由于缺乏姿势控制能力,成人偏瘫患者上肢和手指运动,特别是上肢前伸能力及手指灵活性方面在日常生活活动中出现很多问题。改善上肢手的运动功能,需要提高姿势控制能力,例如坐位和立位平衡功能;同时还要提高患者的运动控制能力,例如肩胛带、肩关节、肘关节、腕关节及手指的选择性功能活动。本文通过分析两例病例来描述上肢及手指活动能力的评价和治疗方法。 Due to the lack of posture control ability, many problems occur in the activities of daily living in the patients with hemiplegic patients ’upper limbs and fingers movements, especially the upper limbs’ extensibility and finger flexibility. Improving the motor function of upper limbs requires improved posture control, such as sitting and standing balance functions, as well as increased patient motion control capabilities such as selective functional activities of the shoulder girdle, shoulder joints, elbows, wrists, and fingers . This article describes the evaluation and treatment of upper limbs and fingers activity by analyzing two cases.