Balance dysfunction

Introduction When there is an obstacle in the balance of the human body, such as walking to one side, such as the balance of organs such as the sensory nervous system, the vestibular nervous system, the cerebellar spinal basal ganglia or other central neuropathy, the long-term persistence of the balance barrier. Mild balance dysfunction caused by difficulty walking; moderate balance dysfunction can not stand; severe balance dysfunction can not sit

Cause

Balance dysfunction and limb hemiplegia, paresthesia, aphasia and other symptoms are common dysfunction after stroke. The deviation of walking caused by balance dysfunction after stroke is due to the follow-up of Du Meridian. Walking bias is one of the manifestations of abnormal balance ability after stroke.

an examination

Related inspection

Brain CT examination of nervous system examination

The main symptoms of balance disorders are partial, misplaced, walking or writing disorders. The following methods are commonly used.

Romberg test. Also known as the closed-head erect inspection method. The subject closed his eyes, his feet were close together, and his arms were straight and flat on both sides. When there is a lesion, it will be biased to the affected side; when the head is rotated, the direction of the deviation will change. When the cerebellum has a lesion, it will be tilted to the affected side or the back, and the direction of the tilt will not change with the rotation of the head position.

Mistaken refers to the level test. The examiner sat against the subject, each extending an arm, the index finger extended, and the other four fingers clenched. The examiner's hand is facing down and the subject's arm is up. The subject lifts the arm and moves down, touching the index finger of the examiner with the index finger. Try it first, then close your eyes. Those who have lost the disease may not correctly point to the intended target when the eye is closed, and both hands and fingers are skewed to the affected side. When the cerebellum has lesions, the affected side points to the affected side and the healthy index finger can correctly contact the examiner's index finger.

Static and dynamic balance check: The static and dynamic attitude balancer checks the patient's balance function through computer software, which provides the possibility to objectively evaluate and quantify the balance problem, because it evaluates the balance system as a whole, as long as the patient can remain standing. Check with free activities. It can classify and display various sensory information of control gestures in an important order (visual, vestibular, ontology), and can also distinguish which system has problems and cause balance obstacles. It produces reproducible motion transitions to study patient response to disturbances. The software has been specially designed to perform rehabilitation training for patients with balance disorders, and objectively and quantitatively evaluate the treatment outcomes of patients with vestibular rehabilitation.

Differential diagnosis

Motor dysfunction: Movement disorders, also known as extrapyramidal diseases, mainly manifest as voluntary motor regulation dysfunction, muscle strength, sensory and cerebellar function are not affected. Blood electrolytes, trace elements and biochemical tests are helpful for the diagnosis of dyskinesia diseases, such as serum copper, urinary copper and serum ceruloplasmin in patients with Wilson's disease, which has important diagnostic significance.

Cerebellar orientation and dysfunction: common in spinal cord cerebellar degeneration, with movement disorders as the main symptom, seriously affecting cerebellar orientation and dysfunction. Pathologically, the disease is mainly caused by the degeneration of the cerebellum and its afferent and efferent pathways. It is mainly characterized by limb ataxia and dysarthria.

Autonomic dysfunction: It is a disease in which mental and physical activity is impaired by brain dysfunction. The patient's mood is unstable, anxious, anxious, annoyed, the TV can't be seen, and even hearing the speech is uncomfortable. Pain, anger, nervousness, fear, fear, sensitivity, suspicion, grievance, crying, pessimism, disappointment, no pleasure, no desire to see, no interest, no interest in anything, no interest in seeing, depression, or even conscious Its boring to live.

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