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題 名 | 腦中風患者其不同腦病變位置與運動功能之相關性=The Correlation between Locations of Brain Lesions and Motor Recovery in Stroke Patients |
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作 者 | 鍾佳英; 陳嘉玲; 黃美涓; 衛優遊; 鄧復旦; 鄭寶釵; | 書刊名 | 復健醫學會雜誌 |
卷 期 | 26:1 1998.03[民87.03] |
頁 次 | 頁9-15 |
分類號 | 415.922 |
關鍵詞 | 中風; 腦部位病變; 核磁共振檢查; 預後; Stroke; Brain lesion; MRI; Outcome; |
語 文 | 中文(Chinese) |
中文摘要 | 腦中風常會導致運動功能障礙,但是腦中風病患不同損傷部位運動功能的恢復常有所不同。本研究之目的在於探討大腦特定部位的病變與運動功能的相關性。 本研究共收集58位腦中風患者,年齡從40歲至80歲,其病變處在大腦皮質或在大腦皮質下。在中風後半個月至一個半月間(平均0.9個月),給予患者施行腦部核磁共振檢查,同時藉由布朗氏恢復期(Brunnstrom's recovery stage)給予患者做運動功能復評估,改良型阿氏量表(modified Ashowrth scale)來對病人的肌肉張力做評估,及生活功能獨立程度量表(functional independence measure)來對患者日常生活的能力做評估。依核磁共振檢查結果,根據其病變位置及大小將病人分為三組。 研究結果發現藉由布朗氏恢復期及生活功能獨立程度量表有關運動功能復原(包括自我照顧,排便功能,走動及位移四方面功能)的評估中,結果發現病變位較大或後囊(posterior capsule)病變之患者其預後較差,這可能是較廣泛之病變易波及周圍之大腦皮質脊髓徑路(corticospinal tract),且後囊含有大腦皮質脊髓徑路和頂葉發入發出的體感覺神經束。但藉由改良型阿氏量表的評估及生活功能獨立量表中之溝通及社會認知功能則在此三組顯示並無統計上明顯差異。 |
英文摘要 | Cerebrovascular accidents often produce alterations in the ability to control movement. Recovery of impaired motor function varies with the individual. We studied the correlation between the location as well as the size of lesions and the prognosis for motor recovery. Magnetic Resonance Images (MRI) of the brain were done in stroke patients with cortical, or subcortical infarcts or hemorrhage within 0.5 to 1.5 (mean 0.9±0.25) months after a stroke. The muscle tone, motor recovery and activities of daily living of the patients were assessed by a modified Ashworth scale, Burnnstrom's recovery state and functional independence measure (FIM) respectively. According to the locations and size of the lesions on MRI, the stroke patients were divided into 3 groups. Motor recovery as well as self-care, sphincter control, locomotion and transfer are worse in patients with larger lesions or posterior capsule involvement. This may be because larger lesions easily damage or compress the surrounding posterior capsule which contains the corticospinal tract, as well as the projections to and from somatic sensory areas in the parietal lobe. There was no significant difference in muscle tone, communication and social cognition among the three groups. We conclude that motor recovery is worse in stroke patients with larger lesions or posterior capsule involvement and thus initial MRI image may be used as a pot例。ent potential prognostic tool. |
本系統中英文摘要資訊取自各篇刊載內容。