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本文引用的文献

1
Multivariable Static Ankle Mechanical Impedance With Active Muscles.具有主动肌肉的多变量静态踝关节机械阻抗
IEEE Trans Neural Syst Rehabil Eng. 2014 Jan;22(1):44-52. doi: 10.1109/TNSRE.2013.2262689. Epub 2013 Sep 20.
2
System identification of human ankle dynamics: intersubject variability and intrasubject reliability.人体踝关节动力学的系统识别:个体间变异性和个体内可靠性
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3
Differentiation between non-neural and neural contributors to ankle joint stiffness in cerebral palsy.区分脑瘫踝关节僵硬中非神经和神经因素的贡献。
J Neuroeng Rehabil. 2013 Jul 23;10:81. doi: 10.1186/1743-0003-10-81.
4
Static ankle impedance in stroke and multiple sclerosis: a feasibility study.中风和多发性硬化症中的静态踝关节阻抗:一项可行性研究。
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5
Quantitative evaluations of ankle spasticity and stiffness in neurological disorders using manual spasticity evaluator.使用手动痉挛评估器对神经系统疾病中的踝关节痉挛和僵硬进行定量评估。
J Rehabil Res Dev. 2011;48(4):473-81. doi: 10.1682/jrrd.2010.04.0053.
6
Multivariable static ankle mechanical impedance with relaxed muscles.多变量静态踝关节机械阻抗,肌肉放松。
J Biomech. 2011 Jul 7;44(10):1901-8. doi: 10.1016/j.jbiomech.2011.04.028. Epub 2011 May 14.
7
Ankle training with a robotic device improves hemiparetic gait after a stroke.使用机器人设备进行踝关节训练可改善脑卒中后的偏瘫步态。
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8
Distinguishing active from passive components of ankle plantar flexor stiffness in stroke, spinal cord injury and multiple sclerosis.区分脑卒中、脊髓损伤和多发性硬化症患者踝关节跖屈肌僵硬的主动成分和被动成分。
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Arch Phys Med Rehabil. 2008 Apr;89(4):700-10. doi: 10.1016/j.apmr.2007.09.051.
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肌肉放松状态下的多变量动态踝关节机械阻抗

Multivariable dynamic ankle mechanical impedance with relaxed muscles.

作者信息

Lee Hyunglae, Krebs Hermano Igo, Hogan Neville

出版信息

IEEE Trans Neural Syst Rehabil Eng. 2014 Nov;22(6):1104-14. doi: 10.1109/TNSRE.2014.2313838. Epub 2014 Mar 26.

DOI:10.1109/TNSRE.2014.2313838
PMID:24686292
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4696764/
Abstract

Neurological or biomechanical disorders may distort ankle mechanical impedance and thereby impair locomotor function. This paper presents a quantitative characterization of multivariable ankle mechanical impedance of young healthy subjects when their muscles were relaxed, to serve as a baseline to compare with pathophysiological ankle properties of biomechanically and/or neurologically impaired patients. Measurements using a highly backdrivable wearable ankle robot combined with multi-input multi-output stochastic system identification methods enabled reliable characterization of ankle mechanical impedance in two degrees-of-freedom (DOFs) simultaneously, the sagittal and frontal planes. The characterization included important ankle properties unavailable from single DOF studies: coupling between DOFs and anisotropy as a function of frequency. Ankle impedance in joint coordinates showed responses largely consistent with a second-order system consisting of inertia, viscosity, and stiffness in both seated (knee flexed) and standing (knee straightened) postures. Stiffness in the sagittal plane was greater than in the frontal plane and furthermore, was greater when standing than when seated, most likely due to the stretch of bi-articular muscles (medial and lateral gastrocnemius). Very low off-diagonal partial coherences implied negligible coupling between dorsiflexion-plantarflexion and inversion-eversion. The directions of principal axes were tilted slightly counterclockwise from the original joint coordinates. The directional variation (anisotropy) of ankle impedance in the 2-D space formed by rotations in the sagittal and frontal planes exhibited a characteristic "peanut" shape, weak in inversion-eversion over a wide range of frequencies from the stiffness dominated region up to the inertia dominated region. Implications for the assessment of neurological and biomechanical impairments are discussed.

摘要

神经或生物力学紊乱可能会扭曲踝关节的机械阻抗,从而损害运动功能。本文对年轻健康受试者肌肉放松时的多变量踝关节机械阻抗进行了定量表征,作为与生物力学和/或神经功能受损患者的病理生理踝关节特性进行比较的基线。使用高度可反向驱动的可穿戴踝关节机器人结合多输入多输出随机系统识别方法进行测量,能够同时在矢状面和额状面两个自由度上可靠地表征踝关节机械阻抗。该表征包括单自由度研究中无法获得的重要踝关节特性:自由度之间的耦合以及作为频率函数的各向异性。关节坐标中的踝关节阻抗在坐姿(膝关节屈曲)和站姿(膝关节伸直)时的响应在很大程度上与由惯性、粘性和刚度组成的二阶系统一致。矢状面的刚度大于额状面,此外,站立时的刚度大于坐姿时,这很可能是由于双关节肌肉(内侧和外侧腓肠肌)的拉伸。极低的非对角部分相干性意味着背屈-跖屈和内翻-外翻之间的耦合可忽略不计。主轴方向从原始关节坐标逆时针略微倾斜。由矢状面和额状面旋转形成的二维空间中踝关节阻抗的方向变化(各向异性)呈现出特征性的“花生”形状,在从刚度主导区域到惯性主导区域的很宽频率范围内,内翻-外翻方向较弱。讨论了对神经和生物力学损伤评估的意义。