确定中风后上肢运动障碍和活动限制的严重程度:系统性审查
Elena Ierardi1, Frederike van Wijck2, Myzoon Ali3,4
1Department of Allied Health Professions, Glasgow Caledonian University, Glasgow, UK.
NeuroRehabilitation
|February 10, 2026
概括
脑卒中恢复缺乏对上肢损伤严重程度的标准化术语. 这次审查发现描述不一致,阻碍了临床试验数据的汇集和对中风幸存者的实践改进. 需要进一步的标准化.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 临床研究方法论 临床研究方法论
背景情况:
- 脑卒中经常导致上肢运动障碍和活动限制.
- 目前用于描述中风相关上肢损伤严重程度的术语是不一致的.
- 这种缺乏标准化阻碍了从临床试验和基于证据的实践中汇总数据.
研究的目的:
- 系统地审查和综合脑卒中后上肢运动损伤和活动限制的严重程度级别描述器.
- 确定已发表文献中使用的常见措施和截止分数.
- 强调在中风康复中需要标准化的临床语言.
主要方法:
- 按照PRISMA指南,在八个主要数据库中进行了系统的文献搜索.
- 纳入标准侧重于主要研究研究,涉及中风后的成年人,描述上肢运动障碍或活动限制严重程度.
- 研究根据描述器精度进行分类:"绿色" (推措施/切线),"红色" (仅描述器) 和"珀色" (中间).
主要成果:
- 在17,273个记录中,有750项研究被纳入了审查.
- 最常见的严重程度描述是"轻度"",中度"和"严重",在77%的研究中使用.
- 对于Fugl-Meyer评估 (上肢),确定了严重程度范围,但有限的数据阻止了进一步的综合分析.
结论:
- 在定义和运行中风后上肢运动障碍和活动限制的严重程度方面存在显著的标准化不足.
- 这些发现强调了开发标准化临床语言的必要性.
- 标准化将提高研究结果的一致性,并增强中风患者的临床实践.
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