一种用于评估脑卒中患者运动功能的新型肌肉协同提取方法:初步研究。
A Novel Muscle Synergy Extraction Method Used for Motor Function Evaluation of Stroke Patients: A Pilot Study.
机构信息
Cixi Institute of Biomedical Engineering, Ningbo Institute of Materials Technology and Engineering, Chinese Academy of Sciences, Ningbo 315300, China.
Zhejiang Engineering Research Center for Biomedical Materials, Ningbo Institute of Materials Technology and Engineering, Chinese Academy of Sciences, Ningbo 315300, China.
出版信息
Sensors (Basel). 2021 Jun 1;21(11):3833. doi: 10.3390/s21113833.
In this paper, we present a novel muscle synergy extraction method based on multivariate curve resolution-alternating least squares (MCR-ALS) to overcome the limitation of the nonnegative matrix factorization (NMF) method for extracting non-sparse muscle synergy, and we study its potential application for evaluating motor function of stroke survivors. Nonnegative matrix factorization (NMF) is the most widely used method for muscle synergy extraction. However, NMF is susceptible to components' sparseness and usually provides inferior reliability, which significantly limits the promotion of muscle synergy. In this study, MCR-ALS was employed to extract muscle synergy from electromyography (EMG) data. Its performance was compared with two other matrix factorization algorithms, NMF and self-modeling mixture analysis (SMMA). Simulated data sets were utilized to explore the influences of the sparseness and noise on the extracted synergies. As a result, the synergies estimated by MCR-ALS were the most similar to true synergies as compared with SMMA and NMF. MCR-ALS was used to analyze the muscle synergy characteristics of upper limb movements performed by healthy (n = 11) and stroke (n = 5) subjects. The repeatability and intra-subject consistency were used to evaluate the performance of MCR-ALS. As a result, MCR-ALS provided much higher repeatability and intra-subject consistency as compared with NMF, which were important for the reliability of the motor function evaluation. The stroke subjects had lower intra-subject consistency and seemingly had more synergies as compared with the healthy subjects. Thus, MCR-ALS is a promising muscle synergy analysis method for motor function evaluation of stroke patients.
在本文中,我们提出了一种新的基于多元曲线分辨-交替最小二乘法(MCR-ALS)的肌肉协同提取方法,以克服非负矩阵分解(NMF)方法提取非稀疏肌肉协同的局限性,并研究其在评估中风幸存者运动功能方面的潜在应用。非负矩阵分解(NMF)是最广泛用于肌肉协同提取的方法。然而,NMF 容易受到成分稀疏性的影响,通常提供较差的可靠性,这极大地限制了肌肉协同的推广。在这项研究中,MCR-ALS 被用于从肌电图(EMG)数据中提取肌肉协同。将其性能与其他两种矩阵分解算法(NMF 和自建模混合分析(SMMA)进行比较。使用模拟数据集来研究稀疏性和噪声对提取协同的影响。结果表明,与 SMMA 和 NMF 相比,MCR-ALS 估计的协同最接近真实协同。MCR-ALS 用于分析健康(n=11)和中风(n=5)受试者上肢运动的肌肉协同特征。使用重复性和个体内一致性来评估 MCR-ALS 的性能。结果表明,MCR-ALS 提供了比 NMF 更高的重复性和个体内一致性,这对于运动功能评估的可靠性非常重要。与健康受试者相比,中风受试者的个体内一致性较低,似乎具有更多的协同。因此,MCR-ALS 是一种有前途的用于评估中风患者运动功能的肌肉协同分析方法。