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法国物理治疗师教育项目中的表面肌电图:在拉伸练习中强化表面肌电图学习

Surface Electromyography in Physiotherapist Educational Program in France: Enhancing Learning sEMG in Stretching Practice.

作者信息

Portero Pierre, Dogadov Anton A, Servière Christine, Quaine Franck

机构信息

Université Paris-Est Créteil, Faculté de santé, équipe Bioingénierie, Tissus et Neuroplasticité (BIOTN), Créteil, France.

Université Grenoble Alpes, Centre National de la Recherche Scientifique, Inria, Grenoble INP, GIPSA-lab, Grenoble, France.

出版信息

Front Neurol. 2020 Dec 3;11:584304. doi: 10.3389/fneur.2020.584304. eCollection 2020.

DOI:10.3389/fneur.2020.584304
PMID:33343490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7744717/
Abstract

Surface electromyography (sEMG) is a non-invasive method, which may be used in France by health practitioners without medical degree, such as physiotherapists, who are taught in Institutes of physiotherapy. However, very few hours are devoted to sEMG teaching in physiotherapist educational programs, especially in a form of practical work. In order to motivate using sEMG in physiotherapy to the students, we propose an example of sEMG practical work, applied to muscle stretching. Passive stretching exercises are often used by physiotherapists to maintain or improve range of motion. During a passive stretching session, subjects are given specific instructions to relax and not to activate their muscles during the procedure. In the proposed practical work, the sEMG is used to study the plantar flexor activation level during passive stretching. Therefore, this work may provide students with deeper understanding of physiology and biomechanics, trigger an interest in sEMG as a tool, and give knowledge about good sEMG practice, according to SENIAM and other recommendations. The integration of Institutes of physiotherapy in the University system may provide an opportunity to revisit the physiotherapist educational program and to provide students with more practical courses on sEMG application.

摘要

表面肌电图(sEMG)是一种非侵入性方法,在法国,没有医学学位的健康从业者,如在物理治疗学院接受培训的物理治疗师,可以使用该方法。然而,在物理治疗师教育项目中,用于sEMG教学的时间非常少,尤其是实践操作形式的教学。为了激发学生在物理治疗中使用sEMG的积极性,我们提出一个sEMG实践操作的例子,应用于肌肉拉伸。物理治疗师经常使用被动拉伸练习来维持或改善关节活动范围。在被动拉伸过程中,会给予受试者特定的指示,让他们在操作过程中放松,不要激活肌肉。在所提出的实践操作中,sEMG用于研究被动拉伸过程中跖屈肌的激活水平。因此,这项工作可以让学生更深入地理解生理学和生物力学,激发他们对sEMG作为一种工具的兴趣,并根据SENIAM和其他建议,让他们了解良好的sEMG实践知识。物理治疗学院融入大学系统可能会提供一个机会,重新审视物理治疗师教育项目,并为学生提供更多关于sEMG应用的实践课程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5f/7744717/776c18291be5/fneur-11-584304-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5f/7744717/fffdff9ba9a7/fneur-11-584304-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5f/7744717/776c18291be5/fneur-11-584304-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5f/7744717/fffdff9ba9a7/fneur-11-584304-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5f/7744717/776c18291be5/fneur-11-584304-g0002.jpg

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本文引用的文献

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Consensus for experimental design in electromyography (CEDE) project: Electrode selection matrix.肌电图实验设计共识(CEDE)项目:电极选择矩阵。
J Electromyogr Kinesiol. 2019 Oct;48:128-144. doi: 10.1016/j.jelekin.2019.07.008. Epub 2019 Jul 19.
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Influence of low muscle activation levels on the ankle torque and muscle shear modulus during plantar flexor stretching.低肌肉激活水平对跖屈肌拉伸时踝关节扭矩和肌肉剪切模量的影响。
J Biomech. 2019 Aug 27;93:111-117. doi: 10.1016/j.jbiomech.2019.06.018. Epub 2019 Jun 28.
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The Relationship Between Medial Gastrocnemius Lengthening Properties and Stretch Reflexes in Cerebral Palsy.
脑瘫患者腓肠肌内侧头延长特性与牵张反射之间的关系
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The effect of static stretching of the calf muscle-tendon unit on active ankle dorsiflexion range of motion.小腿肌腱单元静态拉伸对主动踝关节背屈活动度的影响。
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