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测量肌纤维传导速度的改进技术。

Improved techniques for measuring muscle fiber conduction velocity.

作者信息

Yaar I, Niles L

机构信息

Neurology Section, VA Medical Center, Providence, RI 02908.

出版信息

Muscle Nerve. 1992 Mar;15(3):410-8. doi: 10.1002/mus.880150324.

Abstract

Cross-correlation (CCT) and dip analysis (DAT) are accepted techniques for estimating muscle fiber conduction velocity (MFCV). In the DAT, the product of the power spectrum of the conducted EMG times a cosine function of the MFCV is added to and inseparable from the noise power spectrum. The inclusion of the noise power is the weakness of the DAT. We propose and evaluate 2 new techniques that directly estimate the cosine function and, hence, the MFCV, avoiding the noise power: (1) The power-modulating-component (PMC), which equals the real part of the cross-power-spectrum of the EMG signal divided by its magnitude; and (2) The power spectrum of the PMC (PMCP). We recorded intramuscular from 229 biceps in isometric maximum voluntary contraction. The EMG signals were analyzed by the 4 techniques, and the results were compared in pairwise design (sign-tests and t tests) for quality and bias. The PMC surpassed the DAT (P less than 0.00005); both the CCT and PMCP performed equally well and better than the DAT and the PMC (P less than 0.00005). Also, the new techniques were superior with simulated EMG. In many cases only the PMCP worked. We conclude that the new techniques are valuable in supplementing the others, and most likely will enhance clinical use of MFCV estimations.

摘要

互相关分析(CCT)和波谷分析(DAT)是用于估计肌纤维传导速度(MFCV)的公认技术。在DAT中,传导肌电图的功率谱与MFCV的余弦函数的乘积被添加到噪声功率谱中且与之不可分离。噪声功率的纳入是DAT的弱点。我们提出并评估了两种直接估计余弦函数进而估计MFCV的新技术,从而避免噪声功率:(1)功率调制分量(PMC),它等于肌电图信号互功率谱的实部除以其模;(2)PMC的功率谱(PMCP)。我们在229例等长最大自主收缩的肱二头肌中记录肌内信号。通过这四种技术对肌电图信号进行分析,并在配对设计中比较结果(符号检验和t检验)的质量和偏差。PMC优于DAT(P小于0.00005);CCT和PMCP的表现同样良好且优于DAT和PMC(P小于0.00005)。此外,新技术在模拟肌电图中也更具优势。在许多情况下只有PMCP有效。我们得出结论,新技术在补充其他技术方面具有价值,并且很可能会增强MFCV估计在临床中的应用。

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