不同步态模式下的肌肉协同与大腿截肢者肌肉代偿机制分析
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复旦大学

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Analysis of Muscle Synergies and Compensation Mechanisms in Thigh Amputees under Different Gait Patterns
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Fudan University

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    摘要:

    目的 探讨健康人、膝上截肢患肢者的健侧下肢(Intact Limb, IL)与残肢(Residual Limb, RL)在不同步态时肌肉协同的差异,为假肢的肌电控制提供依据。方法 采集7位健康人和3位下肢截肢患者在行走、上下坡和上下楼梯时7块肌肉(4块大腿肌肉、3块小腿肌肉)的表面肌电信号,通过级联非负矩阵分解(Concatenated non-negative matrix factorization, CNMF)提取肌肉协同权重W和时间激活系数H,利用决定系数(R2)对比W,基于统计参数映射(Statistical Parametric Mapping, SPM)对比H,并选取激活峰值和激活积分进行了层次聚类。结果 W对比结果显示健康组和截肢组健肢存在一组相似的协同模式,而残肢侧的协同变异性更高。H比较表明所有截肢者在整个步态周期上显示出统计学显著差异。时域特征的聚类表明截肢被试在上坡时健肢侧肌肉需要更大的激活积分和激活峰值。结论 本研究深入探讨了下肢截肢者在不同步态的神经肌肉代偿策略,有助于对其步态康复提供理论指导,并助力于开发肌电信号控制的假肢。

    Abstract:

    This study aims to explore the differences in muscle synergies of healthy individuals, intact limbs (IL), and residual limbs (RL) of above-knee amputees during different gait patterns, providing a basis for electromyographic (EMG) control of prosthetics. Methods Surface EMG signals of 7 muscles (4 thigh muscles, 3 calf muscles)were collected from 7 healthy individuals and 3 lower-limb amputees during walking, ascending/descending slopes, and stairs. Muscle synergy weights (W) and temporal activation coefficients (H) were extracted using Concatenated Non-Negative Matrix Factorization (CNMF). The weight matrices were compared using the coefficient of determination (R2), and the activation coefficients were analyzed using Statistical Parametric Mapping (SPM). Furthermore, peak activation and activation integral were used for hierarchical clustering analysis. Results The comparison of W matrices indicated a similar set of muscle synergies between the healthy group and the intact limb of amputees, whereas the residual limb showed greater variability in synergies. The analysis of H showed statistically significant differences in muscle activation throughout the gait cycle for all amputees. Clustering of time-domain features revealed that amputees exhibited higher activation integral and peak values in their intact limb when ascending slopes. Conclusion This study provides an in-depth investigation of the neuromuscular compensation strategies in lower-limb amputees during different gait tasks, offering theoretical insights for gait rehabilitation and assisting in the development of EMG-controlled prosthetics.

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  • 收稿日期:2024-10-08
  • 最后修改日期:2024-11-01
  • 录用日期:2024-11-04
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