等速被动运动模式下脑卒中患者下肢痉挛肌群表面肌电信号的特征

doi:10.3969/j.issn.1006-9771.2022.12.013

Abstract

Abstract:

Objective To investigate the characteristics of surface electromyography (sEMG) of muscles in stroke patients with lower limb spasticity.

Methods From October, 2016 to July, 2020, a total of 32 stroke patients with hemiplegia and eleven healthy subjects (control group) were selected. The patients were divided into modified Ashworth Scale (MAS) 0 group (n = 13), MAS 1 group (n = 10) and MAS 1⁺ group (n = 9). All the groups were subjected to isokinetic passive movement at baseline, 90°/s, 150°/s, 210°/s and 270°/s, respectively. sEMG signals of rectus femoris muscle and lateral head of quadriceps femoris muscle including root mean square (RMS) and integrated electromyography (iEMG) were collected synchronically during isokinetic passive movement.

Results There was no significant difference in RMS and iEMG among baseline and the four angular velocities in the control group and MAS 0 group (P > 0.05). The RMS and iEMG of MAS 1 group at 270°/s were significantly different from baseline and the other angular velocities (P< 0.05), and no significant difference was found among the other velocities (P > 0.05). The RMS and iEMG of MAS 1⁺ group were significantly different among baseline and the four angular velocities (P< 0.05).

Conclusion RMS and iEMG varies with angular velocity in hemiplegic patients with different muscle tension levels. In patients with the same muscle tension level, the changes of RMS and iEMG with angular velocity are consistent. RMS and iEMG can reflect the degree of spasm. The quantitative evaluation of spasm by sEMG in isokinetic passive movement mode is highly feasible and worthy of further clinical research and promotion.

Key words: stroke, spasticity, isokinetic passive movement, surface electromyography

CLC Number:

R743.3

GUO Jingwei,GE Ruidong,BAI Shuo,WANG Jiaxi,WU Shuai,WANG Le. Characteristics of surface electromyography of muscles in stroke patients with lower limb spasticity under isokinetic passive movement[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(12): 1473-1477.

Figures/Tables 5

References 15

[1]	LI S, FRANCISCO G E, RYMER W Z. A new definition of poststroke spasticity and the interference of spasticity with motor recovery from acute to chronic stages[J]. Neurorehabil Neural Repair, 2021, 35(7): 601-610.
[2]	EBERSOLE K T, MALEK D M. Fatigue and the electromechanical efficiency of the vastus medialis and vastus lateralis muscles[J]. J Athl Train, 2008, 43(2): 152-156.
[3]	徐嘉, 谢利. 表面肌电图对卒中病人患侧下肢肌张力评价的研究[J]. 中国伤残医学, 2012, 20(2): 5-7.
	XU J, XIE L. Research of the surface electromyography in the hemiplegic lower limbs of the post-stroke patients[J]. Chin J Trauma Disability Med, 2012, 20(2): 5-7.
[4]	XIE T, LENG Y, ZHI Y, et al. Increased muscle activity accompanying with decreased complexity as spasticity appears: high-density EMG-based case studies on stroke patients[J]. Front Bioeng Biotechnol, 2020, 8: 589321.
[5]	中华神经科学会, 中华神经外科学会. 各类脑血管疾病诊断要点[J]. 中华神经科杂志, 1996, 29(6): 379-380.
	Chinese Society of Neurology, Chinese Neurosurgery Society. Chin J Neurol, 1996, 29(6): 379-380.
[6]	汪菲, 何晴, 李建华. 表面肌电在中枢神经系统疾病肌痉挛患者评价中的研究现状[J]. 中国康复医学杂志, 2016, 31(11): 1277-1280.
	WANG F, HE Q, LI J H. Research status of surface electromyography in evaluation of patients with central nervous system diseases with muscle spasm[J]. Chin J Rehabil Med, 2016, 31(11): 1277-1280.
[7]	张艳宏, 刘保延, 赵宏, 等. 脑卒中痉挛性瘫痪特点及其评定进展[J]. 中国康复理论与实践, 2008, 14(2): 110-112.
	ZHANG Y H, LIU B Y, ZHAO H, et al. Characteristics and evaluation of apoplexy spastic-paralysis (review)[J]. Chin J Rehabil Theory Pract, 2008, 14(2): 110-112.
[8]	GÓMEZ-SORIANO J, CANO-DE-LA-CUERDA R, MUÑOZ-HELLIN E, et al. [Evaluation and quantification of spasticity: a review of the clinical, biomechanical and neurophysiological methods][J]. [in Spanish]. Rev Neurol, 2012, 55(4): 217-226.
[9]	DE GROOTE F, BLUM K P, HORSLEN B C, et al. Interaction between muscle tone, short-range stiffness and increased sensory feedback gains explains key kinematic features of the pendulum test in spastic cerebral palsy: a simulation study[J]. PLoS One, 2018, 13(10): e205763.
[10]	RILEY Z A, TERRY M E, MENDEZ-VILLANUEVA A, et al. Motor unit recruitment and bursts of activity in the surface electromyogram during a sustained contraction[J]. Muscle Nerve, 2008, 37(6): 745-753. doi: 10.1002/mus.20978 pmid: 18288713
[11]	BYRNE C A, LYONS G M, DONNELLY A E, et al. Rectus femoris surface myoelectric signal cross-talk during static contractions[J]. J Electromyogr Kinesiol, 2005, 15(6): 564-575.
[12]	周平秋, 张惠佳, 王跑球, 等. A型肉毒毒素治疗痉挛型双瘫患儿疗效的表面肌电分析[J]. 中国康复理论与实践, 2011, 17(8): 761-763.
	ZHOU P Q, ZHANG H J, WANG P Q, et al. Evaluation of Botulinum Toxin A for spastic dipledia by surface electromyography[J]. Chin J Rehabil Theory Pract, 2011, 17(8): 761-763.
[13]	RASOOL G, AFSHARIPOUR B, SURESH N L, et al. Spatial analysis of multichannel surface emg in hemiplegic stroke[J]. IEEE Trans Neural Syst Rehabil Eng, 2017, 25(10): 1802-1811.
[14]	李雪萍, 程凯, 周俊, 等. 持续等速被动运动对脑卒中患者下肢表面肌电的影响[J]. 中国康复, 2008, 23(6): 391-393.
	LI X P, CHENG K, ZHOU J, et al. Effect of continuous passive motion on the surface electromyography of gastrocnemius muscle in stroke patients[J]. Chin J Rehabil, 2008, 23(6): 391-393.
[15]	BIERING-SØRENSEN F, NIELSEN J B, KLINGE K. Spasticity-assessment: a review[J]. Spinal Cord, 2006, 44(12): 708-722.

组别	n	性别(男/女)/n	年龄/岁	身高/cm	体质量/kg	体质量指数/kg·m^-2
对照组	11	3/8	60.821±5.443	164.912±5.667	62.090±8.600	22.756±2.272
MAS 0组	13	6/7	55.852±11.901	166.084±6.846	66.621±6.582	24.121±1.370
MAS 1组	10	9/1	56.303±7.047	169.206±4.394	66.900±5.175	23.333±1.351
MAS 1⁺组	9	7/2	61.824±5.816	169.270±7.631	68.554±13.493	23.862±2.553

组别	n	基线	90°/s	150°/s	210°/s	270°/s	F值	P值
对照组	11	54.152±1.440	54.171±1.609	53.582±0.800	54.383±1.189	55.665±3.423	1.939	0.123
MAS 0组	13	53.052±1.380	53.638±1.309	53.814±2.111	54.153±2.496	54.449±2.139	0.932	0.454
MAS 1组	10	53.713±1.209	53.924±1.397	54.429±1.551	56.239±4.245	61.456±2.802^a	18.133	< 0.001
MAS 1⁺组	9	52.386±1.165	57.646±1.034	62.128±2.186	68.124±1.877	79.114±2.822	294.531	< 0.001

组别	n	基线	90°/s	150°/s	210°/s	270°/s	F值	P值
对照组	11	535.182±4.378	535.545±4.390	535.182±5.636	534.273±5.623	537.636±4.696	0.664	0.621
MAS 0组	13	524.308±3.568	525.077±4.406	525.308±4.516	526.692±8.004	530.077±10.259	1.565	0.199
MAS 1组	10	532.400±5.542	533.200±5.116	535.800±5.138	537.000±4.110	598.400±10.113^a	210.105	< 0.001
MAS 1⁺组	9	521.333±4.213	565.889±4.512	620.556±9.396	671.000±8.803	765.000±11.136	1147.568	< 0.001

组别	n	基线	90°/s	150°/s	210°/s	270°/s	F值	P值
对照组	11	51.000±2.933	50.455±2.207	51.909±2.914	50.909±2.663	52.455±3.357	0.954	0.443
MAS 0组	13	51.462±2.145	52.077±1.935	53.000±4.546	53.923±5.664	55.000±6.807	1.253	0.302
MAS 1组	10	53.800±2.860	53.600±2.716	54.000±3.771	55.200±3.393	65.700±2.946^a	32.173	< 0.001
MAS 1⁺组	9	54.333±3.969	64.444±3.206	77.556±2.555	82.333±3.082	97.222±3.833	211.782	< 0.001

组别	n	基线	90°/s	150°/s	210°/s	270°/s	F值	P值
对照组	11	517.273±4.650	517.636±2.656	518.636±4.365	519.000±3.066	520.909±3.833	1.465	0.231
MAS 0组	13	512.154±4.451	513.769±5.003	513.231±4.764	514.923±4.555	515.846±3.805	1.296	0.285
MAS 1组	10	524.200±4.022	525.600±4.222	526.100±4.677	529.300±7.072	605.900±5.705^a	402.083	< 0.001
MAS 1⁺组	9	518.111±8.880	622.778±6.220	717.222±11.606	801.556±18.426	920.556±16.055	1684.065	< 0.001

Characteristics of surface electromyography of muscles in stroke patients with lower limb spasticity under isokinetic passive movement

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 5

References 15

Related Articles 15

Metrics

Comments

Recommended 0

[1]	LIN Na, GAO Hanlu, LU Huiping, CHEN Yanqing, ZHENG Junfan, CHEN Shurong. Effect of virtual reality on upper limb function after stroke: a study of diffusion tensor imaging [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 61-67.
[2]	WANG Haoyi, SHI Yawei, LU Jun, XU Guangxu. Impact of subjective vertical perception impairment on function in stroke patients: a retrospective study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 68-73.
[3]	CHEN Junwen, CHEN Qian, CHEN Cheng, LI Shuyue, LIU Lingling, WU Cunshu, GONG Xiang, LU Jun, XU Guangxu. Effect of modified Baduanjin exercise on cardiopulmonary function, motor function and activities of daily living for stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 74-80.
[4]	HU Yonglin, MA Ying, DOU Chao, LU Anmin, JIANG Xiaoge, SONG Xinjian, XIAO Yuhua. Effect of neural mobilization based on shoulder control training on shoulder pain and upper limb function in stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 81-86.
[5]	WANG He, HAN Liang, KAN Mengfan, YU Shaohong. Efficacy of electrical stimulation on shoulder-hand syndrome after stroke: a systematic review and meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1048-1056.
[6]	SUN Tengfang, REN Mengting, YANG Lin, WANG Yaoting, WANG Hongyu, YAN Xingzhou. Effect of hyperbaric oxygen therapy combined with repetitive peripheral magnetic stimulation on ankle motor function and balance of stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 875-881.
[7]	MA Shengnan, KE Jingyue, DONG Hongming, LI Jianping, ZHANG Honghao, LIU Chao, SHEN Shuang, LI Guqiang. Effect of core stability training on dynamic balance and surface electromyography after anterior cruciate ligament reconstruction [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 882-889.
[8]	WANG Ya'nan, LIU Xihua. Correlation and predictive effect of subjective and objective balance function measurements in stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 890-895.
[9]	WANG Haiyun, WANG Yin, ZHOU Xinjie, HE Aiqun. Effect of transcranial direct current stimulation combined with acupuncture on central and upper limb function in stroke patients based on central-peripheral-central theory [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 919-925.
[10]	CHEN Yiting, WANG Qian, CUI Shenhong, LI Yingcai, ZHANG Siyu, WEI Yanxu, REN Hui, LENG Jun, CHEN Bin. Effect of bilateral sequential repetitive transcranial magnetic stimulation on motor function of upper limbs in stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 926-932.
[11]	LI Zhenya, SUN Jie, GUO Pengfei, WANG Guangming. Correlation between changes of swallowing function in oral and pharyngeal phases, and aspiration in stroke patients based on videofluroscopic swallowing study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 933-939.
[12]	CUI Yao, CONG Fang, HUANG Fubiao, ZENG Ming, YAN Ruxiu. Brain and muscle activation under mirror neuron-based training strategies: a near-infrared spectroscopy and surface electromyography study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 782-790.
[13]	HUA Ling, ZHANG Yi'nan, ZHENG Yu, SUN Qiaoyi, FANG Hui, SONG Da. Effect of hand controlled rhythm music therapy on unilateral spatial neglect after stroke [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 833-838.
[14]	JIANG Xiaocui, LIU Zhen, SU Qinglun, ZHAO Qin, XIA Xiaomei, LU Fei. Effect of intermittent theta burst transcranial magnetic stimulation on non-fluent aphasia after stroke [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 839-843.
[15]	XU Miaomiao, LI Nan, YING Ying, YANG Kaixiang, YANG Jingrui, LI Jie, QIU Yanqun. Effect of repetitive peripheral magnetic stimulation on upper limb motor function of stroke patients after contralateral seventh cervical nerve transfer [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 686-690.