首先被提及的是上行及下行系统。在偏瘫患者的治疗过程中,上行传导系统主要传导本体感觉信息,但其他的感觉信息也会被整合其中。患者的姿势控制,尤其是核心控制能力,是其步行功能、上肢和手功能及日常生活活动的基础。由于患者多存在身体图式的缺失,因此必须恢复其身体图式以产生先行性姿势调节活动。最后介绍1例慢性病例的治疗过程,该患者在其47岁时由于脑梗死造成了右侧偏瘫。由于患者偏瘫侧下肢表现出强烈的内翻现象,因此在她发病8个月后入院时,需要配戴踝足矫形器和肘拐辅助行走。起初患者不能抬起右侧上肢。在经过4年的门诊治疗后,现在患者在步行中内翻现象消失,不再需要配戴踝足矫形器和肘拐;患者也可以举起并控制偏瘫侧上肢伸入衬衫的袖子里。 First mentioned is the uplink and downlink system. During the treatment of hemiplegic patients, the up-transducing system mainly conducts proprioceptive information, but other sensory information is also integrated. Patient posture control, especially core control, is the basis for walking functions, upper extremity and hand functions and daily activities. Due to the lack of physical patterns in many patients, it is necessary to restore their body patterns to produce antecedent postural conditioning activities. Finally, we describe the treatment of a chronic patient with right hemiplegia due to cerebral infarction at age 47 years. Due to a strong varus of the lower extremity on the hemiplegic side of the patient, an ankle foot orthosis and an elbow aid were required to assist walking when admitted to hospital 8 months after onset. At first the patient can not lift the right upper limb. After 4 years of outpatient treatment, the patient now disappears in varus and no longer needs to wear ankle-foot orthosis and elbow. The patient can also raise and control the paralyzed side of the upper limb into the sleeve of the shirt.