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Electromyogram Based Personal Recognition Using Attention Mechanism for IoT Security
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作者 Jin Su Kim Sungbum Pan 《Computers, Materials & Continua》 SCIE EI 2023年第11期1663-1678,共16页
As Internet of Things(IoT)technology develops,integrating network functions into diverse equipment introduces new challenges,particularly in dealing with counterfeit issues.Over the past few decades,research efforts h... As Internet of Things(IoT)technology develops,integrating network functions into diverse equipment introduces new challenges,particularly in dealing with counterfeit issues.Over the past few decades,research efforts have focused on leveraging electromyogram(EMG)for personal recognition,aiming to address security concerns.However,obtaining consistent EMG signals from the same individual is inherently challenging,resulting in data irregularity issues and consequently decreasing the accuracy of personal recognition.Notably,conventional studies in EMG-based personal recognition have overlooked the issue of data irregularities.This paper proposes an innovative approach to personal recognition that combines a siamese fusion network with an auxiliary classifier,effectively mitigating the impact of data irregularities in EMG-based recognition.The proposed method employs empirical mode decomposition(EMD)to extract distinctive features.The model comprises two sub-networks designed to follow the siamese network architecture and a decision network integrated with the novel auxiliary classifier,specifically designed to address data irregularities.The two sub-networks sharing a weight calculate the compatibility function.The auxiliary classifier collaborates with a neural network to implement an attention mechanism.The attention mechanism using the auxiliary classifier solves the data irregularity problem by improving the importance of the EMG gesture section.Experimental results validated the efficacy of the proposed personal recognition method,achieving a remarkable 94.35%accuracy involving 100 subjects from the multisession CU_sEMG database(DB).This performance outperforms the existing approaches by 3%,employing auxiliary classifiers.Furthermore,an additional experiment yielded an improvement of over 0.85%of Ninapro DB,3%of CU_sEMG DB compared to the existing EMG-based recognition methods.Consequently,the proposed personal recognition using EMG proves to secure IoT devices,offering robustness against data irregularities. 展开更多
关键词 Personal recognition electromyogram siamese network auxiliary classifier
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Multi-Stream CNN-Based Personal Recognition Method Using Surface Electromyogram for 5G Security
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作者 Jin Su Kim Min-Gu Kim +1 位作者 Jae Myung Kim Sung Bum Pan 《Computers, Materials & Continua》 SCIE EI 2022年第8期2997-3007,共11页
As fifth generation technology standard(5G)technology develops,the possibility of being exposed to the risk of cyber-attacks that exploits vulnerabilities in the 5G environment is increasing.The existing personal reco... As fifth generation technology standard(5G)technology develops,the possibility of being exposed to the risk of cyber-attacks that exploits vulnerabilities in the 5G environment is increasing.The existing personal recognitionmethod used for granting permission is a password-basedmethod,which causes security problems.Therefore,personal recognition studies using bio-signals are being conducted as a method to access control to devices.Among bio-signal,surface electromyogram(sEMG)can solve the existing personal recognition problem that was unable to the modification of registered information owing to the characteristic changes in its signal according to the performed operation.Furthermore,as an advantage,sEMG can be conveniently measured from arms and legs.This paper proposes a personal recognition method using sEMG,based on a multi-stream convolutional neural network(CNN).The proposed method decomposes sEMG signals into intrinsic mode functions(IMF)using empirical mode decomposition(EMD)and transforms each IMF into a spectrogram.Personal recognition is performed by analyzing time–frequency features from the spectrogram transformed intomulti-streamCNN.The database(DB)adopted in this paper is the Ninapro DB,which is a benchmark EMG DB.The experimental results indicate that the personal recognition performance of the multi-stream CNN using the IMF spectrogram improved by 1.91%,compared with the singlestream CNN using the spectrogram of raw sEMG. 展开更多
关键词 Personal recognition electromyogram signal multi-stream network empirical mode decomposition
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Morphological and Electromyogram Analysis for the Spinal Accessory Nerve Transfer to the Suprascapular Nerve in Rats
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作者 Jun Yan Kazuhito Ogino Jiro Hitomi 《Surgical Science》 2011年第5期269-277,共9页
For many years, nerve transfer has been commonly used as a treatment option following peripheral nerve injury, although the precise mechanism underlying successful nerve transfer is not yet clear. We developed an anim... For many years, nerve transfer has been commonly used as a treatment option following peripheral nerve injury, although the precise mechanism underlying successful nerve transfer is not yet clear. We developed an animal model to investigate the mechanism underlying nerve transfer between branches of the spinal accessory nerve (Ac) and suprascapular nerve (Ss) in rats, so that we could observe changes in the number of motor neurons, investigate the 3-dimensional localization of neurons in the anterior horn of the spinal cord, and perform an electromyogram (EMG) of the supraspinatus muscle before and after nerve transfer treatment. The present experiment showed a clear reduction in the number of γ motor neurons. The distributional portion of motor neurons following nerve transfer was mainly within the neuron column innervating the trapezius. Some neurons innervating the supraspinatus muscle also survived post-transfer. Compared with the non-operated group, the EMG restoration rate of the supraspinatus muscle following nerve transfer was 60% in the experimental group and 80% in a surgical control group. Following nerve transfer, there was a distinct reduction in the number of γ motor neurons. Therefore, γ motor neurons may have important effects on the recovery of muscular strength following nerve transfer. Moreover, because the neurons located in regions innervating either the trapezius or supraspinatus muscle were labeled after Ac transfer to Ss, we also suggest that indistinct axon regeneration mechanisms exist in the spinal cord following peripheral nerve transfer. 展开更多
关键词 NERVE TRANSFER Treatment Fluorescent DYE LABELING electromyogram NERVE AXONAL Regeneration Rat
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Comparison of wrist motion classification methods using surface electromyogram 被引量:1
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作者 JEONG Eui-chul KIM Seo-jun +1 位作者 SONG Young-rok LEE Sang-min 《Journal of Central South University》 SCIE EI CAS 2013年第4期960-968,共9页
The Gaussian mixture model (GMM), k-nearest neighbor (k-NN), quadratic discriminant analysis (QDA), and linear discriminant analysis (LDA) were compared to classify wrist motions using surface electromyogram (EMG). Ef... The Gaussian mixture model (GMM), k-nearest neighbor (k-NN), quadratic discriminant analysis (QDA), and linear discriminant analysis (LDA) were compared to classify wrist motions using surface electromyogram (EMG). Effect of feature selection in EMG signal processing was also verified by comparing classification accuracy of each feature, and the enhancement of classification accuracy by normalization was confirmed. EMG signals were acquired from two electrodes placed on the forearm of twenty eight healthy subjects and used for recognition of wrist motion. Features were extracted from the obtained EMG signals in the time domain and were applied to classification methods. The difference absolute mean value (DAMV), difference absolute standard deviation value (DASDV), mean absolute value (MAV), root mean square (RMS) were used for composing 16 double features which were combined of two channels. In the classification methods, the highest accuracy of classification showed in the GMM. The most effective combination of classification method and double feature was (MAV, DAMV) of GMM and its classification accuracy was 96.85%. The results of normalization were better than those of non-normalization in GMM, k-NN, and LDA. 展开更多
关键词 表面肌电图 分类方法 运动 手腕 线性判别分析 高斯混合模型 K-NN 信号处理
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经筋针刺法联合益肾壮骨方治疗膝关节骨性关节炎的效果及表面肌电图分析 被引量:1
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作者 王巍 朱蜀云 《中国当代医药》 CAS 2024年第2期66-69,共4页
目的探究经筋针刺法联合益肾壮骨方治疗膝关节骨性关节炎(KOA)的效果及表面肌电图分析。方法选取2022年3月至2023年3月北京市鼓楼中医医院收治的74例KOA患者作为研究对象,按照随机数字表法分为观察组(37例)与对照组(37例)。对照组采用... 目的探究经筋针刺法联合益肾壮骨方治疗膝关节骨性关节炎(KOA)的效果及表面肌电图分析。方法选取2022年3月至2023年3月北京市鼓楼中医医院收治的74例KOA患者作为研究对象,按照随机数字表法分为观察组(37例)与对照组(37例)。对照组采用益肾壮骨方治疗,观察组在对照组的基础上联合经筋针刺法治疗。比较两组患者治疗前后的中医证候积分、膝关节功能(Lysholm评分)、视觉模拟评分法(VAS)评分与表面肌电图指标。结果治疗后,观察组中医证候积分各维度评分低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组VAS评分低于对照组,Lysholm评分高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组伸展Mean值高于对照组,协同收缩比率低于对照组,差异有统计学意义(P<0.05)。结论经筋针刺法联合益肾壮骨方能缓解膝关节骨性关节炎患者中医证候积分,降低疼痛程度,提高膝关节功能,改善患者表面肌电图指标,值得推广。 展开更多
关键词 经筋针刺法 益肾壮骨方 膝关节骨性关节炎 临床效果 表面肌电图
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基于小波双阈值滤波算法的膈肌肌电信号去噪方法
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作者 李双妙 李志为 +1 位作者 张涵 张建恒 《中国医学物理学杂志》 CSCD 2024年第6期761-768,共8页
针对传统去心电信号(ECG)干扰算法处理异常ECG信号效果欠佳的问题,提出一种基于小波双阈值滤波算法的膈肌肌电(EMGdi)信号降噪方法。该方法以小波系数为基础,构造QRS群波中R峰的检测阈值,进而准确定位R峰位置。在此基础上,采用干扰区间... 针对传统去心电信号(ECG)干扰算法处理异常ECG信号效果欠佳的问题,提出一种基于小波双阈值滤波算法的膈肌肌电(EMGdi)信号降噪方法。该方法以小波系数为基础,构造QRS群波中R峰的检测阈值,进而准确定位R峰位置。在此基础上,采用干扰区间两侧小波平均能量作为干扰区间阈值计算依据,对干扰区间进行平滑处理。通过临床EMGdi信号去ECG干扰实验,结果表明本文方法在去干扰性能上优于传统算法,尤其针对弱EMGdi信号去干扰优势更加明显。 展开更多
关键词 膈肌肌电 心电干扰 小波系数 双阈值滤波
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基于指部感觉刺激的手功能康复系统研究
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作者 曹大迪 张彦 +2 位作者 邓华送 权家友 王勇 《合肥工业大学学报(自然科学版)》 CAS 北大核心 2024年第1期7-12,106,共7页
为解决手功能康复难题,针对康复科医生手动刺激患者指部缓解痉挛的治疗方法,文章设计一款基于指部感觉刺激的手功能康复平台系统,该系统分为康复训练装置、下位机控制系统、上位机控制软件3个部分。为治疗不同程度的手功能障碍患者,根... 为解决手功能康复难题,针对康复科医生手动刺激患者指部缓解痉挛的治疗方法,文章设计一款基于指部感觉刺激的手功能康复平台系统,该系统分为康复训练装置、下位机控制系统、上位机控制软件3个部分。为治疗不同程度的手功能障碍患者,根据不同按压力度设置3种训练模式;根据表面肌电信号设计一种定量评估手功能康复效果的方法,通过识别患者手指伸展的手势情况进行评估;最后通过样机试验测试,证明该手功能康复系统能够代替医生进行手部刺激训练并能对康复效果进行定量评估,大大提高按压刺激的精准度和效率。该文研究结果可为手功能康复治疗提供一种有效的康复训练装置。 展开更多
关键词 手功能康复 肌电信号 生物特性 手势识别 系统评估
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Tonic Electromyogram Density in Multiple System Atrophy with Predominant Parkinsonism and Parkinson's Disease 被引量:8
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作者 Yi Wang Yun Shen +7 位作者 Kang-Ping Xiong Pei-Cheng He Cheng-Jie Mao Jie Li Fu-Yu Wang Ya-Li Wang Jun-Ying Huang Chun-Feng Liu 《Chinese Medical Journal》 SCIE CAS CSCD 2017年第6期684-690,共7页
Background: Both Parkinson's disease (PD) and multiple system atrophy (MSA) have associated sleep disorders related to the underlying neurodegenerative pathology. Clinically, MSA with predominant parkinsonism (... Background: Both Parkinson's disease (PD) and multiple system atrophy (MSA) have associated sleep disorders related to the underlying neurodegenerative pathology. Clinically, MSA with predominant parkinsonism (MSA-P) resembles PD in the manifestation of prominent parkinsonism, Whether the amount of rapid eye movement (REM) sleep without atonia could be a potential marker for differentiating MSA-P from PD has not been thoroughly investigated. This study aimed to examine whether sleep parameters could provide a method for differentiating MSA-P from PD. Methods: This study comprised 24 MSA-P patients and 30 PD patients, and they were of similar age, gender, and REM sleep behavior disorder (RBD) prevalence. All patients underwent clinical evaluation and one night of video-polysomnography recording. The tonic and phasic chin electromyogram (EMG) activity was manually quantified during REM sleep of each patient. We divided both groups in terms of whether they had RBD to make subgroup analysis. Results: No significant difference between MSA-P group and PD group had been tbund in clinical characteristics and sleep architecture. However, MSA-P patients had higher apnea-hypopnea index (AHI; 1.15 [0.00, 8.73]/h vs. 0.00 [0.00, 0.55]/h, P = 0.024) and higher tonic chin EMG density (34.02 [ 18.48, 57.18]% vs. 8.40 [3.11, 13.061%, P 〈 0.001 ) as compared to PD patients. Subgroup analysis found that tonic EMG density in MSA + RBD subgroup was higher than that in PD + RBD subgroup (55.04 [26.81,69.62]% vs. 11.40 [8.51,20.411%, P 〈 0.001 ). Furthermore, no evidence of any difference in tonic EMG density emerged between PD + RBD and MSA - RBD subgroups (P 〉 0.05). Both disease duration (P = 0.056) and AHI (P = 0.051) showed no significant differences during subgroup analysis although there was a trend toward longer disease duration in PD + RBD subgroup and higher AHI in MSA - RBD subgroup. Stepwise multiple linear regression analysis identified the presence of MSA-P ([3 0.552, P 〈 0.001 ) and RBD ([3 = 0.433, P 〈 0.001 ) as predictors of higher tonic EMG density. Conclusion: Tonic chin EMG density could be a potential marker for differentiating MSA-P from PD. 展开更多
关键词 Multiple System Atrophy with Predominant Parkinsonism Parkinson's Disease POLYSOMNOGRAPHY Tonic Chin electromyogram Density
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Quantify work load and muscle functional activation patterns in neck-shoulder muscles of female sewing machine operators using surface electromyogram 被引量:3
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作者 ZHANG Fei-ruo HE Li-hua WU Shan-shan LI Jing-yun YE Kang-pin WANG Sheng 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第22期3731-3737,共7页
Background Work-related musculoskeletal disorders (WMSDs) have high prevalence in sewing machine operators employed in the garment industry. Long work duration, sustained low level work and precise hand work are the... Background Work-related musculoskeletal disorders (WMSDs) have high prevalence in sewing machine operators employed in the garment industry. Long work duration, sustained low level work and precise hand work are the main risk factors of neck-shoulder disorders for sewing machine operators. Surface electromyogram (sEMG) offers a valuable tool to determine muscle activity (internal exposure) and quantify muscular load (external exposure). During sustained and/or repetitive muscle contractions, typical changes of muscle fatigue in sEMG, as an increase in amplitude or a decrease as a shift in spectrum towards lower frequencies, can be observed. In this paper, we measured and quantified the muscle load and muscular activity patterns of neck-shoulder muscles in female sewing machine operators during sustained sewing machine operating tasks using sEMG. Methods A total of 18 healthy women sewing machine operators volunteered to participate in this study. Before their daily sewing machine operating task, we measured the maximal voluntary contractions (MVC) and 20%MVC of bilateral cervical erector spinae (CES) and upper trapezius (UT) respectively, then the sEMG signals of bilateral UT and CES were monitored and recorded continuously during 200 minutes of sustained sewing machine operating simultaneously which equals to 20 time windows with 10 minutes as one time window. After 200 minutes' work, we retest 20%MVC of four neck-shoulder muscles and recorded the sEMG signals. Linear analysis, including amplitude probability distribution frequency (APDF), amplitude analysis parameters such as roof mean square (RMS) and spectrum analysis parameter as median frequency (MF), were used to calculate and indicate muscle load and muscular activity of bilateral CES and UT. Results During 200 minutes of sewing machine operating, the median load for the left cervical erector spinae (LCES), right cervical erector spinae (RCES), left upper trapezius (LUT) and right upper trapezius (RUT) were 6.78%MVE, 6.94%MVE, 6.47%MVE and 5.68%MVE, respectively. Work load of right muscles are significantly higher than that of the left muscles (P〈0.05); sEMG signal analysis of isometric contractions indicated that the amplitude value before operating was significantly higher than that of after work (P 〈0.01), and the spectrum value of bilateral CES and UT were significantly lower than those of after work (P 〈0.01); according to the sEMG signal data of 20 time windows, with operating time pass by, the muscle activity patterns of bilateral CES and UT showed dynamic changes, the maximal amplitude of LCES, RCES, LUT occurred at the 20th time window, RUT at 16th time window, spectrum analysis showed that the lower value happened at 7th, 16th, 20th time windows. Conclusions Female sewing machine operators were exposed to high sustained static load on bilateral neck-shoulder muscles; left neck and shoulder muscles were held in more static positions; the 7th, 16th, and 20th time windows were muscle fatiQue period that erQonomics intervention can protocol at these periods. 展开更多
关键词 neck-shoulder pain muscle activity pattern surface electromyogram occupational health
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超声波治疗仪联合悬吊运动疗法在肌筋膜疼痛综合征患者中的应用研究
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作者 王丽娜 苏小君 周慧青 《医疗装备》 2024年第5期12-15,共4页
目的探讨超声波治疗仪联合悬吊运动疗法(SET)在肌筋膜疼痛综合征(MPS)患者中的应用。方法选取2022年1月至2023年4月于医院就诊的MPS患者76例,采用随机数字表法分为试验组和对照组,每组38例。对照组予SET治疗,试验组在对照组基础上采用... 目的探讨超声波治疗仪联合悬吊运动疗法(SET)在肌筋膜疼痛综合征(MPS)患者中的应用。方法选取2022年1月至2023年4月于医院就诊的MPS患者76例,采用随机数字表法分为试验组和对照组,每组38例。对照组予SET治疗,试验组在对照组基础上采用超声波治疗仪治疗,两组均治疗4周。比较两组治疗前后腰背部疼痛[目测类比评分法(VAS)和麦吉尔疼痛问卷(MPQ)]、腰椎功能[日本骨科协会评分(JOA)]、腰椎关节活动度(ROM)、腰背肌核心肌群肌电图[平均肌电波幅度(AEMG)和频域分析值(MPF)]变化,以及临床疗效。结果治疗后,两组VAS评分和MPQ评分低于治疗前,JOA评分高于治疗前(P<0.05),且试验组VAS评分和MPQ评分低于对照组,JOA评分高于对照组(P<0.05);治疗后,两组腰椎前屈ROM和后伸ROM高于治疗前(P<0.05),且试验组均高于对照组(P<0.05);治疗后,两组EMG和MPF高于治疗前(P<0.05),且试验组均高于对照组(P<0.05)。治疗后,试验组临床总有效率高于对照组(P<0.05)。结论超声波治疗仪联合SET治疗MPS患者的疗效肯定,可减轻腰背部疼痛,改善腰背肌的肌张力,提高腰椎功能和腰椎关节ROM。 展开更多
关键词 肌筋膜疼痛综合征 悬吊运动疗法 超声波治疗仪 疼痛 腰椎功能 腰椎关节活动度 肌电图
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Meridian-like character of reflex electromyogram activity in longissimus dorsi muscles 被引量:1
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作者 Chao Ma Zheng Zheng Yikuan Xie 《Chinese Science Bulletin》 SCIE EI CAS 2001年第1期57-62,共6页
We studied the temporal and spacial character of the electromyogram (EMG) evoked by acupuncture in long-issimus dorsi (LD) muscles of rat, and evaluated the effect of needling direction or local blockade on EMG propag... We studied the temporal and spacial character of the electromyogram (EMG) evoked by acupuncture in long-issimus dorsi (LD) muscles of rat, and evaluated the effect of needling direction or local blockade on EMG propagation. When certain sites on LD muscle were acupunctured, asynchronous EMG could be activated not only at the acupunctured point, but also within the muscle region supplied by the adjacent 2-3 vertebral segments. The EMG evoked by stimulation on the borderline of aponeurosis and muscle venter was larger in amplitude than those on the other sites in the same vertebral segment. When the distance from the recorded site to stimulated site increased, the EMG amplitude decreased, and its latency prolonged. Acupuncture in an oblique direction toward rostral or caudal side of the muscle enhanced the EMG amplitude in the same direction. EMG activity was weakened and its propagation was blocked by local injection of procaine. These results indicated that the character of EMG propagation evoked by 展开更多
关键词 longissimus dorsi muscle REFLEX electromyogram ACTIVITY acupuncture needle-feeling propagation.
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偏头痛伴发震颤患者的临床特征
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作者 傅增辉 金艳 +6 位作者 林再红 姜岩 杜姝 刘晶 张广萍 刘旸 于绘丽 《中南大学学报(医学版)》 CAS CSCD 北大核心 2024年第1期68-74,共7页
目的:偏头痛与震颤有部分基因突变位点相同,临床研究也证实二者具有关联性。本研究探讨偏头痛伴发震颤患者的临床及电生理特征,并分析震颤发生的相关影响因素。方法:回顾性分析2022年6月至2023年10月就诊于齐齐哈尔医学院附属第三医院的... 目的:偏头痛与震颤有部分基因突变位点相同,临床研究也证实二者具有关联性。本研究探讨偏头痛伴发震颤患者的临床及电生理特征,并分析震颤发生的相关影响因素。方法:回顾性分析2022年6月至2023年10月就诊于齐齐哈尔医学院附属第三医院的217例偏头痛患者的临床资料。采用临床震颤评定量表(Clinical Rating Scale for Tremor,CRST)、数字分级评分法(Numerical Rating Scale,NRS)、广泛性焦虑量表-7(Generalized Anxiety Disorder-7,GAD-7)和患者健康问卷-9(Patient Health Questionnaire-9,PHQ-9)分别对患者的震颤症状、头痛程度、焦虑和抑郁状况进行评估。患者均接受常规头颅MR扫描和肌电图检查。根据肌电图结果将患者分为伴有震颤的偏头痛组和无震颤的偏头痛组。结果:伴有震颤的偏头痛组、无震颤的偏头痛组分别纳入52例(23.96%)、165例(76.04%)患者。与无震颤的偏头痛组相比,伴有震颤的偏头痛组有更长的病程和头痛持续时间,更高的头痛发作频率、NRS评分、GAD-7评分和PHQ-9评分,更少的每周体育锻炼次数,差异均有统计学意义(均P<0.05)。2组患者在是否有先兆头痛和是否伴有脑白质高信号(white matter hyperintensities,WMHs)方面的差异均无统计学意义(均P>0.05)。CRST评估结果显示:在217例偏头痛患者中,有39例(17.97%)伴有震颤。肌电图结果显示:52例伴有震颤的偏头痛患者均存在上肢震颤,其中姿势性震颤的偏头痛患者28例、静止性震颤的偏头痛患者24例。与静止性震颤的偏头痛患者相比,姿势性震颤的偏头痛患者的平均频率、峰值频率和头痛发作频率均较低(均P<0.05)。多元线性回归分析显示,体育锻炼频次、病程、头痛持续时间、头痛发作频率、NRS评分、GAD-7评分和PHQ-9评分是偏头痛患者伴发震颤的危险因素(均P<0.05)。结论:偏头痛患者出现的震颤以上肢姿势性震颤为主。体育锻炼次数少、病程长、头痛持续时间长、头痛发作频繁、头痛严重、焦虑和抑郁是偏头痛患者伴发震颤的危险因素。 展开更多
关键词 偏头痛 震颤 焦虑 抑郁 肌电图
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针刺联合本体感觉训练对老年脑卒中后偏瘫患者功能恢复及肌电图的影响
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作者 王欣宇 唐新桥 +4 位作者 李兰 罗勇 陈慧敏 王婷 谢智敏 《中国实用神经疾病杂志》 2024年第4期468-472,共5页
目的 探讨老年脑卒中后偏瘫患者采取针刺联合本体感觉训练干预后的功能恢复及肌电图变化。方法 纳入2020-09—2022-09株洲市中心医院治疗的80例老年脑卒中后偏瘫患者,采用随机数字表法分组,对照组40例给予常规康复训练结合针刺治疗,观察... 目的 探讨老年脑卒中后偏瘫患者采取针刺联合本体感觉训练干预后的功能恢复及肌电图变化。方法 纳入2020-09—2022-09株洲市中心医院治疗的80例老年脑卒中后偏瘫患者,采用随机数字表法分组,对照组40例给予常规康复训练结合针刺治疗,观察组40例在对照组基础上增加本体感觉训练,共治疗8周。评估2组临床疗效,比较2组治疗前、治疗8周后下肢肌电信号变化、平衡功能、下肢运动功能、躯干控制能力、步行能力、神经功能及日常生活能力。结果 观察组临床疗效为90.00%,与对照组的77.50%相比更优(P<0.05)。治疗后,2组胫前肌、腘绳肌、股直肌和腓肠肌肌电信号水平明显上升,观察组上升更明显(P<0.05)。治疗后,观察组BBA评分、FMA评分、Sheikh评分、10 m步行测试速度及MBI评分均较对照组上升更明显,NIHSS评分下降更明显(P<0.05)。结论 老年脑卒中后偏瘫患者采用针刺联合本体感觉训练可明显促进患者功能恢复,增强下肢肌电信号,凸显中医外治法的优势与特色,值得临床推广。 展开更多
关键词 脑卒中 偏瘫 针刺 本体感觉训练 功能恢复 肌电图
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发散式体外冲击波联合常规康复治疗对周围性面瘫的疗效观察
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作者 朱洪柳 王维 +1 位作者 胡骁宇 王世杰 《中国康复》 2024年第7期416-420,共5页
目的:探究发散式体外冲击波联合常规康复治疗对周围性面瘫的临床疗效。方法:纳入周围性面瘫患者40例,随机分为对照组和观察组各20例。对照组采用常规综合康复治疗,观察组在对照组基础上联合发散式体外冲击波进行治疗,共治疗4周。在治疗... 目的:探究发散式体外冲击波联合常规康复治疗对周围性面瘫的临床疗效。方法:纳入周围性面瘫患者40例,随机分为对照组和观察组各20例。对照组采用常规综合康复治疗,观察组在对照组基础上联合发散式体外冲击波进行治疗,共治疗4周。在治疗前、治疗2周、治疗4周后分别使用Sunnybrook面部分级量表(SFGS)、面神经残疾指数量表[面部残疾躯体功能指数(FDIP)、面部残疾社会生活功能指数(FDIS)]、汉密尔顿焦虑量表(HAMA)、健患侧面部温差(额温差、颧温差、口温差)对疗效进行评估。在治疗2周、治疗4周后亦进行表面肌电图检测。结果:治疗前,2组患者SFGS、FDIP、FDIS、HAMA评分、面部两侧温差比较均无显著性差异;与治疗前相比,治疗2周、4周后,2组患者SFGS、FDIP评分均增加(均P<0.05),FDIS评分、HAMA评分减少(均P<0.05),患侧面部额温差、口温差减少(均P<0.05),面神经传导速度、波幅均增加(均P<0.05);治疗2周后,观察组SFGS、FDIP评分优于对照组(均P<0.05);治疗4周后,与对照组相比,观察组SFGS、FDIP评分增加,FDIS评分降低,颧温差、口温差减少,面神经传导速度、波幅增加(均P<0.05)。结论:联合应用发散式体外冲击波和常规康复治疗对周围性面瘫疗效更佳,为发散式体外冲击波在神经肌肉损伤疾患中的应用打开新的思路。 展开更多
关键词 发散式体外冲击波 周围性面瘫 肌电图
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理筋推拿配合低频脉冲电刺激治疗神经根型颈椎病临床研究
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作者 俞伟君 彭波 沈万 《新中医》 CAS 2024年第8期134-138,共5页
目的:观察理筋推拿配合低频脉冲电刺激治疗神经根型颈椎病(CSR)的临床疗效及对肌电图的影响。方法:选取150例CSR患者为研究对象,根据信封法随机分为试验组和对照组各75例。对照组予以低频脉冲电刺激和常规按摩治疗,试验组在对照组基础... 目的:观察理筋推拿配合低频脉冲电刺激治疗神经根型颈椎病(CSR)的临床疗效及对肌电图的影响。方法:选取150例CSR患者为研究对象,根据信封法随机分为试验组和对照组各75例。对照组予以低频脉冲电刺激和常规按摩治疗,试验组在对照组基础上予理筋推拿治疗。比较2组治疗前后颈椎疼痛评分[疼痛视觉模拟评分法(VAS)]、活动度、表面肌电信号平均功率频率(MPF)、中医证候评分及临床疗效。结果:治疗后,试验组总有效率为93.33%,对照组为78.67%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组颈椎疼痛VAS评分均较治疗前降低(P<0.05),且试验组VAS评分低于对照组(P<0.05)。治疗后,2组左侧屈、右侧屈、左旋转及右旋转活动度均较治疗前增大(P<0.05),且试验组4项指标均大于对照组(P<0.05)。治疗后,2组颈竖脊肌、斜方肌MPF均较治疗前增大(P<0.05),且试验组颈竖脊肌、斜方肌MPF均大于对照组(P<0.05)。治疗后,2组颈项强痛、手臂麻木、活动不利、面色晦暗等中医证候评分均较治疗前降低(P<0.05),且试验组各项评分均低于对照组(P<0.05)。结论:理筋推拿配合低频脉冲电治疗CSR患者,可显著减轻疼痛,改善颈椎活动度、颈椎功能及中医证候,提高临床治疗效果。 展开更多
关键词 神经根型颈椎病 理筋推拿 低频脉冲电刺激 疼痛 活动度 肌电图
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2型糖尿病患者周围神经传导速度异常的影响因素
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作者 刘文娟 《临床医学研究与实践》 2024年第8期23-26,共4页
目的探讨2型糖尿病(T2DM)患者周围神经传导速度异常的影响因素。方法选取2021年1月至2023年1月我院收治的156例T2DM患者为研究对象,将合并周围神经病变(PN)的85例患者设为糖尿病周围神经病变(DPN)组,未合并PN的71例患者设为NDPN组。两... 目的探讨2型糖尿病(T2DM)患者周围神经传导速度异常的影响因素。方法选取2021年1月至2023年1月我院收治的156例T2DM患者为研究对象,将合并周围神经病变(PN)的85例患者设为糖尿病周围神经病变(DPN)组,未合并PN的71例患者设为NDPN组。两组均行肌电图检查,比较周围神经传导速度;比较两组的基础资料、生化指标;应用多因素Logistic回归分析DPN的影响因素。结果DPN组的正中感觉神经传导速度、正中运动神经传导速度、双侧腓肠感觉神经传导速度、双侧腓总运动神经传导速度低于NDPN组(P<0.05)。两组的T2DM病程、餐后2 h血糖(2 h PG)、空腹血糖(FPG)、餐后2 h C肽(2 h C-P)、糖化血红蛋白(HbA1c)、尿微量白蛋白(UMA)、血浆渗透压(POP)水平比较,差异具有统计学意义(P<0.05)。多因素Logistic回归分析显示,T2DM病程、2 h PG、FPG、2 h C-P、HbA1c、UMA、POP是DPN的影响因素(P<0.05)。结论DPN发病机制较为复杂,临床应监测T2DM患者病程、2 h PG、FPG、2 h C-P、HbA1c、UMA、POP,定期进行肌电图检查,尽可能预防及延缓DPN发生发展。 展开更多
关键词 2型糖尿病 周围神经病变 周围神经传导速度 肌电图
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补土针灸法联合热敏灸治疗脑卒中后肢体痉挛性瘫痪临床研究
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作者 李佩佩 庄晟坚 盛俊 《新中医》 CAS 2024年第4期112-118,共7页
目的:观察补土针灸法联合热敏灸治疗脑卒中后肢体痉挛性瘫痪的临床疗效。方法:选择124例脑卒中后肢体痉挛性瘫痪患者,以随机数字表法分为常规治疗组及针灸联合治疗组各62例。常规治疗组给予西药联合康复训练治疗,针灸联合治疗组在常规... 目的:观察补土针灸法联合热敏灸治疗脑卒中后肢体痉挛性瘫痪的临床疗效。方法:选择124例脑卒中后肢体痉挛性瘫痪患者,以随机数字表法分为常规治疗组及针灸联合治疗组各62例。常规治疗组给予西药联合康复训练治疗,针灸联合治疗组在常规治疗组基础上给予补土针灸法联合热敏灸治疗。2组均治疗3个月。比较2组临床疗效、临床痉挛指数(CSI)评分、改良Ashworth量表(MAS)评分、Fugl-Meyer运动功能量表(FMA)评分、脑卒中患者姿势评定量表(PASS)评分、肌电图指标[患侧胫骨前肌和腓肠肌屈伸最大等长收缩时表面肌电图积分肌电值(iEMG)、患肢M波最大波幅(Mmax)和H波最大波幅(Hmax)]、三维步态参数(步频、步速、支撑相、摆动相)及Kelch样环氧氯丙烷相关蛋白-1 (Keap1)/核因子E2相关因子2 (Nrf2)/抗氧化反应元件(ARE)信号通路。结果:治疗后,针灸联合治疗组总有效率96.77%,高于常规治疗组82.26%(P<0.05)。2组CSI、MAS评分均较治疗前降低(P<0.05),针灸联合治疗组CSI、MAS评分均低于常规治疗组(P<0.05)。2组胫骨前肌、腓肠肌iEMG均较治疗前升高(P<0.05),针灸联合治疗组胫骨前肌、腓肠肌i EMG均高于常规治疗组(P<0.05)。2组Mmax、Hmax均较治疗前降低(P<0.05),针灸联合治疗组Mmax、Hmax均低于常规治疗组(P<0.05)。2组步频、步速、支撑相均较治疗前提高(P<0.05),针灸联合治疗组步频、步速、支撑相均高于常规治疗组(P<0.05)。2组摆动相均较治疗前降低(P<0.05),针灸联合治疗组摆动相低于常规治疗组(P<0.05)。2组FMA、PASS评分均较治疗前升高(P<0.05),针灸联合治疗组FMA、PASS评分均高于常规治疗组(P<0.05)。2组Nrf2、ARE水平均较治疗前升高(P<0.05),针灸联合治疗组Nrf2、ARE水平均高于常规治疗组(P<0.05)。2组Keap1水平均较治疗前降低(P<0.05),针灸联合治疗组Keap1水平低于常规治疗组(P<0.05)。结论:补土针灸法联合热敏灸治疗脑卒中后肢体痉挛性瘫痪,可调节Keap1/Nrf2/ARE信号通路,抑制脊髓运动神经元兴奋性,改善肌张力、痉挛状态及三维步态参数,进而提升临床疗效。 展开更多
关键词 脑卒中后肢体痉挛性瘫痪 补土针灸法 热敏灸 肌电图 三维步态参数 Keap1/Nrf2/ARE信号通路
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基于多域特征参数的长期屈颈位人群颈部疲劳识别分析与研究
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作者 张娜娜 王琳 +1 位作者 董洋 陈骥驰 《沈阳工程学院学报(自然科学版)》 2024年第2期68-75,共8页
长时间保持屈颈姿态易导致颈肌疲劳,从而引起颈椎的软组织损伤和退行性改变。因此,对长期屈颈伏案工作者的颈部肌肉疲劳状态进行识别具有很高的研究价值。首先,采用小波阈值法、经验模态分解法(empirical mode decomposition,EMD)、EMD... 长时间保持屈颈姿态易导致颈肌疲劳,从而引起颈椎的软组织损伤和退行性改变。因此,对长期屈颈伏案工作者的颈部肌肉疲劳状态进行识别具有很高的研究价值。首先,采用小波阈值法、经验模态分解法(empirical mode decomposition,EMD)、EMD与小波阈值结合的方法对长时间屈颈伏案人员的颈部肌电信号进行消噪处理,并通过计算均方根误差、信噪比及运算速度对3种去噪方法进行对比分析,得出基于EMD与小波阈值的消噪方法的信噪分离能力最好。其次,提取了颈部肌电信号的时域、频域及非线性特征参数,通过分析各特征参数随时间变化趋势确定有效特征。最后,将有效特征向量作为分类器输入,建立卷积神经网络(convolutional neural network,CNN)模型对颈部肌肉的疲劳状态进行识别,分类准确率达到90.48%。 展开更多
关键词 颈肌疲劳 表面肌电信号 去噪 特征提取
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Classification of human movements with and without spinal orthosis based on surface electromyogram signals
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作者 Chenyan Wang Xiaona Li +2 位作者 Yuan Guo Ruixuan Zhang Weiyi Chen 《Medicine in Novel Technology and Devices》 2022年第4期141-149,共9页
Spinal orthoses were designed to correct poor posture;however,they may restrict trunk movements at all times,making daily activities difficult.Detecting trunk movements can provide instructions for adjusting the stiff... Spinal orthoses were designed to correct poor posture;however,they may restrict trunk movements at all times,making daily activities difficult.Detecting trunk movements can provide instructions for adjusting the stiffness of the spinal orthosis.This study evaluated the feasibility of identifying movements based on surface electromyography(sEMG)signals.Ten participants were tested for different movements with two different modalities:motion without the spinal orthosis(Normal)and with the spinal orthosis(Spinal orthosis).The sEMG signals were collected from eight muscles using surface electrodes during four movements[flexion-extension,lateral bending,axial rotation,and stand to sit to stand].Four time domain features were extracted,with a total of 32 feature vectors.The principal component analysis(PCA)method was adopted to feature selection,and it was found that eight feature dimensions can make cumulative explained variance exceed 95%.The results showed that machine learning algorithms could not only identify Normal and Spinal orthosis movement modalities,but also distinguish four daily movements.Moreover,the classification performance of Random Forest(RF),k-Nearest Neighbor(kNN),and Support Vector Machine(SVM)algorithms were also compared.The results showed that all three machine algorithms have high classification accuracy.The machine learning methods can accurately identify movement patterns by considering sEMG signals,which may provide instructions for adjusting the stiffness of the spinal orthosis.In the future,the spinal orthosis with adjustable stiffness controlled by sEMG signals could help correct poor posture,and permit the wearer to achieve free movement when needed. 展开更多
关键词 Surface electromyogram Machine learning Spinal orthosis Trunk movements CLASSIFICATION
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醒脾养儿颗粒对正常大鼠排尿功能的影响 被引量:1
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作者 李磊 王奥奥 +5 位作者 王紫艳 杨丽丽 史跃 马彦雷 孟红旭 刘建勋 《中国比较医学杂志》 CAS 北大核心 2023年第4期69-75,共7页
目的 探索醒脾养儿颗粒对正常大鼠膀胱尿动力学及尿道外括约肌活动性的影响。方法 雄性SD大鼠60只,随机分为正常对照组、醒脾养儿颗粒9.2、4.6、2.3 g/kg组及奥昔布宁组,每组12只。各给药组灌胃给药,正常对照组给予等体积纯水,连续7 d,... 目的 探索醒脾养儿颗粒对正常大鼠膀胱尿动力学及尿道外括约肌活动性的影响。方法 雄性SD大鼠60只,随机分为正常对照组、醒脾养儿颗粒9.2、4.6、2.3 g/kg组及奥昔布宁组,每组12只。各给药组灌胃给药,正常对照组给予等体积纯水,连续7 d,末次灌胃后分别于深麻醉和浅麻醉状态下测定大鼠排尿时膀胱内压和尿道外括约肌电活动。苏木素-伊红(HE)染色观察大鼠膀胱组织形态学变化。结果 醒脾养儿颗粒各剂量组能明显降低深麻醉及浅麻醉下大鼠基础膀胱压,醒脾养儿颗粒大剂量组能显著增加膀胱最大容量;醒脾养儿颗粒大剂量组明显增加浅麻醉下大鼠排尿P_(2)期波峰数及膀胱顺应性;各组膀胱组织形态未见明显差异。结论 醒脾养儿颗粒可显著降低基础膀胱压,增加膀胱最大容量和膀胱顺应性,促进膀胱持续有力的排尿,其作用可能与松弛膀胱平滑肌改善膀胱功能状态相关。 展开更多
关键词 儿童夜间遗尿症 醒脾养儿颗粒 膀胱内压 尿动力学 尿道外括约肌肌电图
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