运动控制在手功能(PDF格式发言)全解.doc

运动控制在手功能康复的应用 武汉大学中南医院康复医学科 廖维靖 电子邮件：weijingliao@ 提  纲  一、引言 二、手运动障碍及控制 三、手运动控制的方法 四、展望 提 一、引言 二、运动障碍及控制 三、运动控制的方法 四、展望  纲 It is said that the hand is an agency of the brain. It reflects activities of the brain and thereby it is a sort of mirror to the mind. It is the hand that is the most intriguing and most human of appendages. 大意：手是脑功能的作用表现形式。手反映了 脑的活动，是脑的一种镜像。手正是最能激发 人研究兴趣和最具人性特点的器官。 世界伟人的最后岁月 Lenins Last Year (December 1922 - January 1924) Lerner, V., Finkelstein, Y. Witztum, E. The enigma of Lenins (1870–1924) malady. European Journal of Neurology 11 (6), 371-376. Lenin in his Kremlin office. 1918 Lenin in his wheelchair at Gorki July or August 1923 Lenins health had already been severely damaged by the  strains of revolution and war. The assassination attempt  earlier in his life also added to his health problems. The  bullet was still lodged in his neck, too close to his spine  for medical techniques of the time to remove. On May 26,  1922, Lenin had his first stroke. He was left partially  paralyzed on his right side, and his role in government  declined. After the second stroke in December 16 of the  same year, he resigned from active politics. On March 15,  1923, he suffered his third stroke and was left bedridden  for the remainder of his life, no longer able to speak. On  January 21, 1924, he died as his father had, from a  cerebral hemorrhage.  列宁医疗档案解密报告 中枢性运动功能障碍的本质 上运动神经元受损 （高位中枢失控） 皮层以下运动反射释放 （运动模式异常） 肌张力增高、痉挛、肌群协调紊乱 （协同运动、联合反应、紧张性反射） Brunnstrom 6阶段  周围性瘫痪  中枢性瘫痪  0 1  I 迟缓期 治疗的目标  II 痉挛期  III共同运动  2 IV部分分离运动 3 4  5  VI正常  V分离运动 Signe Bru