中风后上肢痉挛性瘫痪会严重制约患者上肢功能的康复。精确、及时、有效地评估痉挛状态对于指导中风患者上肢功能的康复治疗、评价治疗疗效及预测功能恢复均有重要作用。由于主观量表存在一定局限性，近年对痉挛进行客观定量化的评估成为了研究的新热点。本文通过文献回顾的方式，总结了基于康复工程学、神经电生理学、生物力学等客观评定工具在中风后上肢痉挛性瘫痪中的应用，并对其未来研究方向提出了展望，旨在为上肢痉挛评估工具的系统化整合提供参考。

Spastic- paralysis impacts the function of upper extremity in most apoplexy patients. Assessing spasticitycondition precisely, timely and effectively plays an important role in guiding rehabilitation treatment, therapeutic evaluationand prognosis of functional outcome. Owing to the limitations of subjective scales, the issue of quantifing the spasticityobjectively has become a new research direction in recent years. By reviewing the literatures, we summed up theapplication of objective assessment tools, which were based on rehabilitation engineering, electrophysiology orbiomechanics, in assessing the function of upper extremity with spastic paralysis, as well as put forward theresearch directions of prospects, in order to give a reference to the systematic integration of assessment tools in the nearfuture.

上海申康医院发展中心市级医院新兴前沿技术联合攻关项目（SHDC12015130）：三维动作与步态分析技术在脑瘫诊疗中的示范研究，负责人： 姜淑云。