CAJ | 학술논문

脑卒中后患者常常遗留肢体功能障碍，上肢和手功能较下肢功能恢复缓慢，其功能康复成为康复医学领域的研究热点之一。及时、有效的评定对于指导脑卒中患者的上肢和手功能康复治疗、评价治疗疗效、预测功能恢复均有重要的作用。目前的评定方法主要分为主观性评定和客观性评定两部分，前者多采用量表，主要包括以肌肉情况变化、运动模式、上肢功能变化和手功能为主的评定四大类。后者多采用生物力学方法、神经电生理、功能磁共振和上肢机器人评估系统。量表评定具有良好的信效度，在临床实践中广泛应用，但其主观性较强，难以精确地反映患者功能，且数据不易保存，计算机辅助下的评估系统逐渐在临床开展应用。本文将对上肢和手功能障碍康复评定方法进行综述。
뇌졸중후환자상상유류지체공능장애，상지화수공능교하지공능회복완만，기공능강복성위강복의학영역적연구열점지일。급시、유효적평정대우지도뇌졸중환자적상지화수공능강복치료、평개치료료효、예측공능회복균유중요적작용。목전적평정방법주요분위주관성평정화객관성평정량부분，전자다채용량표，주요포괄이기육정황변화、운동모식、상지공능변화화수공능위주적평정사대류。후자다채용생물역학방법、신경전생리、공능자공진화상지궤기인평고계통。량표평정구유량호적신효도，재림상실천중엄범응용，단기주관성교강，난이정학지반영환자공능，차수거불역보존，계산궤보조하적평고계통축점재림상개전응용。본문장대상지화수공능장애강복평정방법진행종술。
Patients often suffered limb dysfunction after stroke. Upper limb and hand function recovered more slowly than lower limb, and became one of the research focuses in rehabilitation medicine. Timely and effective assessments were important to guide the rehabilita-tion treatment, evaluate the treatment efficacy and predict functional recovery of upper extremity and hand function. The assessment meth-ods of upper limb and hand motor function included subjective evaluations and objective evaluations. The former included different kinds of scales, which involved assessment focusing on muscle, motor pattern, change of upper limb and hand function. While the latter contained biomechanics, neuroelectrophysiology, functional magnetic resonance imaging, upper limb robotic evaluation system and so on. Scales were proved to have good reliability and validity. But they could not show patients' function accurately because of the subjectivity, and the data could not be kept. Evaluation system with computer was applied in clinical practice more and more widely. In this review, we summarized the assessments on upper limb and hand motor function in patients after stroke.