试探3种步态特性脑性瘫痪儿童下肢肌肉相关性

doi:10.16088/j.issn.1001-6600.2015.03.022

广西师范大学学报（自然科学版） ›› 2015, Vol. 33 ›› Issue (3): 144-150.doi: 10.16088/j.issn.1001-6600.2015.03.022

试探3种步态特性脑性瘫痪儿童下肢肌肉相关性

杜文静^1,2,3, 谈恩民¹, 李慧慧^2,3, 胡宝花⁴, 王磊^2,3

1.桂林电子科技大学电子工程与自动化学院,广西桂林541004;
2.中国科学院深圳先进技术研究院,广东深圳518055;
3.深圳市低成本健康重点实验室,广东深圳518055;
4.南昌航空大学信息工程学院,江西南昌330063

收稿日期:2015-04-10 出版日期:2015-05-10 发布日期:2018-09-20
通讯作者: 谈恩民(1966—),男,河南光山人, 桂林电子科技大学教授,博士。E-mail: tem0135@guet.edu.cn
基金资助:
国家自然科学青年基金资助项目(61401454); 广东省科技计划国际合作项目(2012B050200004)

Relationship of Lower-Limb Muscle of Children During Three Kinds of Gait Characteristics Cerebral Palsy

DU Wen-jing^1,2,3, TAN En-min¹, LI Hui-hui^2,3, HU Bao-hua⁴, WANG Lei^2,3

1.Electronic Engineering and Automation, Guilin University of Electronic Technology,Guilin Guangxi 541004, China;
2.Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences,Shenzhen Guangdong 518055,China;
3.Shenzhen Key Lab for Low-cost Healthcare, Shenzhen Guangdong 518055, China;
4.School of Information Engineering, Nanchang Hangkong University,Nanchang Jiangxi 330063, China

Received:2015-04-10 Online:2015-05-10 Published:2018-09-20

摘要/Abstract

摘要： 为探讨不同步态特性脑瘫患者下肢肌肉相关性,并分析不同步态特性患者之间的差异及相似性,为基础和临床研究脑瘫儿童及治疗、康复训练提供参考依据,本研究选取深圳市残疾人康复中心的22例脑瘫儿童(平均年龄(5.8±2.0)岁)、患者及家长自愿完成实验,根据专业临床医生诊断将患者分为3组,包括8例痉挛步态脑瘫患者、9例偏瘫步态脑瘫患者及5例其他步态脑瘫患者,3组在性别、年龄、智力、社会适应行为能力、粗大运动动能及平衡能力上无显著性差异(P>0.05)。测试者沿5 m平台自由行走,采用美国MP150肌电采集分析系统,同时采集脑瘫儿童下肢胫骨前肌和腓肠肌表面肌电信号,并进行肌张力测试。使用SPSS19.0进行数据提取和实验结果相关性分析。结果表明,3组步态特性脑瘫患者下肢肌肉之间具有显著的差异性,痉挛特性与其他特性抑制了脑瘫患儿下肢肌群协调性,偏瘫特性患者下肢肌肉协调性较高,这种差异性为对不同特性脑瘫患儿采取不同的治疗方式提供理论依据。

关键词: 脑瘫, 痉挛, 偏瘫, 表面肌电信号, 相关性

Abstract: To explore the correlation of lower-limb muscle of patients with different characteristics of the cerebral palsy, and analyze of the differences and the similarity in the patients with the different characteristics, which provide references for clinical research and treatment of children with cerebral palsy and rehabilitation. Twenty-two(2-12 years,18 males and 4 females; age 5.8±2.0 years) children with CP who came to the physical therapy rehabilitation center volunteered to participate in the experiment in Shenzhen Disabled Rehabilitation Center, Guangdong, China. The study was approved by the institutional review board of Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences. According to the experienced rehabilitation therapist’s clinical evaluations, among all the participants were divided into three groups, including 8 diagnosed to be cerebral palsy with spastic characteristic, and 9 diagnosed with hemiplegia, and 5 diagnosed with other features. There was no significant difference in the gender, age, mental, social and adaptive behavior, Gross motor function measure and balance of the three groups was no significant difference (P>0.05).The patients straight for 5 meters at their self-selected comfortable speed toward a target line on the floor,and were assessed on daily living function with the muscular tension of triceps and the subscale of Berg.Surface electromyography (EMG) from GM and TA were recorded and MP150 system(BioNomadix 2-Channel EMG system, BIOPAC Systems, Inc, Goleta, USA) was used to collect the data. SPSS Statistics, version 19.0 were used to analyze the statistics. Results and conclusion: There was great difference among the children with different characteristics. Spasticity and other features affected the relationship of lower-limb muscle of patients with cerebral palsy and improved the muscular tension of triceps, and the correlation of lower-limb muscle of children with hemiplegia was significant, which provided useful information to treat the children with different characteristics of cerebra palsy with different methods.

Key words: cerebral palsy, spasticity, hemiplegia, surface electromyographic, relationship

中图分类号:

R742.3

杜文静, 谈恩民, 李慧慧, 胡宝花, 王磊. 试探3种步态特性脑性瘫痪儿童下肢肌肉相关性[J]. 广西师范大学学报（自然科学版）, 2015, 33(3): 144-150.

DU Wen-jing, TAN En-min, LI Hui-hui, HU Bao-hua, WANG Lei. Relationship of Lower-Limb Muscle of Children During Three Kinds of Gait Characteristics Cerebral Palsy[J]. Journal of Guangxi Normal University(Natural Science Edition), 2015, 33(3): 144-150.

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试探3种步态特性脑性瘫痪儿童下肢肌肉相关性

Relationship of Lower-Limb Muscle of Children During Three Kinds of Gait Characteristics Cerebral Palsy

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