中風病患伴隨推倒症候群之相關現象

Phenomena Correlated to Stroke Patients with Pusher Syndrome

王宏哲(Hung-Che Wang) ； 孟令夫(Ling-Fu Meng)

《台灣復健醫學雜誌》 33卷1期 (2005/03) Pp. 39-46

https://doi.org/10.6315/2005.33(1)05

摘要

無法維持獨立坐或站的單側腦傷中風病患多朝患側傾倒，部分表現出急遽將自己從健側推向偏癱側的動作行為模式，學者將此現象稱之「推倒症候群」，它常與意識狀態不佳、患側動作能力不佳、感覺系統缺失、空間忽略與知覺能力缺失等現象共存。而近代Karnarth等人認爲身體定向知覺缺失以及內囊後腳受傷與「推倒症候群」極其相關，並依此推測出「推倒症候群」的可能機制。本文將回顧相關文獻進行上述相關因子與機制的探討。

關鍵字

腦傷 ； 傾斜現象 ； 知覺 ； 姿勢控制

並列摘要

Stroke patients who cannot maintain a balanced sitting or standing position fall toward one specific side. There can be a strong tendency to actively use non-hemiplegic extremities to push the body away from the sound side. As well, patients may resist any attempt to correct their postures and finally fall toward the hemiplegic side. This falling asymmetry phenomenon has been termed ”Pusher syndrome.” The syndrome often occurs coincident with frequent lapses in consciousness, poor motor control, impaired sensory status, spatial neglect, and limited perceptual function. Recent observations have indicated that Pusher syndrome is strongly related to body orientation deficit and the presence of a lesion of the crus of the internal capsule. The factors and mechanisms related to Pusher syndrome will be substantiated in this paper through the review of pertinent articles.

並列關鍵字

brain injury ； listing phenomena ； perception ； postural control