Department of Mechanical Engineering and Construction, Universitat Jaume I, Avinguda Vicent Sos Baynat, s/n., 12071, Castellón, Spain.
J Neuroeng Rehabil. 2018 Oct 29;15(1):91. doi: 10.1186/s12984-018-0437-0.
A deeper knowledge of the activity of the forearm muscles during activities of daily living (ADL) could help to better understand the role of those muscles and allow clinicians to treat motor dysfunctions more effectively and thus improve patients' ability to perform activities of daily living.
In this work, we recorded sEMG activity from 30 spots distributed over the skin of the whole forearm of six subjects during the performance of 21 representative simulated ADL from the Sollerman Hand Function Test. Functional principal component analysis and hierarchical cluster analysis (HCA) were used to identify forearm spots with similar muscle activation patterns.
The best classification of spots with similar activity in simulated ADL consisted in seven muscular-anatomically coherent groups: (1) wrist flexion and ulnar deviation; (2) wrist flexion and radial deviation; (3) digit flexion; (4) thumb extension and abduction/adduction; (5) finger extension; (6) wrist extension and ulnar deviation; and (7) wrist extension and radial deviation.
The number of sEMG sensors could be reduced from 30 to 7 without losing any relevant information, using them as representative spots of the muscular activity of the forearm in simulated ADL. This may help to assess muscle function in rehabilitation while also simplifying the complexity of prosthesis control.
深入了解前臂肌肉在日常生活活动(ADL)中的活动情况,可以帮助更好地理解这些肌肉的作用,并使临床医生能够更有效地治疗运动功能障碍,从而提高患者进行日常生活活动的能力。
在这项工作中,我们记录了 6 名受试者在进行 Sollerman 手功能测试中的 21 项代表性模拟 ADL 过程中,整个前臂皮肤 30 个点的 sEMG 活动。使用功能主成分分析和层次聚类分析(HCA)来识别具有相似肌肉激活模式的前臂点。
模拟 ADL 中具有相似活动的点的最佳分类由七个肌肉解剖学一致的组组成:(1)腕关节屈曲和尺侧偏斜;(2)腕关节屈曲和桡侧偏斜;(3)手指屈曲;(4)拇指伸展和外展/内收;(5)手指伸展;(6)腕关节伸展和尺侧偏斜;和(7)腕关节伸展和桡侧偏斜。
如果使用这 7 个代表性点作为模拟 ADL 中前臂肌肉活动的代表点,可以将 30 个 sEMG 传感器减少到 7 个,而不会丢失任何相关信息。这有助于评估康复中的肌肉功能,同时简化假肢控制的复杂性。