偏癱患者評估表(上肢)

A. Presynergy stage: Present Absent Present Absent

a.癱軟 (Flaccid)

B. Spasticity: Present Absent Present Absent

a.痙攣(Spasticity)
b.協同反應(Associated reaction)

C. Synergy stage:
1. Extension component:
a.肩部前滑、內收、內轉(Shoulder protract, add, IR.)
b.手肘伸直(Elbow extension)
c.前臂旋前(Forearm pronation)

2. Flexion component:
a.肩部上抬 (Shoulder girdle elev.)
b.肩部後縮(Shoulder girdle retract)
c.肩關節過度伸直(Shoulder hyperextension)
d.肩關節外展(Shoulder abd.)
e.肩關節外轉(Shoulder ER)
f.手肘彎曲(Elbow flexion)
g.前臂旋後(Forearm supination)

D. Movement deviating from basic synergy:

a.手碰薦骨(Hand to sacrum)
b.手臂伸直向前平舉(Raise arm forwd. to horiz.)
c.手肘彎曲時作旋前(Pronation with elbow flexed)
d.手肘彎曲時作旋後(Supination with elbow flexed)

E. Relative independence of basic synergy:

a.手臂伸直向側面平舉(Raise arm to side-horiz.)
b.手臂伸直做旋後(Supination with elbowextended)
c.手臂平舉向前伸(Forward reach from horiz.)
d.手臂高舉過頭(Raise arm over head)
偏癱患者評估表(手部)
A. Presynergy stage: Present Absent Present Absent
a. 軟癱 (Flaccid)

B. Spasticity: Present Absent Present Absent

a. 手指彎曲(little active finger flexion)

C. Synergy stage:
a.手指可彎曲但無法放開 (mass grasp)
b. 勾狀抓握但無法鬆開(hook grasp without release)
c. 反射性手指張開(reflex finger extension)

D. Wrist and finger motions:

a.手指頭可稍微張開(semivoluntary finger extension,
small range)
b.側捏及放開(Lateral prehension & release by thumb
movement)
c.手腕彎曲(Wrist flexion)(N)
d.手腕伸直(Wrist extension)(P)

E. Prehension(N):
a. 自主手指伸直動作可張開但無法達到最大程度
(voluntary finger extension, variable range)
b.指掌側捏與放開(Palmar prehension & release)
c.環狀抓握與放開(Cylindrical grasp & release)
d.對捏與放開(Opposition & release)

F. Advanced hand activities:

a.自主手指伸直動作可完全張開(voluntary finger
extension, full range)
b.手腕的橈側偏移(Wrist radial deviation)
c.手腕的繞圈動作(Wrist circumduction)
d.手腕的尺側偏移(Wrist ulnar deviation)
e.手指的外展與內收(Finger abd. & add)
f. 姆指的繞圈運動(Thumb circumduction)
偏癱患者評估表(下肢)
A. Presynergy stage: Present Absent Present Absent
a.軟癱(Flaccid)

B. Spasticity: Present Absent Present Absent

a.協同反應(Associated reaction)
b.Raimiste’s abd.
c.Raimiste’s add.

C. Synergy stage:
1. Flexion component(lying):
a.髖關節彎曲(Hip flexion)
b.髖關節外展、外轉(Hip abd., ER.)
c.膝關節彎曲(Knee flexion)
d.踝關節背屈曲(Ankle dorsiflexion)

2. Extension component(side-lying):
a.髖關節伸直(Hip extension)
b.髖關節內收、內轉(Hip add., IR.)
c.膝關節伸直(Knee extension)
d.踝關節蹠屈曲(Ankle plantarflex.)

D.Movement deviating from basic synergy(sitting):

a.髖關節單側外展(Hip unilat. abd.)(平躺)
b.髖關節彎曲至銳角(Hip flex. Acute angle)
c.膝關節彎曲至銳角(Knee flex. Acute angle)
d.踝關節背屈曲至銳角(Ankle flex. Acute angle)
f.膝關節伸直(Knee extension)

E. Relative independence of basic synergy (sitting):

a.踝關節的背屈曲與蹠屈曲(Ankle dorsi-plantarflex.)
b.踝關節的外翻與內翻(Ankle Ever.-Inver.)
c.單獨的膝關節彎曲(Isolated knee flex.)(standing)

活動分級法定義
0=無法做出主動動作
1=可做出起始 1/4 的動作角度 治療師與評估時間：
2=可做出 1/2 的動作角度
3=可做出 3/4 的動作角度 第一次評估：___________________
4=可做出完全的動作角度 第二次評估：___________________
NT=沒有測試