健康中老年人利手和非利手侧饮水动作的三维运动-中国康复医学杂志.PDF

ChineseJournalofRehabilitationMedicine, Mar.2016,Vol. 31, No.3 ·临床研究· 健康中老年人利手和非利手侧饮水动作的 三维运动学研究* 毛玉瑢 王 琪 邢从容 卞瑞豪 贾瑶琪 游寒剑 黄东锋1 1 1 1 1 1 1,2 摘要 目的：应用三维运动采集系统分析健康中老年人利手和非利手侧上肢饮水动作的运动学特点, 探讨利手和非利手 执行特定功能性动作是否存在差异性。 方法：用Vicon Nexus 运动采集系统对18名右利手健康中老年人左右侧上肢执行饮水动作的运动轨迹进行采集，分 析并比较利手和非利手侧肩、肘和腕关节的三维运动角度变化及角速度峰值。 结果：肘关节X 、Y 、Z 轴上运动角度利手和非利手侧比较差异有显著性意义（P0.05 ）。在角速度方面，双侧肩关节 X 轴上最小值、肘关节Y 轴和Z 轴的最大值及最小值、腕关节Y 轴的最大值比较差异有显著性意义（P0.05 ）。 结论：健康中老年人在执行饮水动作时，利手侧肘关节的屈伸幅度显著高于非利手侧；而非利手侧肘关节内收外展 和内外旋运动角度及角速度显著高于利手侧。 关键词 三维运动分析；上肢；运动角度；角速度 中图分类号：R493 ，G804 文献标识码：A 文章编号：1001-1242（2016 ）-03-0286-05 Three-dimensional kinematic analysis of upper limb between dominant and nondominant hand drinking water activity of healthy subjects/MAO Yurong, WANG Qi, XING Congrong, et al.//Chinese Journal of RehabilitationMedicine, 2016, 31(3): 286—290 Abstract Objective：To compare the kinematic characteristic of upper limb between dominant and nondominant hand of drinking water with healthy subjects by three-dimensional analysis, and exploring the difference. Method: Eighteen healthy subjects with right dominant hand were recruited with the drinking water experi- ment. A three-dimensional upper extremity kinematic model with Vicon Nexus was using to obtain kinematic angle, angular velocity and trajectory of the shoulder, elbow and wrist at dominant and nondominant hand. The peak angle and velocity were computed and a comparison was made for left and right hand drinking water. Result: Elbow kinematic range of X,Y and Z axes from dominant hand had statistical difference against the nondominant hand(P0.05). There were statistical significances in angular velocity of minimum peak at X axis of shoulder joint, the maximum and minimum peak at Y and Z axis of elbow joint, and the maximu