卒中后肢体痉挛治疗的研究进展

痉挛是卒中后常见的并发症之一，严重的肢体痉挛不仅会导致关节活动度的受限、灵活性和姿势的异常，还可引起不可逆的关节挛缩、肢体功能丧失及残疾，极大地影响着患者的生活质量，并增加照护者的负担。目前对卒中后肢体痉挛的治疗方案仍未达成共识。近年来，痉挛治疗的药物和非药物研究也有了一定的进展，尤其是非药物治疗手段，如采用非侵入性经颅或外周电、磁刺激技术以及基于肌动图和肌电图的多源信息采集整合分析技术等新型康复治疗手段，在痉挛治疗过程中表现出更加精准、有效以及可重复性高等优点。现就卒中后肢体痉挛治疗的研究进展进行综述。

Advances in the Treatment of Limb Spasticity after Stroke

Spasticity is one of the most common complications after stroke. Severe limb
spasticity not only causes limited range of motion, immobility and abnormal posture, but also leads
to irreversible joint contracture, resulting in loss of limb function and disability, which greatly
influences the quality of life of patients and increases the burden on caregivers. At present, there is
still no consensus on the treatment of post-stroke spasticity. However, in recent years, there has been
some progress in the research on the intervention of post-stroke spasticity with pharmacological
and non-pharmacological way, especially for non-pharmacological treatment, such as transcranial
magnetic stimulation, transcranial electrical stimulation, and novel rehabilitation treatment
based on integrated analysis of multi-source information combined with electromyography and
mechanomyography, and these approaches are more accurate, effective and highly repeatable.
Hence, we summarized the advances in the treatment of limb spasticity after stroke.