手脑感知理论与实践

手脑感知是贾杰教授提出的手功能康复新理论，是指手部在外界环境刺激下，各类感觉信息通过相应传导通路上行传导至特定中枢脑区，经过分析、整合、加工，继而将处理信息下行传导至肌肉骨骼等外周效应器，通过手部肌肉和骨骼的运动方式表现出来。本书介绍了手脑感知的理论、技术、治疗和案例，为手功能康复治疗提供了基于循证的、规范的、适宜推广的理论基础和治疗方案。

副主编 李琴英复旦大学附属华山医院静安分院田婧复旦大学附属华山医院王建之杭州市临平区中西医结合医院陈瑶上海市第三康复医院黄富表中国康复研究中心何洁莹同济大学附属养志康复医院 编.委（按姓氏拼音排序） 陈炳浙江中医药大学附属温州中医院陈旦上海市静安区中心医院陈树耿复旦大学附属华山医院陈祥贵上海市静安区中心医院陈旭升河南大学附属南石医院程冰苑上海市静安区中心医院邓盼墨上海市静安区中心医院丁力复旦大学附属华山医院董安琴郑州大学第五附属医院董国丽杭州市临平区中西医结合医院冯君杭州市临平区中西医结合医院高聪上海市静安区中心医院郭凤仙上海电气智能康复医疗科技有限公司何洁莹福建中医药大学何志杰复旦大学附属华山医院槐雅萍河北省人民医院黄富表中国康复研究中心黄炼红福建省立医院康复医学科黄文柱佛山科学技术学院附属佛山第五医院贾杰复旦大学附属华山医院姜永梅大连医科大学附属第二医院蒋柳雅上海市静安区中心医院蒋尚融甘肃省人民医院金豪上海市静安区中心医院金俏青海省人民医院王传凯上海体育学院金毅上海市静安区中心医院王鹤玮复旦大学附属华山医院李冲上海体育学院王建晖河南大学附属南石医院李丽上海市静安区中心医院王建之杭州市临平区中西医结合医院李响济宁医学院附属医院王金宇柳州市中医医院李琴英上海市静安区中心医院王景信郑州大学附属郑州中心医院林佳丽福建中医药大学王俊华十堰市太和医院林嘉莉福建医科大学王圣虓上海市静安区中心医院林嘉滢福建中医药大学王宛鹏河南大学附属南石医院林奕芳福建中医药大学王云龙河南大学附属南石医院刘浩九如城康复医院吴文南方医科大学珠江医院刘强复旦大学附属华山医院吴建贤安徽医科大学第二附院刘承弘上海市静安区中心医院徐丽娟杭州市临平区中西医结合医院刘春敏河南大学附属南石医院许苗苗上海市静安区中心医院刘美茜复旦大学附属华山医院杨青复旦大学附属华山医院鹿霏上海电气智能康复医疗科技有限公司杨忠秀江苏徐州市儿童医院康复科路微波上海市第一康复医院姚黎清昆明医科大学第二附属医院马炳全郑州大学第一附属医院叶亮杭州市临平区中西医结合医院马恩来上海电气智能康复医疗科技有限公司虞乐华重庆医科大学附属第二医院马玉娟河南省人民医院禹华军上海电气智能康复医疗科技有限公司阮璎璐上海市静安区中心医院袁心怡郑州大学附属第五医院邵芃郑州大学附属郑州中心医院张淇上海体育学院沈云东复旦大学附属华山医院张为民长春中医药大学附属医院束贝贝上海市静安区中心医院张跃萍甘肃省人民医院宋振华海口市人民医院赵雪琪郑州大学附属第五医院孙璟华上海市静安区中心医院赵月华上海市静安区中心医院陶陶贵州省人民医院康复医学科周钰馨上海体育学院汪强上海市静安区中心医院朱宁宁夏医科大学总医院康复医学科王辉河南大学附属南石医院庄金阳复旦大学附属华山医院王宝兰新疆医科大学第一附属医院康复医学科 贾杰主任医师，博士生导师，复旦大学附属华山医院康复医学科副主任，复旦大学附属华山医院福建医院、国家区域医疗中心筹办处副主任。中国康复医学会手功能康复专业委员会主任委员、循证专业委员会副主任委员、社区康复委员会候任主任委员。国家重点研发计划“老年全周期康复技术体系与信息化管理研究”项目负责人及课题一负责人。曾主持国家自然科学基金重大研究计划集成项目子课题 1项、国家自然科学基金面上项目 3项、科技部“十二五”科技支撑计划课题 1项、上海市科学技术委员会 /卫 生局课题 6项。被 SCI收录论文 100余篇，发表中文论文 224篇，参与编写康复医学专著 16部，获授权专利 41项。曾获 2014年教育部科学技术进步二等奖、2016年中华医学科技奖二等奖、2016年国家卫生计生委脑卒中防治工程委员会突出贡献专家奖、2018年复旦大学巾帼创新奖、2020年中国康复医学会科学技术奖一等奖、2020年上海康复医学科技奖一等奖等数十项科技奖励与荣誉称号。 李琴英副主任医师，硕士，复旦大学附属华山医院静安分院康复医学科副主任。中国康复医学会手功能康复委员会评估学组副主任委员，上海市康复医学会手功能康复专业委员会委员、心脏康复专业委员会青年委员。曾主持上海市科学技术委员会项目 1项，参与国家自然科学基金项目 2项，被 SCI收录论文 18篇，发表中文论文 7篇，参编康复医学专著 5部。曾获中国康复医学会科学技术奖一等奖、上海康复医

目录 CONTENTS 手脑感知理论篇第一章.概.论……………………………………………………………………… 003 ●第一节手脑感知理论的发展历史····················································· 004 ●第二节手脑感知理论···································································· 007 第二章感觉与感觉系统………………………………………………………………011 ●第一节什么是感觉······································································· 012 ●第二节感觉分类·········································································· 012 ●第三节感觉的信息传递································································· 014 ●第四节感觉传导通路···································································· 019 第三章.感觉系统与运动系统……………………………………………………… 023 ●第一节感觉系统解剖···································································· 024 ●第二节运动系统的解剖································································· 033 ●第三节感觉系统与运动系统的联系·················································· 039 第四章.手脑的感与知……………………………………………………………… 041 ●第一节手的感觉与运动································································· 042 ●第二节手的感觉与认知································································· 043 ●第三节手的感觉与视觉································································· 046 ●第四节手的感觉与听觉································································· 047 ●第五节手的感觉与自主神经功能····················································· 048 第五章.手脑感知功能的可塑性…………………………………………………… 053 ●第一节生理状态下手脑感知功能的可塑性········································· 054 ●第二节病理状态下手脑感知功能的可塑性········································· 063 ●第三节各种康复治疗干预下手脑感知的可塑性··································· 068 手脑感知评估篇第六章.手脑感知评估的应用……………………………………………………… 075 ●第一节手脑感知评估的临床应用····················································· 076 ●第二节多感觉评估内容································································· 077 第七章.从中枢到外周的手脑感知觉……………………………………………… 079 ●第一节简单感觉评估···································································· 080 ●第二节从视觉反馈到中枢神经系统·················································· 087 ●第三节手脑感知下声音定位的多重线索············································ 088 ●第四节手脑感知下高级脑功能的优势功能········································· 090 第八章.多感觉评估研究进展……………………………………………………… 097 ●第一节单感觉评估测验································································· 098 ●第二节多感觉评估量表································································· 116 ●第三节神经电生理评估································································· 122 ●第四节肌骨超声评估···································································· 168 ●第五节磁共振评估······································································· 171 第九章.大脑与手感知环境的对话………………………………………………… 179 ●第一节特殊感觉对躯体训练的影响·················································· 180 ●第二节感觉与知觉评估流程··························································· 186 手脑感知设备篇第十章.手脑感知设备……………………………………………………………… 193 ●第一节手脑感知设备样机······························································ 194 ●第二节手脑感知设备一代产品························································ 195 第十一章基于手脑感知设备的规范化技术方案………………………………… 199 ●第一节基于手脑感知设备的评定方案··············································· 200 ●第二节基于手脑感知设备的治疗方案··············································· 206 第十二章.基于手脑感知设备的临床研究应用………………………………………211 ●第一节基于手脑感知的多感觉训练对慢性期脑卒中患者的感觉运动功能的疗效研究 ······································································· 212 ●第二节基于手脑感知的本体感觉训练对亚急性期脑卒中患者的本体感觉功能的疗效研究············································································219 手脑感知治疗篇第十三章认识手脑感知训练……………………………………………………… 225 ●第一节不一样的手脑感知训练························································ 226 ●第二节手脑多感知训练与环境的关系··············································· 228 第十四章手脑感知训练五步法…………………………………………………… 233 ●第一节手脑感知觉评估································································· 234 ●第二节手脑感知的宣教································································· 237 ●第三节多感觉下的手脑感知训练····················································· 239 ●第四节任务导向性训练································································· 242 ●第五节感觉认知再训练································································· 246 第十五章基于四大理论下的手脑感知训练……………………………………… 249 ●第一节闭环康复理论下的手脑感知训练············································ 250 ●第二节上下肢一体化理论下的手脑感知训练······································ 254 ●第三节左右制衡理论下的手脑感知训练············································ 255 ●第四节手脑感知理论下的手脑感知训练············································ 262 手脑感知案例篇第十六章脑卒中…………………………………………………………………… 267 ●第一节脑出血············································································· 268 ●第二节脑梗死············································································· 271 第十七章.脑肿瘤…………………………………………………………………… 275 第十八章颈椎病…………………………………………………………………… 279 第十九章单侧忽略………………………………………………………………… 283