期刊文献+

融合生物运动信息的上肢运动功能康复诊断方法研究 被引量:3

Research of Diagnostic Method for Upper Limb Motor-Function Based on Fusion of Biological Motion Information
在线阅读 下载PDF
导出
摘要 针对上肢运动功能的康复诊断问题,提出一种融合运动力学信息与生物电信息的综合性上肢运动功能评价方法,用于评价运动功能障碍患者肩肘腕关节的运动功能水平。在上肢进行动作时,对加速度信号和肌电信号进行信号采集、有效信号的选择、特征提取和特征筛选,并利用两类信号在动作分析中的不同优势,将信号的特征值进行优化组合。以简式Fugl-Meyer评分值为标准,构建多个线性回归模型,实现上肢运动功能的综合性评价。在对10位受试者肩肘腕的7个上肢动作(握拳、展拳、屈腕、伸腕、屈肘、伸肘、上肢平举)功能诊断实验中,提出的诊断方法不仅可以进行实时的信息提取和功能诊断,而且与Fugl-Meyer评价有很强的一致性,相关系数达99%以上。实验表明,该诊断方法能取代传统的上肢运动功能评价方法,并更细致地对上肢运动功能进行量化评分。 A comprehensive method, fused with kinematics information and bioelectricity information, for upper limb motor-function evaluation was proposed. The method was aimed to evaluate the motor functions of the shoulder, elbow and wrist joints of the hemiplegic patients objectively and quantitatively. Acceleration signal and EMG signal were collected and selected, and then feature extraction and feature selection were done during the movement of the upper limb. Utilizing the distinct superiorities of the two signals, characteristic value of the signals was optimally combined. Several linear regression models were constructed to realize comprehensive assessment of the upper limb motor-function based on Fugl-Meyer assessment. In the function diagnostic experiment of 7 movements of the shoulder, elbow and wrist (namely hand grasps, hand extension, wrist flexion, wrist extension, elbow flexion, elbow extension, front raise) with 10 participants, the evaluation method not only could realize information extraction and function diagnosis in real time, but also had a strong consistency with Fugl-Meyer assessment with a correlation coefficient above 99%. The above experimental results showed that the diagnostic method could quantify the upper limb motor-function more detailed instead of traditional assessment method.
出处 《中国生物医学工程学报》 CAS CSCD 北大核心 2013年第6期692-698,共7页 Chinese Journal of Biomedical Engineering
基金 国家自然科学基金(61201300) 国家自然科学基金(61201302) 浙江省自然科学基金(LY12F03006)
关键词 上肢运动功能评价 运动力学信息 肌电信号 特征提取 康复 upper limb motor-function evaluation kinematics information EMG feature extraction rehabilitation
作者简介 通信作者。E-mail:gyy@hdu.edu.cn
  • 相关文献

参考文献14

  • 1Duncan PW,Propst M,Nelson SG. Reliability of the fugl-meyer assessment of sensorimotor recoveryfollowing cerebrovascular accident[J].{H}Physical Therapy,1983,(10):1606-1610.
  • 2Ferraro M,Demaio JH,Krol J. Assessing the motor status score:a scale for the evaluation of upper limb motor outcomes in patients after stroke[J].{H}NEUROREHABILITATION AND NEURAL REPAIR,2002,(03):283-289.
  • 3欧海宁,康健.脑卒中患者肢体运动功能的综合康复治疗[J].中国康复医学杂志,1999,14(3):106-108. 被引量:103
  • 4Whitlock JA,Hamilton BB. Functional outcome after rehabilitation for severe traumatic brain injury[J].{H}Archives of Physical Medicine and Rehabilitation,1995,(12):1103-1112.
  • 5Peter O,Fazekas G,Zsiga K. Robot-mediated upper limb physiotherapy:Review and recommendations for future clinical trials[J].{H}International Journal of Rehabilitation Research,2011,(03):196-202.
  • 6阳小勇,王子羲,季林红,毕胜.上肢肩肘关节运动功能的综合性运动学评价指标[J].清华大学学报(自然科学版),2006,46(2):172-175. 被引量:6
  • 7Hall KM,Cohen ME,Wright J. Characteristics of the functional independence measure in traumatic spinal cord injury[J].{H}Archives of Physical Medicine and Rehabilitation,1999,(11):1471-1476.
  • 8Knorr B,Hughes R,Sherrill D. Quantitative measures of functional upper limb movement in persons after stroke[A].Arlington,VA:IEEE Pres,2005.252-255.
  • 9Cesarelli M,D'Addio G,Romano M. Kinematics patterns of upper arm reaching movement in robot-mediated therapy[A].Bari:IEEE Pres,2011.465-468.
  • 10Scott RN,Parker PA. Myoelectric prostheses:state of the art[J].{H}Journal of Medical Engineering and Technology,1988,(04):143-151.

二级参考文献37

共引文献115

同被引文献43

  • 1李茜,李新艳,李敏,张昕.自行设计运动功能评价量表在脑卒中偏瘫康复中的应用[J].中国临床康复,2005,9(21):6-7. 被引量:1
  • 2燕铁斌.神经肌肉电刺激及其临床应用[J].继续医学教育,2006,20(30):30-33. 被引量:22
  • 3毕胜,许云影.偏瘫上肢联合反应分级量表内部一致性与信度研究[J].中国康复医学杂志,2007,22(7):626-627. 被引量:6
  • 4服部一郎 周天健 译.康复技术全书[M].北京:北京出版社,1989.566.
  • 5Kalisoh BJ,McLaughlin M,Dabney BW.Patient perceptions of missed nursing care[J].Jt Comm J Qual Patient Saf,2012,38(4):161-167.
  • 6Walsh FMR. On certain tonic and postural reflexes in hemiple-gia with special reference to the so- called "social move-ments" [J]. Brain, 1923, 46(1): 1-37.
  • 7Lazarus JC. Associated movement in hemiplegia: The effectsof force exerted, limb usage and inhibitory training [J]. ArchPhys Med Rehabil, 1992, 73(11): 1044-1049.
  • 8Dvir Z, Penturin E, Prop I. The effect of graded effort on the se-verity of associated reactions in hemiplegic patients [J]. ClinRehabil, 1996,10: 155-158.
  • 9Mayston MJ, Harrison LM, Stephens JA. A neurophysiologicalstudy of mirror movements in adults and children [J]. Ann Neu-rol, 1999, 45(5): 583-594.
  • 10Armatas CA, Summers JJ, Bradshaw JL. Mirror movements innormal adult subjects [J]. J Clin Exp Neuropsychol, 1994, 16(3): 405-413.

引证文献3

二级引证文献41

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部