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[人体行走过程中踝关节外骨骼辅助对下肢肌肉收缩及协调模式的影响]

[Effects of ankle exoskeleton assistance during human walking on lower limb muscle contractions and coordination patterns].

作者信息

Wang Wei, Ding Jianquan, Wang Yi, Liu Yicheng, Zhang Juanjuan, Liu Jingtai

机构信息

Institute of Robotics and Automatic Information System, College of Artificial Intelligence, Nankai University, Tianjin 300350, P. R. China.

Tianjin Key Laboratory of Intelligent Robotics, Tianjin 300350, P. R. China.

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2022 Feb 25;39(1):75-83. doi: 10.7507/1001-5515.202107040.

DOI:10.7507/1001-5515.202107040
PMID:35231968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9927746/
Abstract

Lower limb ankle exoskeletons have been used to improve walking efficiency and assist the elderly and patients with motor dysfunction in daily activities or rehabilitation training, while the assistance patterns may influence the wearer's lower limb muscle activities and coordination patterns. In this paper, we aim to evaluate the effects of different ankle exoskeleton assistance patterns on wearer's lower limb muscle activities and coordination patterns. A tethered ankle exoskeleton with nine assistance patterns that combined with differenet actuation timing values and torque magnitude levels was used to assist human walking. Lower limb muscle surface electromyography signals were collected from 7 participants walking on a treadmill at a speed of 1.25 m/s. Results showed that the soleus muscle activities were significantly reduced during assisted walking. In one assistance pattern with peak time in 49% of stride and peak torque at 0.7 N·m/kg, the soleus muscle activity was decreased by (38.5 ± 10.8)%. Compared with actuation timing, the assistance torque magnitude had a more significant influence on soleus muscle activity. In all assistance patterns, the eight lower limb muscle activities could be decomposed to five basic muscle synergies. The muscle synergies changed little under assistance with appropriate actuation timing and torque magnitude. Besides, co-contraction indexs of soleus and tibialis anterior, rectus femoris and semitendinosus under exoskeleton assistance were higher than normal walking. Our results are expected to help to understand how healthy wearers adjust their neuromuscular control mechanisms to adapt to different exoskeleton assistance patterns, and provide reference to select appropriate assistance to improve walking efficiency.

摘要

下肢踝关节外骨骼已被用于提高步行效率,并在日常活动或康复训练中辅助老年人及运动功能障碍患者,而辅助模式可能会影响穿戴者的下肢肌肉活动和协调模式。在本文中,我们旨在评估不同踝关节外骨骼辅助模式对穿戴者下肢肌肉活动和协调模式的影响。使用了一种具有九种辅助模式的系留式踝关节外骨骼,这些模式结合了不同的驱动时机值和扭矩大小水平来辅助人体行走。从7名参与者以1.25 m/s的速度在跑步机上行走时采集下肢肌肉表面肌电信号。结果表明,在辅助行走过程中比目鱼肌的活动显著减少。在一种峰值时间为步幅的49%且峰值扭矩为0.7 N·m/kg的辅助模式下,比目鱼肌的活动降低了(38.5 ± 10.8)%。与驱动时机相比,辅助扭矩大小对比目鱼肌活动的影响更为显著。在所有辅助模式下,八个下肢肌肉活动可分解为五种基本肌肉协同作用。在适当的驱动时机和扭矩大小的辅助下,肌肉协同作用变化不大。此外,外骨骼辅助下比目鱼肌与胫骨前肌、股直肌与半腱肌的共同收缩指数高于正常行走。我们的研究结果有望有助于理解健康穿戴者如何调整其神经肌肉控制机制以适应不同的外骨骼辅助模式,并为选择合适的辅助方式以提高步行效率提供参考。

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本文引用的文献

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The Actuation System of the Ankle Exoskeleton T-FLEX: First Use Experimental Validation in People with Stroke.脚踝外骨骼T-FLEX的驱动系统:在中风患者中的首次使用实验验证
Brain Sci. 2021 Mar 24;11(4):412. doi: 10.3390/brainsci11040412.
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Correlation Evaluation of Functional Corticomuscular Coupling With Abnormal Muscle Synergy After Stroke.脑卒后功能皮质-肌肉耦合与异常肌肉协同相关性评估。
IEEE Trans Biomed Eng. 2021 Nov;68(11):3261-3272. doi: 10.1109/TBME.2021.3068997. Epub 2021 Oct 19.
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Improving the energy economy of human running with powered and unpowered ankle exoskeleton assistance.利用动力和非动力踝关节外骨骼辅助来提高人类跑步的能量经济性。
Sci Robot. 2020 Mar 25;5(40). doi: 10.1126/scirobotics.aay9108.
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Plasticity of muscle synergies through fractionation and merging during development and training of human runners.肌肉协同作用的可塑性通过人类跑步者在发育和训练过程中的分裂和合并。
Nat Commun. 2020 Aug 31;11(1):4356. doi: 10.1038/s41467-020-18210-4.
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Differences in Muscle Synergy Symmetry Between Subacute Post-stroke Patients With Bioelectrically-Controlled Exoskeleton Gait Training and Conventional Gait Training.生物电控制外骨骼步态训练与传统步态训练的亚急性脑卒中患者之间肌肉协同对称性的差异
Front Bioeng Biotechnol. 2020 Jul 29;8:770. doi: 10.3389/fbioe.2020.00770. eCollection 2020.
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The exoskeleton expansion: improving walking and running economy.外骨骼扩展:提高步行和跑步的经济性。
J Neuroeng Rehabil. 2020 Feb 19;17(1):25. doi: 10.1186/s12984-020-00663-9.
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Ankle Exoskeleton Assistance Can Improve Over-Ground Walking Economy in Individuals With Cerebral Palsy.踝部外骨骼助力可改善脑瘫患者地面行走的能量效率。
IEEE Trans Neural Syst Rehabil Eng. 2020 Feb;28(2):461-467. doi: 10.1109/TNSRE.2020.2965029. Epub 2020 Jan 8.
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Muscle Synergy Alteration of Human During Walking With Lower Limb Exoskeleton.人类在使用下肢外骨骼行走过程中的肌肉协同变化
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