膝爬运动上肢关节运动轨迹及表面肌电图研究-中国康复理论与实践.PDF

中国康复理论与实践2017年5月第23卷第5期 ChinJRehabilTheoryPract,May, 2017,Vol.23,No.5 - 567 - DOI: 10.3969/j.issn. 1006-9771.2017.05.016 ·临床研究 · 膝爬运动上肢关节运动轨迹及表面肌电图研究① 曾思漾，陈玉霞，刘苑，肖农 [摘要] 目的 将关节运动轨迹捕捉与表面肌电图技术运用于评估婴幼儿爬行运动中。方法 2015 年12月至2016 年6 月，对 12例正常婴幼儿和13例运动发育迟缓婴幼儿，采用三维步态分析系统采集膝爬运动中上肢主要关节的运动轨迹，记录主要活动肌 肉的表面肌电信号。结果 运动发育迟缓婴幼儿右侧肩关节活动角度范围高于正常婴幼儿(t=2.576, P0.05) ，左右侧肱三头肌表面 肌电均方根差值大于正常婴幼儿(t=2.448, P0.05) 。结论 关节运动轨迹和表面肌电图运用于运动发育迟缓婴幼儿膝爬运动，可以 为制定个性化早期合理的康复训练提供依据。 [关键词] 运动发育迟缓；膝爬运动；关节运动轨迹；表面肌电图 Kinematics and Surface Electromyography of Upper Limbs in Motor-delayed Children and Normal Children in Crawling Stage ZENG Si-yang, CHEN Yu-xia, LIU Yuan, XIAO Nong 1. Department of Rehabilitation Center, Childrens Hospital of Chongqing Medical University, Ministry of Educa- tion Key Laboratory of Child Development and Disorders, Chongqing 400014, China; 2. China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing 400014, China; 3. Chongq- ing Key Laboratory of Pediatrics, Chongqing 400014, China Correspondence to XIAO Nong. E-mail: xiaonongwl@ 163.com Abstract: Objective To detect kinematics and surface electromyography (sEMG) of upper limbs in normal children and motor-delayed children for clinical assessment. Methods From December, 2015 to June, 2016, twelve healthy children and thirteen children with motor de- velopmental delay less than two years old were analyzed kinematics with Motion Analysis system and sEMG. Results The angle of motion of right shoulder was more in the motor-delayed children than in the normal children (t=2.576, P0.05). The difference of root mean square values of bilateral triceps brachii was more in the mot