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。
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.
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