国外肌电图学在肢体动作领域的主题热点与国际前沿分析

Hot topics and international frontiers of electromyography in the field of body movements

背景:肌电图在人体肢体动作或肌肉活动测量中应用较多,已经受到医学、运动科学、人机功效学等领域专家学者的广泛认可,但国内外肌电图在人肢体动作应用研究的相关综述略显不足。目的:梳理国外Web of Science核心数据库的相关肌电在人肢体动作应用的研究成果,以期为应用肌电图学进一步优化人体康复、人体工程学等方案设计方面提供建议。方法:在WebofScience核心数据库中,语种选择英语,基于布尔逻辑运算,进行主题词进行检索。检索主题词策略为TS=“electromyography”OR“sEMG”OR“surface EMG”AND“human movement”OR“movement”。利用知识图谱软件CitespaceⅤ对所获得的文献进行去重后,进行学科、国家发文量分析,并利用关键词、高被引、共被引等知识图谱分析相关研究的主题热点与国际前沿趋势。结果与结论:(1)表面肌电测量技术在人肢体动作应用研究主要在神经领域、工程学和体育科学领域发文量较多。美国、中国和加拿大发文量排名前3。(2)肌电在人体肢体运动中应用主要关注肌电控制(myoelectric control);慢性下腰痛(chronic low back pain);皮质脊髓兴奋性(corticospinal excitability);帕金森病(Parkinson’s disease);注意力练习(attentional focus);中风存活患者(stroke survivor);前交叉韧带损伤(anterior cruciate ligament injury);肌肉协同(muscle synergies)等热点主题。(3)国际前沿领域研究分为早期前沿、现代前沿,早期前沿主要从肌电控制、肌电影响因素、肌电算法等领域到现代前沿的人机交互、人机功效学(人体假肢)等研究领域过渡。(4)肌电图学在人体工程学、运动生物力学(肌肉激活程度、激活时间)、评价动作模式、疲劳标准、评价康复性训练效果等领域提供肌电信息参数诊断。肌电在中风或脑卒中患者躯干肌电恢复时间、大小和对称性方面存在显著差异,肌电图学在揭示脑卒中患者单侧肢体抗阻训练对未训练肢体激活反应的机制方面仍然有待进一步研究。

BACKGROUND:Electromyography(EMG)is widely used in the measurement of human limb movement or muscle activity,and it has been widely recognized by experts and scholars in the fields of medicine,sports science,and ergonomics.Howeve r,review papers on the application of EMG in human limb movements are slightly insufficient.OBJECTIVE:To understand and comb the relevant EMG data in human limb movements from the Web of Science core database,attempting to further optimize the schematic design using EMG in human rehabilitation and ergonomics.METHODS:Lite rature search with subject terms was performed in Web of Science Core Collection database based on Boolean logic ope ration.Search strategy was as follows:TS="electro myography OR"sEMG"OR"surface EMG"AND human movement OR movement".Included documents de-duplicated using the Citespace V were analyzed in terms of disciplines and countries.Hot topics and international frontier trends of relevant research were analyzed using the knowledge graph in terms of keywords,high citations,and co-citations.RESULTS AND CONCLUSION:(1)Lite rature regarding the application of surface EMG in human limb movements is mainly published in the fields of neurology;engineering and sports science.To p three countries with the most publications are the United States,China,and Canada in order.(2)EMG application in human limb movement mainly focus on myoelectric control,chronic low back pain,corticos pinal excitability,Parkinson s disease,attentional focus,stroke survivor,anterior cruciate ligament injury,and muscle syne rgies.(3)International frontier research is divided into early frontier and modern frontier.Transition between the early and modern frontiers is from the fields of EMG control,EMG influencing facto rs and EMG algorithms to human-computer interaction and ergonomics(prosthetic rehabilitation).(4)EMG provides EMG parameter diagnosis in the fields of ergonomics,exercise biomechanics(muscle activation degree and time),evaluation of action mode,fatigue standard,and evaluation of rehabilitation training effects.There are significant differences in the recove ry time,size and symmetry of trunk EMG in patients with stroke.EMG remains to be further studied in revealing the mechanism of unilateral limb resistance training in patients with stroke in response to activation of untrained limbs.