收稿日期: 2024-06-17
网络出版日期: 2025-01-14
基金资助
国家自然科学青年基金项目(81503630);省级科技研发计划联合基金(优势学科培育类)项目(222301420066);国家中医药传承创新专项(2022CCCX010);河南省重点研发与推广专项(科技攻关)(232102310470)
Research progress of musculoskeletal ultrasound technique in the evaluation of limb spasticity after stroke
Received date: 2024-06-17
Online published: 2025-01-14
张帅迪 , 张建云 , 李晶晶 , 顾昌宇 , 郭健 , 李瑞青 . 肌骨超声技术在脑卒中后肢体痉挛评定的研究进展[J]. 实用医学杂志, 2025 , 41(1) : 134 -140 . DOI: 10.3969/j.issn.1006-5725.2025.01.022
Limb spasticity is a common complication after stroke, with clinical manifestations such as increased muscle tone, limb stiffness and pain, which reduces the quality of patients' daily life and increases the economic burden. Currently, scales, surface electromyography and biomechanical methods are mostly used to assess limb spasticity in clinical practice, but clinical scales rely on experience and are highly subjective; surface electromyography is prone to compensations and test errors; and biomechanical methods are more restrictive. Musculoskeletal ultrasound is not only capable of detecting muscle parameters and providing quantitative information such as muscle hardness and elasticity, but also has the unique advantages of high-resolution and real-time imaging, which has been increasingly used in clinical diagnosis and treatment. In this paper, we review the evidence related to musculoskeletal ultrasound and limb spasticity assessment, with the aim of exploring a simple and reasonable quantitative assessment method, which will provide some thoughts for the future clinical assessment of limb spasticity.
Key words: musculoskeletal ultrasound; stroke; muscle cramp; evaluation
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