脑卒中后步行功能障碍临床评估与弥散张量成像应用.docVIP

脑卒中后步行功能障碍临床评估与弥散张量成像应用 　　[摘要] 脑卒中后步行功能障碍是常见的卒中后运动障碍，卒中后步行功能的恢复情况直接影响患者的生活能力。随着神经影像学技术的发展，神经影像学及其相关生物学标志物（如弥散张量成像）已成为预测卒中后运动功能恢复的重要手段。本文通过复习脑卒中患者步行功能临床评估方法及相关神经功能影像学文献。总结卒中后患者步行功能障碍的临床评估方法，主要有足印目测法、录像法、量表评定法、三维步态分析。并重点讨论如何运用弥散张量成像技术预测卒中后步行功能，从而为脑卒中后步行康复计划制定的合理性提供依据。 　　[关键词] 脑卒中；步行功能；脑重塑；弥散张量成像 　　[中图分类号] R743.33 [文献标识码] A [文章编号] 1673-9701（2017）34-0165-04 　　Clinical evaluation of walking dysfunction and the application of diffusion tensor imaging after stroke 　　SONG Jie1 WANG Daming2 LI Yongxiang3 LI Li1 ZHANG Mengyi1 　　1.Zhejiang University of Traditional Chinese Medicine， Hangzhou 310053， China； 2.Department of Rehabilitation Medicine， Jinhua Traditional Chinese Medicine Hospital in Zhejiang Province， Jinhua 321000， China； 3.Department of Rehabilitation Medicine， the Fourth Affiliated Hospital of Zhejiang University School of Medicine， Yiwu 322000， China 　　[Abstract] Walking dysfunction after stroke is a common post-stroke dyskinesia， and the recovery of walking function after stroke directly affects the patients life ability. With the development of neuroimaging technology， neuroimaging and its related biological markers（for example， diffusion tensor imaging） have become an important means to predict the recovery of motor function after stroke. In this paper， the clinical assessment methods of walking dysfunction after stroke were summarized， by reviewing the clinical assessment of walking function in stroke patients and related neurological imaging literature. There are footprint visual method， video method， scale evaluation method and three-dimensional gait analysis. And this paper mainly discusses how to use the diffusion tensor imaging technique to predict the walking function after stroke， so as to provide the basis for the rationality of walking rehabilitation plan after stroke. 　　[Key words] Stroke； Walking function； Brain remodeling； Diffusion tensor imaging 　　?p足直立步行是人类有别于其他哺乳类动物的典型特征，也是人类进行移动和维持身体健康的重要能力。步行功能障碍是许多卒中患者的主要问题，且常导致日常生活活动困难。因此，如能在脑卒中