test).
RESULTS
There was a significant impairment of motor function of the left limbs of patients at day 20 compared with controls. The impairment had recovered almost completely at day 90 after the stroke.
CONCLUSION
These results show the bilateral cerebral representation of the human motor system and suggest the participation of ipsilateral motor pathways in recovery after a stroke.
摘要
目的
评估急性右侧血管性偏瘫患者左侧肢体（假定未受影响）的运动功能。
方法
对15例急性血管性右侧偏瘫患者和16例匹配的健康对照者进行研究。在患者中风后第20天和第90天，使用四种经过验证的工具（握力计、等速测力计、手指敲击和九孔插板测试）评估每位患者左侧肢体的运动功能。
结果
与对照组相比，患者在第20天时左侧肢体运动功能有显著损害。中风后第90天时，这种损害几乎完全恢复。
结论
这些结果显示了人类运动系统的双侧大脑表征，并提示同侧运动通路参与中风后的恢复过程。
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