【摘要】 目的 临床应用脑卒中康复运动功能定量表(Stroke rehabilitation1assessment of movement，STREAM)观察脑卒中患者偏瘫侧运动功能损害程度、治疗前后功能恢复的情况。方法 用STREAM对106例脑卒中偏瘫患者康复治疗前后进行分析。结果 康复治疗后，下肢能以上肢获益更多，并且越早接受康复治疗，就越早获益。尤其是对于老年前期的病人。结论 治疗前后STREAM改变值及恢复效率老年前期(≤65岁)较老年期(>65岁)高，下肢较上肢高，早期康复好于延迟康复，这些因素提示须早期康复并根据患者偏瘫侧上下肢恢复的差异及年龄等情况而制定康复治疗计划。

    关键词 脑卒中 脑卒中康复运动功能评定量表 效率

    Observation on the clinical application of stroke rehabilitation assessment of movement(STREAM)

    Li Jianying，Yang Cunshuei，Li Liping，et al.

    Department of Neurology Medicine，Shenzhen Nanshan Hospital，Shenzhen518052，China

    【Abstract】 Objective To observe motor impairment extremity by using the STREAM in stroke patients，the motor recovery outcome by the STREAM before and after rehabilitation treatment.Methods Motor function status of106hemiplegic patients were measured by STREAM before and after rehabilitation treatment.Results This was espeˉcially true in the pre-senium patients(≤65years of age).The lower extremity gained greater treatment benefit than the upper extremity after rehabilitation treatment.Patients benefited greater when they received rehabilitation treatment earlier.Conclusion The pre-senium patients recovered guicker than the old patients.Functional recovery of lower limb was better than the upper limb in stroke patients.Patients benefited greater when they received rehabilitation treatment earlier.These findings are helpful for planning the rehabilitation training programme for stroke patient.Key words hemiplegia stroke rehabilitation assessment of movement eficiency ......