脑卒中康复运动功能评定量表的临床应用研究

Observation on the clinical application of stroke rehabilitation assessment of movement(STREAM)

目的:应用脑卒中康复运动功能评定量表(Stroke rehabilitation assessment of movement,STREAM)观察脑卒中患者偏瘫侧运动功能损害程度、治疗前后功能恢复的情况。方法:用STREAM对106例脑卒中偏瘫患者康复治疗前后进行分析。结果:康复治疗后,下肢功能比上肢获益更多,并且越早接受康复治疗,就越早获益。尤其是对于老年前期患者。结论:应早期康复,并根据偏瘫侧上下肢恢复的差异及年龄等因素制定康复治疗计划。

Objective：To observe motor impairment extremity by using the STREAM in stroke patients, the motor recovery outcome by the STREAM before and after rehabilitation treatment. Methods： Motor function status of 106 hemiplegie patients were measured by before and after rehabilitation treatment. Results： This was especially true in the pre- senium patients （ ≤ 65years of age）. The lower extremity gained greater treatment benefit than the upper extremity after rehabilitation treatment. Patients benefited greater when they received rehabilitation treatment earlier. Conclusions：The pre - senium patients recovered guieker than the old patients. Functional recovery of lower limb was bettter than the upper limb in stroke patients. Patients benefited greater when they received rehabilitation treatment earlier. These findings are helpful for planning the rehabilitation training programme for stroke patient.