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主动康复中手部运动区分的皮质肌相干性分析。

Corticomuscular coherence analysis on hand movement distinction for active rehabilitation.

机构信息

Qiushi Academy for Advanced Studies, Zhejiang University, Hangzhou, Zhejiang 310027, China.

出版信息

Comput Math Methods Med. 2013;2013:908591. doi: 10.1155/2013/908591. Epub 2013 Apr 16.

Abstract

Active rehabilitation involves patient's voluntary thoughts as the control signals of restore device to assist stroke rehabilitation. Although restoration of hand opening stands importantly in patient's daily life, it is difficult to distinguish the voluntary finger extension from thumb adduction and finger flexion using stroke patients' electroencephalography (EMG) on single muscle activity. We propose to implement corticomuscular coherence analysis on electroencephalography (EEG) and EMG signals on Extensor Digitorum to extract their intention involved in hand opening. EEG and EMG signals of 8 subjects are simultaneously collected when executing 4 hand movement tasks (finger extension, thumb adduction, finger flexion, and rest). We explore the spatial and temporal distribution of the coherence and observe statistically significant corticomuscular coherence appearing at left motor cortical area and different patterns within beta frequency range for 4 movement tasks. Linear discriminate analysis is applied on the coherence pattern to distinguish finger extension from thumb adduction, finger flexion, and rest. The classification results are greater than those by EEG only. The results indicate the possibility to detect voluntary hand opening based on coherence analysis between single muscle EMG signal and single EEG channel located in motor cortical area, which potentially helps active hand rehabilitation for stroke patients.

摘要

主动康复以患者的自主思维作为恢复设备的控制信号,辅助脑卒中康复。手部张开的恢复对患者日常生活很重要,但是由于单块肌肉活动,利用患者的脑电图(EEG)很难区分自主的手指伸展和拇指内收以及手指弯曲。我们建议对手部张开所涉及的运动意图,在脑电图(EEG)和伸指肌的肌电图(EMG)信号上实施皮质肌相干性分析。当执行 4 种手部运动任务(手指伸展、拇指内收、手指弯曲和休息)时,同步采集 8 名受试者的 EEG 和 EMG 信号。我们探索了相干性的空间和时间分布,并观察到在 4 种运动任务中,β频带内不同模式的左运动皮质区出现了统计学上显著的皮质肌相干性。在线性判别分析中,我们将相干模式应用于区分手指伸展、拇指内收、手指弯曲和休息。分类结果大于仅使用 EEG 的结果。这些结果表明,基于位于运动皮质区的单个肌电图信号和单个脑电图通道之间的相干性分析,有可能检测到自主的手部张开,这可能有助于脑卒中患者的主动手部康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cb4/3652035/14727138a096/CMMM2013-908591.001.jpg

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