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对一种用于评估颈深屈肌的肌电图技术的进一步评估。

Further evaluation of an EMG technique for assessment of the deep cervical flexor muscles.

作者信息

Falla D, Jull G, O'Leary S, Dall'Alba P

机构信息

Division of Physiotherapy, The University of Queensland, Brisbane, Australia.

出版信息

J Electromyogr Kinesiol. 2006 Dec;16(6):621-8. doi: 10.1016/j.jelekin.2005.10.003. Epub 2005 Dec 15.

Abstract

A novel surface electromyographic (EMG) technique was recently described for the detection of deep cervical flexor muscle activity. Further investigation of this technique is warranted to ensure EMG activity from neighbouring muscles is not markedly influencing the signals recorded. This study compared deep cervical flexor (DCF) muscle activity with the activity of surrounding neck and jaw muscles during various anatomical movements of the neck and jaw in 10 volunteer subjects. DCF EMG activity was recorded with custom electrodes inserted via the nose and fixed by suction to the posterior mucosa of the oropharynx. Surface electrodes were placed over the sternocleidomastoid, anterior scalene, masseter and suprahyoid muscles. Positioned in supine, subjects performed isometric cranio-cervical flexion, cervical flexion, right and left cervical rotation, jaw clench and resisted jaw opening. Across all movements examined, EMG amplitude of the DCF muscles was greatest during neck movements that would require activity of the DCF muscles, particularly during cranio-cervical flexion, their primary anatomical action. The actions of jaw clench and resisted jaw opening demonstrated significantly less DCF EMG activity than the cranio-cervical flexion action (p<0.05). Across all other movements, the neighbouring neck and jaw muscles demonstrated greatest EMG amplitude during their respective primary anatomical actions, which occurred in the absence of increased EMG amplitude recorded from the DCF muscles. The finding of substantial EMG activity of the DCF muscles only during neck actions that would require their activity, particularly cranio-cervical flexion, and not during actions involving the jaw, provide further assurance that the majority of myoelectric signals detected from the nasopharyngeal electrode are from the DCF muscles.

摘要

最近描述了一种用于检测颈深屈肌活动的新型表面肌电图(EMG)技术。有必要对该技术进行进一步研究,以确保来自相邻肌肉的EMG活动不会显著影响所记录的信号。本研究比较了10名志愿者在颈部和下颌进行各种解剖运动时颈深屈肌(DCF)与颈部和下颌周围肌肉的活动情况。通过经鼻插入并通过吸力固定在口咽后壁黏膜上的定制电极记录DCF的EMG活动。表面电极放置在胸锁乳突肌、前斜角肌、咬肌和舌骨上肌群上。受试者仰卧位,进行等长颅颈屈曲、颈椎屈曲、左右颈椎旋转、紧咬牙和抗阻张口。在所有检查的运动中,DCF肌肉的EMG幅度在需要DCF肌肉活动的颈部运动期间最大,特别是在颅颈屈曲(其主要解剖动作)期间。紧咬牙和抗阻张口动作所显示的DCF EMG活动明显少于颅颈屈曲动作(p<0.05)。在所有其他运动中,相邻的颈部和下颌肌肉在其各自的主要解剖动作期间显示出最大的EMG幅度,而此时DCF肌肉记录的EMG幅度并未增加。仅在需要DCF肌肉活动的颈部动作(特别是颅颈屈曲)期间而非涉及下颌的动作期间发现DCF肌肉有大量EMG活动,这进一步证明从鼻咽电极检测到的大多数肌电信号来自DCF肌肉。

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