《中国康复理论与实践》

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (10): 1172-1176.doi: 10.3969/j.issn.1006-9771.2019.10.010

• 临床研究 • 上一篇    下一篇

运动姿态与肌电融合的脑卒中上肢运动功能评估系统的可行性研究

朱吉鸽1, 李进飞2, 徐国政3   

  1. 1.江苏卫生健康职业学院，江苏南京市 210029;
    2.南京同仁医院康复医学科，江苏南京市 211102;
    3.南京邮电大学自动化学院、人工智能学院，江苏南京市 210023
  • 出版日期:2019-10-25 发布日期:2019-10-30
  • 通讯作者: 朱吉鸽，E-mail: jige_zhu@163.com E-mail:jige_zhu@163.com
  • 作者简介:朱吉鸽(1982-)，女，汉族，河南南阳市人，硕士，助理研究员，主要研究方向：康复医学、卫生政策。
  • 基金资助:
    1.江苏省卫健委信息化项目(No. X201603)；2.江苏省重点研发计划项目(No. BE2015701)；3.江苏卫生健康职业学院暨江苏高校品牌专业建设工程资助项目(No. PA201601)

Feasibility of Upper-limb Motor Function Assessment System Using Movement Posture and Electromyography

ZHU Ji-ge1, LI Jin-fei2, XU Guo-zheng3   

  1. 1.Jiangsu Health Vocational College, Nanjing, Jiangsu 210029, China;
    2.Department of Rehabilitation Medicine, Nanjing Tongren Hospital, Nanjing, Jiangsu 211102, China;
    3.College of Automation and Artificial Intelligence, Nanjing University of Posts and Telecommunications, Nanjing, Jiangsu 210023, China
  • Published:2019-10-25 Online:2019-10-30
  • Contact: ZHU Ji-ge, E-mail: jige_zhu@163.com E-mail:jige_zhu@163.com
  • Supported by:
    Supported by Informatization Project of Jiangsu Commission of Health (No. X201603), Key Research and Development Program of Jiangsu Province (No. BE2015701) and Joint Project of Jiangsu Health and Vocational College and Top-notch Academic Programs of Jiangsu Higher Education Institutions (No. PA201601)

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摘要： 目的 探讨基于运动姿态与表面肌电融合的上肢运动功能评估系统在脑卒中患者上肢运动功能评估中的可行性。 方法 2018年1月至2019年3月，在南京同仁医院选取脑卒中患者10例，按照事先设计的康复评估动作，分别获取康复动作完成过程中患肢的运动姿态和表面肌电数据，运用运动姿态与肌电融合的上肢运动功能评估系统对患者上肢运动功能进行评估，并分别与单纯基于运动姿态或肌电的评估结果进行比较；同时分析系统评估效度。所有患者均接受Fugl-Meyer评定量表上肢部分(FMA-UE)的评估。 结果 运动姿态与肌电融合的上肢运动功能评估系统与FMA-UE评分之间呈正相关(r = 0.891, P = 0.001)，优于单纯运动姿态(r = 0.758, P = 0.011)或肌电(r = 0.697, P = 0.025)评估结果。 结论 运动姿态与肌电融合的上肢运动功能评估系统能有效地对脑卒中患者上肢运动功能进行评估。

关键词: 脑卒中, 运动姿态, 肌电, 上肢, 运动功能, 评估

Abstract: Objective To investigate the feasibility of movement posture and electromyography based upper-limb motor function assessment system in the assessment of upper-limb motor function for stroke patients. Methods From January, 2018 to March, 2019, ten stroke patients were recruited from Nanjing Tongren Hospital. According to the predesigned rehabilitation movements, movement posture and surface electromyography data during rehabilitation movement implementation were collected, and the upper-limb motor function of stroke patients were evaluated using movement posture and electromyography based upper-limb motor function assessment system. Further comparisons were also made with single movement posture or electromyography based assessment system. Meanwhile, the validity of the proposed assessment system was verified. All the patients were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE). Results Positive correlations were shown between movement posture and electromyography based upper-limb motor function assessment system and scores of FMA-UE (r = 0.891, P = 0.001), and better validities were achieved than single movement posture (r = 0.758, P = 0.011) or electromyography (r = 0.697, P = 0.025) based assessment. Conclusion Movement posture and electromyography based upper-limb motor function assessment system can effectively evaluate the upper-limb motor function of stroke patients.

Key words: stroke, movement posture, electromyography, upper limb, motor function, assessment

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