电生理技术应用于卒中康复评估的临床价值

电生理技术具有客观、可量化、无创、易重复的优点,在卒中患者康复评定中具有不可替代的作用。表面肌电图在运动分析和肌肉功能评估中具有很好的应用价值;通过脑电图可以了解脑功能状况;诱发电位能够反映患者的运动、感觉和认知状态;经颅多普勒可用于检测卒中患者康复前后脑血流的变化。本文对电生理技术应用于卒中患者功能障碍评定、康复效果评估以及康复治疗方案制定中的临床价值及最新进展进行综述。

Application of electrophysiology in rehabilitation evaluation after stroke and its clinical significance

Electrophysiology, as a kind of objective, quantitative, noninvasive and repeatable method, plays an irreplaceable role in the rehabilitation assessment of stroke patients. The surface electromyography has been applied especially in kinematic analysis and the evaluation of muscle function. The electroencephalogram can be used to identify the cortical function. Through evoked potential examination, the state of motion, perception and cognition of stoke patients can be assessed. The transcranial Doppler can be used to detect the changes of cerebral blood flow during rehabilitation. It has a positive value in evaluating the functional disturbance of post-stroke patients and making the rehabilitation plan by using electrophysiological techniques. This review summarizes the advances in electrophysiology in rehabilitation evaluation after stroke and its clinical significance.