School of Mechanical Engineering and Automation, Fuzhou University, Fuzhou, Fujian, China.
Comput Methods Biomech Biomed Engin. 2021 Feb;24(3):260-269. doi: 10.1080/10255842.2020.1823377. Epub 2020 Sep 24.
Sports injuries or traffic accidents make the individuals bedridden for a long duration, easily causing the disuse of lower limb muscles. Exercise rehabilitation is an effective method to improve muscle activity; however, currently, exercise therapy mainly relies on the experience of rehabilitation physicians for determining the rehabilitation parameters. In this paper, we establish a human-machine coupling system model for disuse atrophy of lower limb muscles. We analyze the influence of sitting position on pedaling rehabilitation. The relationship between the sitting position and muscle effect of lower limb muscle is calculated. We optimized the parameters to analyze muscle force and activity distribution in the muscle group during different sitting positions, and the rehabilitation risk area and the invalid area were identified from the distribution map, which helps quantify the maximal exercise of muscles without causing secondary muscle damage. The mapping relationship between sitting position and muscle force was established in this study. Further, muscle activity mapping is performed for overall assessment. Muscle activity assessment considered the training intensity of small muscles and avoids secondary injury of small muscle. The corresponding designated sitting posture improved the intensity of muscle training and shortened the rehabilitation cycle. Systematic distribution areas for different rehabilitation effects in pedal exercises are presented and provide the sitting position distribution areas for patients in the early, middle, and late stages. The proposed model provides theoretical guidance for rehabilitation physicians.
运动损伤或交通事故使个体长期卧床,容易导致下肢肌肉失用。运动康复是提高肌肉活动的有效方法;然而,目前运动疗法主要依赖于康复医师的经验来确定康复参数。本文建立了一种用于下肢肌肉废用性萎缩的人机耦合系统模型。分析了坐姿对蹬踏康复的影响。计算了坐姿与下肢肌肉肌肉效应的关系。优化了参数,分析了不同坐姿下肌肉群中的肌肉力量和活动分布,从分布图中确定了康复风险区和无效区,有助于在不造成二次肌肉损伤的情况下量化肌肉的最大运动。本研究建立了坐姿与肌肉力量之间的映射关系。进一步对整体评估进行肌肉活动映射。肌肉活动评估考虑了小肌肉的训练强度,避免了小肌肉的二次损伤。相应的指定坐姿提高了肌肉训练的强度,缩短了康复周期。提出了不同蹬踏康复效果的系统分布区域,并为早期、中期和晚期患者提供了坐姿分布区域。该模型为康复医师提供了理论指导。