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帕金森病、特发性震颤和生理性震颤的三维空间可视化。

Visualisation of Parkinsonian, essential and physiological tremor planes in 3Dspace.

机构信息

Department of Neurology, Laboratory of Clinical Neurophysiology, Zvolen Hospital, Zvolen, Slovak Republic.

出版信息

Physiol Res. 2020 Apr 30;69(2):331-337. doi: 10.33549/physiolres.934066.

DOI:10.33549/physiolres.934066
PMID:32199005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8565939/
Abstract

Based on the fact that tremors display some distinct 3D spatial characteristics, we decided to visualise tremor planes in 3D space. We obtained 3-axial linear accelerometer signals of hand tremors from 58 patients with Parkinson´s disease (PD), 37 with isolated resting tremor (iRT), 75 with essential tremor (ET), and 44 healthy volunteers with physiological tremor (Ph). For each group analysis was done with subsequent spatial 3D regression of the input data i.e. along the x, y and z axes; the projected vector lengths in the individual (vertical transversal XY, vertical longitudinal XZ and horizontal YZ) reference frame planes and their angles. Most meaningful and statistically significant differences were found in the analyses of the 3D vector lengths. The tremor of the PD and the iRT group was oriented mainly in the horizontal YZ plane. The tremors of the patients with ET and Ph were oriented approximately in the midway between the all three referential planes with less tilt toward the vertical longitudinal XZ plane.

摘要

基于震颤表现出一些明显的三维空间特征这一事实,我们决定将震颤平面可视化在三维空间中。我们从 58 名帕金森病(PD)患者、37 名孤立性静止性震颤(iRT)患者、75 名特发性震颤(ET)患者和 44 名生理性震颤(Ph)的健康志愿者中获得了手部震颤的三轴线性加速度计信号。对于每个组,我们都通过输入数据的后续空间 3D 回归进行了分析,即沿着 x、y 和 z 轴;在个体(垂直横向 XY、垂直纵向 XZ 和水平 YZ)参考系平面中和它们的角度上的投影向量长度。在 3D 向量长度的分析中发现了最有意义和最显著的差异。PD 和 iRT 组的震颤主要定向在水平 YZ 平面中。ET 和 Ph 患者的震颤大约定向在所有三个参考平面的中间,向垂直纵向 XZ 平面的倾斜度较小。

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本文引用的文献

1
Analysis of 3D spatial trajectories in Parkinsonian, essential and physiological tremors.帕金森病、特发性震颤和生理性震颤的三维空间轨迹分析。
J Neural Transm (Vienna). 2018 Apr;125(4):681-687. doi: 10.1007/s00702-017-1835-3. Epub 2017 Dec 28.
2
Consensus Statement on the classification of tremors. from the task force on tremor of the International Parkinson and Movement Disorder Society.关于震颤分类的共识声明。来自国际帕金森病和运动障碍学会震颤工作组。
Mov Disord. 2018 Jan;33(1):75-87. doi: 10.1002/mds.27121. Epub 2017 Nov 30.
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A simple way to distinguish essential tremor from tremulous Parkinson's disease.一种区分特发性震颤与震颤型帕金森病的简单方法。
Brain. 2017 Jul 1;140(7):1820-1822. doi: 10.1093/brain/awx140.
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Rest tremor revisited: Parkinson's disease and other disorders.再谈静止性震颤:帕金森病及其他疾病
Transl Neurodegener. 2017 Jun 16;6:16. doi: 10.1186/s40035-017-0086-4. eCollection 2017.
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Combined accelerometer and EMG analysis to differentiate essential tremor from Parkinson's disease.结合加速度计和肌电图分析以区分特发性震颤与帕金森病。
Annu Int Conf IEEE Eng Med Biol Soc. 2016 Aug;2016:672-675. doi: 10.1109/EMBC.2016.7590791.
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MDS clinical diagnostic criteria for Parkinson's disease.帕金森病的MDS临床诊断标准。
Mov Disord. 2015 Oct;30(12):1591-601. doi: 10.1002/mds.26424.
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Electrophysiologic characteristics of tremor in Parkinson's disease and essential tremor.帕金森病和特发性震颤中震颤的电生理特征。
Arq Neuropsiquiatr. 2014 Apr;72(4):301-6. doi: 10.1590/0004-282x20140006.
8
EMG signal morphology in essential tremor and Parkinson's disease.原发性震颤和帕金森病中的肌电图信号形态
Annu Int Conf IEEE Eng Med Biol Soc. 2013;2013:5765-8. doi: 10.1109/EMBC.2013.6610861.
9
Distinguishing essential tremor from Parkinson's disease: bedside tests and laboratory evaluations.鉴别特发性震颤与帕金森病:床旁检查与实验室评估。
Expert Rev Neurother. 2012 Jun;12(6):687-96. doi: 10.1586/ern.12.49.
10
Epidemiology and etiology of Parkinson's disease: a review of the evidence.帕金森病的流行病学和病因学:证据回顾。
Eur J Epidemiol. 2011 Jun;26 Suppl 1:S1-58. doi: 10.1007/s10654-011-9581-6. Epub 2011 May 28.