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功能性电刺激辅助截瘫患者行走的步行周期记录与分析

Walking cycle recording and analysis for FNS-assisted paraplegic walking.

作者信息

Oderkerk B J, Inbar G F

机构信息

Department of Electrical Engineering, Technion-Israel Institute of Technology, Haifa, Israel.

出版信息

Med Biol Eng Comput. 1991 Jan;29(1):79-83. doi: 10.1007/BF02446300.

DOI:10.1007/BF02446300
PMID:2016925
Abstract

In closed-loop functional neuromuscular stimulation (FNS)-assisted paraplegic walking, there is a need for reference leg motion trajectories that describe the desired walking cycle. These reference trajectories were defined as the angular changes between the leg segments, as measured by an electrogoniometer system. For each leg, the hip, knee and ankle trajectories of normal individuals during slow walking were measured and sampled over a number of cycles. Additionally, foot contact with the ground was measured to synchronise the various walking trajectories. Each joint's angular trajectory was averaged over a number of walking cycles, using an interpolation method based on a discrete Fourier transform (DFT) and inverse DFT technique, to expand all the signals to the same length. In this way an average walking cycle was obtained for each trial, representing the six averaged leg motion trajectories for one walking cycle. Angular trajectories and walking parameters for slow and normal walking were compared so as to investigate principles of walking cycle adaptation necessary to stabilise the body during slow walking. In general, angular trajectories were similar for different subjects, but different for different walking speeds, due to the greater demands on maintaining stability during slow walking. It can be concluded that normal speed walking consists of separate, unstable phases, whereas slow speed walking, relevant for paraplegic walking, requires stabilising each separate phase of the walking cycle.

摘要

在闭环功能性神经肌肉刺激(FNS)辅助截瘫患者行走中,需要描述期望行走周期的参考腿部运动轨迹。这些参考轨迹被定义为腿部节段之间的角度变化,由电子测角仪系统测量。对于每条腿,在多个周期内测量并采样了正常个体在慢走时的髋、膝和踝关节轨迹。此外,测量了足部与地面的接触情况,以同步各种行走轨迹。使用基于离散傅里叶变换(DFT)和逆DFT技术的插值方法,将每个关节的角度轨迹在多个行走周期上进行平均,以将所有信号扩展到相同长度。通过这种方式,为每个试验获得了一个平均行走周期,代表一个行走周期的六条平均腿部运动轨迹。比较了慢走和正常行走的角度轨迹及行走参数,以研究在慢走过程中稳定身体所需的行走周期适应性原理。一般来说,不同受试者的角度轨迹相似,但不同行走速度下的轨迹不同,这是因为在慢走过程中对保持稳定性的要求更高。可以得出结论,正常速度行走由单独的、不稳定的阶段组成,而与截瘫患者行走相关的慢速度行走则需要稳定行走周期的每个单独阶段。

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本文引用的文献

1
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