Progress in rehabilitation treatment of upper limb muscle spasms in hemiplegic patients after stroke
脑卒中后偏瘫患者上肢肌痉挛的康复治疗进展

摘要

脑卒中属于临床常见的脑血管疾病，经临床积极治疗后容易留下后遗症，其中偏瘫上肢肌痉挛最为常见。随着人口老龄化问题的加剧，脑卒中后偏瘫上肢肌痉挛的患病率不断升高，给患者的日常生活和身体健康造成不良影响，给患者家庭和社会造成极大负担，故尽早识别和治疗脑卒中后偏瘫上肢肌痉挛对于病情康复、改善生活质量具有重要意义。然而，当前脑卒中后偏瘫上肢肌痉挛患者的康复效果不是很理想，在上肢功能和手功能的恢复方面存在问题。为提升脑卒中后偏瘫上肢肌痉挛的康复效果，临床正在努力研究康复治疗方案。鉴于此，本文通过概述脑卒中后偏瘫上肢肌痉挛的发病机制、危险因素、康复治疗方法，以期为临床治疗脑卒中后偏瘫上肢肌痉挛提供参考。

Abstract

Stroke is a common cerebrovascular disease in clinical practice, and after active clinical treatment, it is easy to leave sequelae, among which hemiplegic upper limb muscle spasms are the most common. With the worsening of the aging population problem, the incidence of post-stroke hemiplegic upper limb muscle spasms continues to increase, causing adverse effects on patients' daily life and physical health, and imposing a great burden on patients' families and society. Therefore, early identification and treatment of post-stroke hemiplegic upper limb muscle spasms are of great significance for disease recovery and improving quality of life. However, the rehabilitation effect of current stroke patients with hemiplegic upper limb muscle spasms is not very ideal, and there are problems in the recovery of upper limb function and hand function. To improve the rehabilitation effect of upper limb muscle spasms in hemiplegic patients after stroke, clinical efforts are being made to study rehabilitation treatment plans. In view of this, this article provides an overview of the pathogenesis, risk factors, and rehabilitation treatment methods of spasticity in hemiplegic upper limbs after stroke, in order to provide reference for clinical treatment of spasticity in hemiplegic upper limbs after stroke.