区丽明 2004-8-1 13:59:00 现代康复 2000年第4期第4卷 特集.脑卒中偏瘫后的上肢问题

    摘要 偏瘫是许多神经系统疾病常见的功能障碍，偏瘫上肢的预后如何对ADL的恢复与改善和生活质量的高低有着决定性的意义。偏瘫上肢的功能恢复不仅涉及运动功能问题，而且还涉及心理问题，偏瘫上肢的心理问题除涵盖一般偏瘫病人的心理问题外，还因偏瘫上肢的功能障碍特点而有其特殊性。其中主要包括由于偏瘫上肢的运动功能恢复常较下肢缓慢，偏瘫上肢伴发的失认、失用，以及肩-手综合征等引起的心理问题，正确地处理好这些心理问题将有助于偏瘫者整体功能的恢复。

    中图分类号R743.3 文献标识码A

    文章编号1007-5496(2000)04-0508-02

    The Psychologic Treatment of the Hemiplegic Upper Limb

    OU Li-ming

    (Department of Rehabilitation Medicine,Sun Yat-Sen Memory Hospital,

    Zhongshan Medical University,Guangzhou 510120,China)

    Abstract Hemiplegia is the common imparirment caused by many diseases of nerve system.The outcome of the hemiplegic upper limb plays and important role on the improvement of ADL and the level of QOL.The recovery of the hemiplegic upper limb diose not only involve the motional function,but,because of the speciality of its functional impairments,also involves the psychologic problem which mainly includes the slower recovery of he hemiplegic upper limb than the lower one,agnosia,apraxia and shoulder-hand syndrone.A proper treatment to these psychologic problems is helpful to the general recovery of the hemiplegic patients. ......