基于脊髓映射的脑瘫患儿步态运动分析研究
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上海理工大学健康科学与工程学院 上海 200093

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TP2

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上海市科研计划(19YF1435200)项目资助


Analysis of gait dyskinesia in children withcerebral palsy based on spinal cord mapping
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School of Health Science and Engineering, University of Shanghai for Science and Technology,Shanghai 200093,China

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    摘要:

    为了从神经控制层面探究脑瘫患儿步态运动障碍原因,设计了以17名受试者双侧下肢各8块肌肉在步态过程的表面肌电信号,通过Kendall模型将表面肌电信号映射到相应脊髓运动神经元位置。同时为描述脊髓节段激活位置变化,提出脊髓激活中心点CoA曲线,并计算CoA曲线极值点数。结果为健康儿童与健康成人在步态过程脊髓节段激活均表现出先是腰段被激活,随后转移至骶段,最后到达腰骶过渡段。通过对比健康儿童和脑瘫患儿脊髓映射图,发现两者在步态运动上表现在脊髓节段无明显转移以及CoA曲线不平滑的差异,健康儿童极值点数范围为8~34,脑瘫患儿为50~144。结果表明该研究成果将有助于更好地理解神经控制机理和脑瘫患儿步态运动障碍病理,进一步将Kendall模型方法推广到脑瘫患儿异常步态运动评估领域。

    Abstract:

    In order to explore the causes of gait movement disorders in children with cerebral palsy from the level of neural control, this paper designed the surface EMG signal of 8 muscles of each lower limbs in 17 subjects during the gait process,and used the Kendall model to map the surface EMG signals,to the corresponding spinal motor neuron location. At the same time, in order to describe the changes of the activation position of the cord activation centor segments, this paper proposes the CoA curve of the central point,and calculated the number of extreme of the CoA curve. The results showed that the activation of spinal cord segments in both healthy children with cerebral palsy, it is found that there is no obvious difference in the spinal cord segments and uneven CoA curve in the gait movement of the two. The range of extreme points for healthy children is 8~34, cerebral palsy range from 50~144. The results show that the research results in this paper will help to better understand the neural control mechanism and the pathology of gait movement disorders in children with cerebral palsy, and further extend Kendall model method to the field of abnormal gait movement assessment in children with cerebral palsy.

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汤璐,游蒙雨,孟鹏飞,陆佳健.基于脊髓映射的脑瘫患儿步态运动分析研究[J].电子测量技术,2022,45(4):72-78

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  • 在线发布日期: 2024-06-12
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