临床研究

膝爬运动上肢关节运动轨迹及表面肌电图研究

  • 曾思漾 ,
  • 陈玉霞 ,
  • 刘苑 ,
  • 肖农
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  • 1.重庆医科大学附属儿童医院康复中心,儿童发育疾病研究教育部重点实验室,重庆市 400014;
    2.儿童发育重大疾病国家国际科技合作基地,重庆市 400014;
    3.儿科学重庆市重点实验室,重庆市 400014。
曾思漾(1991-),女,汉族,重庆市人,硕士,医师,主要研究方向:儿童神经康复。通讯作者:肖农,男,教授,主任医师。E-mail: xiaonongwl@163.com。

收稿日期: 2016-10-24

  修回日期: 2017-03-15

  网络出版日期: 2017-05-24

Kinematics and Surface Electromyography of Upper Limbs in Motor-delayed Children and Normal Children in Crawling Stage

  • ZENG Si-yang ,
  • CHEN Yu-xia ,
  • LIU Yuan ,
  • XIAO Nong
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  • 1. Department of Rehabilitation Center, Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing 400014, China;
    2. China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing 400014, China;
    3. Chongqing Key Laboratory of Pediatrics, Chongqing 400014, China

Received date: 2016-10-24

  Revised date: 2017-03-15

  Online published: 2017-05-24

摘要

目的 将关节运动轨迹捕捉与表面肌电图技术运用于评估婴幼儿爬行运动中。方法 2015年12月至2016年6月,对12例正常婴幼儿和13例运动发育迟缓婴幼儿,采用三维步态分析系统采集膝爬运动中上肢主要关节的运动轨迹,记录主要活动肌肉的表面肌电信号。结果 运动发育迟缓婴幼儿右侧肩关节活动角度范围高于正常婴幼儿(t=2.576, P<0.05),左右侧肱三头肌表面肌电均方根差值大于正常婴幼儿(t=2.448, P<0.05)。结论 关节运动轨迹和表面肌电图运用于运动发育迟缓婴幼儿膝爬运动,可以为制定个性化早期合理的康复训练提供依据。

本文引用格式

曾思漾 , 陈玉霞 , 刘苑 , 肖农 . 膝爬运动上肢关节运动轨迹及表面肌电图研究[J]. 中国康复理论与实践, 2017 , 23(5) : 567 -571 . DOI: 10.3969/j.issn.1006-9771.2017.05.016

Abstract

Objective To detect kinematics and surface electromyography (sEMG) of upper limbs in normal children and motor-delayed children for clinical assessment. Methods From December, 2015 to June, 2016, twelve healthy children and thirteen children with motor developmental delay less than two years old were analyzed kinematics with Motion Analysis system and sEMG. Results The angle of motion of right shoulder was more in the motor-delayed children than in the normal children (t=2.576, P<0.05). The difference of root mean square values of bilateral triceps brachii was more in the motor-delayed children than in the normal ones (t=2.448, P<0.05). Conclusion Detecting kinematics and sEMG may supply information for early personalized treatment strategy.

参考文献

[1] 李明,武元. 运动发育迟缓的早期识别与诊断[J]. 中国实用儿科杂志, 2016, 31(10): 743-747.
[2] Brown L, Burns YR, Watter P, et al. Motor performance, postural stability and behaviour of non-disabled extremely preterm or extremely low birth weight children at four to five years of age [J]. Early Hum Dev, 2015, 91(5): 309-315.
[3] Taborda A, Oliveira G. Neurodevelopmental outcomes of very preterm or very low birth weigth infants: comparison of monochorionic and dichorionic twins with singletons [J]. Acta Med Port, 2016, 29(11): 702-710.
[4] Hwang AW, Chao MY, Liu SW. A randomized controlled trial of routines-based early intervention for children with or at risk for developmental delay [J]. Res Dev Disabil, 2013, 34(10): 3112-3123.
[5] Hatakenaka Y, Kotani H, Yasumitsu-Lovell K, et al. Infant motor delay and early symptomatic syndromes eliciting neurodevelopmental clinical examinations in Japan [J]. Pediatr Neurol, 2016, 54: 55-63.
[6] Kulkarni S, Ramakrishnan U, Dearden KA, et al. Greater length-for-age increases the odds of attaining motor milestones in Vietnamese children aged 5-18 months [J]. Asia Pac J Clin Nutr, 2012, 21(2): 241-246.
[7] Looper J, Talbot S, Link A, et al. The relationship between transitional motor skills and locomotion [J]. Infant Behav Dev, 2015, 38: 37-40.
[8] Eek MN, Himmelmann K. No decrease in muscle strength after Botulinum neurotoxin-A injection in children with cerebral palsy [J]. Front Hum Neurosci, 2016, 10: 506.
[9] Huang HW, Ju MS, Lin CC. Flexor and extensor muscle tone evaluated using the quantitative pendulum test in stroke and parkinsonian patients [J]. J Clin Neurosci, 2016, 27: 48-52.
[10] Õunpuu S. Gait analysis is a viable tool for the assessment of transverse plane motion in children with cerebral palsy [J]. Dev Med Child Neurol, 2013, 55(10): 878-879.
[11] 杜文威. 语言发育迟缓儿童学龄前期的随访研究[D]. 重庆:重庆医科大学, 2015.
[12] Piek JP, Dawson L, Smith LM, et al. The role of early fine and gross motor development on later motor and cognitive ability [J]. Hum Mov Sci, 2008, 27(5): 668-681.
[13] Gajewska E, Sobieska M. Qualitative elements of early motor development that influence reaching of the erect posture. A prospective cohort study [J]. Infant Behav Dev, 2015, 39: 124-130.
[14] Patrick SK, Noah JA, Yang JF. Developmental constraints of quadrupedal coordination across crawling styles in human infants [J]. J Neurophysiol, 2012, 107(11): 3050-3061.
[15] Patrick SK, Noah JA, Yang JF. Interlimb coordination in human crawling reveals similarities in development and neural control with quadrupeds [J]. J Neurophysiol, 2009, 101(2): 603-613.
[16] Maclellan MJ, Ivanenko YP, Cappellini G, et al. Features of hand-foot crawling behavior in human adults [J]. J Neurophysiol, 2012, 107(1): 114-125.
[17] Kubicek C, Jovanovic B, Schwarzer G. The relation between crawling and 9-month-old infants' visual prediction abilities in spatial object processing [J]. J Exp Child Psychol, 2017, 158: 64-76.
[18] Bourseul JS, Lintanf M, Saliou P, et al. Effect of ankle-foot orthoses on gait in children with cerebral palsy: A meta-analysis [J]. Ann Phys Rehabil Med, 2016, 59S: e6.
[19] Attias M, Bonnefoy-Mazure A, De Coulon G, et al. Feasibility and reliability of using an exoskeleton to emulate muscle contractures during walking [J]. Gait Posture, 2016, 50: 239-245.
[20] Domagalska M, Szopa A, Syczewska M, et al. The relationship between clinical measurements and gait analysis data in children with cerebral palsy [J]. Gait Posture, 2013, 38(4): 1038-1043.
[21] 黄小玲,丁建英,廖金生,等. 早期干预对精神运动发育迟缓预后的影响[J]. 中国医学创新, 2012, 9(18): 30-31.
[22] Ward DS, Welker E, Choate A, et al. Strength of obesity prevention interventions in early care and education settings: a systematic review [J]. Prev Med, 2017, 95S: S37-S52.
[23] 陈彬. 儿童精神运动发育迟缓50例临床分析[J]. 中国实用神经疾病杂志, 2011, 14(16): 51-52.
[24] Hughes AJ, Redsell SA, Glazebrook C. Motor development interventions for preterm infants: a systematic review and meta-analysis [J]. Pediatrics, 2016, 138(4): e20160147.
[25] Harris SR. Early identification of motor delay: Family-centred screening tool [J]. Can Fam Physician, 2016, 62(8): 629-632.
[26] Vuillerot C, Dinomais M, Marret S, et al. Recommendations for clinical practice after neonatal arterial ischemic stroke: Clinical monitoring and early rehabilitation intervention [J]. Ann Phys Rehabil Med, 2016, 59S: e1.
[27] 张琦. 脑性瘫痪高危儿的早期物理治疗[J]. 中国康复理论与实践, 2014, 20(11): 1035-1040.
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