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改善轮椅使用者坐姿以减轻腰部疲劳:一项利用表面肌电图和压力传感器的研究。

Improving wheelchair user sitting posture to alleviate lumbar fatigue: a study utilizing sEMG and pressure sensors.

作者信息

Huang Zizheng, Cui Jianwei, Wang Yuanbo, Yu Siji

机构信息

Jiangsu Key Lab of Remote Measurement and Control, School of Instrument Science and Engineering, Southeast University, Nanjing, China.

出版信息

Front Neurosci. 2024 Mar 15;18:1380150. doi: 10.3389/fnins.2024.1380150. eCollection 2024.

Abstract

BACKGROUND

The wheelchair is a widely used rehabilitation device, which is indispensable for people with limited mobility. In the process of using a wheelchair, they often face the situation of sitting for a long time, which is easy to cause fatigue of the waist muscles of the user. Therefore, this paper hopes to provide more scientific guidance and suggestions for the daily use of wheelchairs by studying the relationship between the development of muscle fatigue and sitting posture.

METHODS

First, we collected surface Electromyography (sEMG) of human vertical spine muscle and analyzed it in the frequency domain. The obtained Mean Power Frequency (MPF) was used as the dependent variable. Then, the pose information of the human body, including the percentage of pressure points, span, and center of mass as independent variables, was collected by the array of thin film pressure sensors, and analyzed by a multivariate nonlinear regression model.

RESULTS

When the centroid row coordinate of the cushion pressure point is about 16(range, 7.7-16.9), the cushion pressure area percentage is about 80%(range, 70.8%-89.7%), and the cushion pressure span range is about 27(range, 25-31), the backrest pressure point centroid row coordinate is about 15(range, 9.1-18.2), the backrest pressure area percentage is about 35%(range, 11.8%-38.7%), and the backrest pressure span range is about 16(range, 9-22). At this time, the MPF value of the subjects decreased by a small percentage, and the fatigue development of the muscles was slower. In addition, the pressure area percentage at the seat cushion is a more sensitive independent variable, too large or too small pressure area percentage will easily cause lumbar muscle fatigue.

CONCLUSION

The results show that people should sit in the middle and back of the seat cushion when riding the wheelchair, so that the Angle of the hip joint can be in a natural state, and the thigh should fully contact the seat cushion to avoid the weight of the body concentrated on the buttocks; The back should be fully in contact with the back of the wheelchair to reduce the burden on the waist, and the spine posture can be adjusted appropriately according to personal habits, but it is necessary to avoid maintaining a chest sitting position for a long time, which will cause the lumbar spine to be in an unnatural physiological Angle and easily lead to fatigue of the waist muscles.

摘要

背景

轮椅是一种广泛使用的康复器械,对于行动不便的人来说不可或缺。在使用轮椅的过程中,使用者常常面临长时间坐着的情况,这容易导致其腰部肌肉疲劳。因此,本文希望通过研究肌肉疲劳发展与坐姿之间的关系,为轮椅的日常使用提供更科学的指导和建议。

方法

首先,我们采集人体脊柱竖脊肌的表面肌电图(sEMG)并在频域进行分析。将得到的平均功率频率(MPF)用作因变量。然后,通过薄膜压力传感器阵列采集人体的姿势信息,包括压力点百分比、跨度和质心等自变量,并采用多元非线性回归模型进行分析。

结果

当坐垫压力点的质心行坐标约为16(范围7.7 - 16.9),坐垫压力面积百分比约为80%(范围70.8% - 89.7%),坐垫压力跨度范围约为27(范围25 - 31)时,靠背压力点质心行坐标约为15(范围9.1 - 18.2),靠背压力面积百分比约为35%(范围11.8% - 38.7%),靠背压力跨度范围约为16(范围9 - 22)。此时,受试者的MPF值下降百分比小,肌肉疲劳发展较慢。此外,坐垫处的压力面积百分比是一个更敏感的自变量,压力面积百分比过大或过小都容易导致腰肌疲劳。

结论

结果表明,人们乘坐轮椅时应坐在坐垫的中后部,使髋关节角度处于自然状态,大腿应充分接触坐垫以避免身体重量集中在臀部;背部应充分接触轮椅靠背以减轻腰部负担,可根据个人习惯适当调整脊柱姿势,但要避免长时间保持含胸坐姿,这会使腰椎处于不自然的生理角度,容易导致腰肌疲劳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b101/10978679/25bf92a1d5a8/fnins-18-1380150-g001.jpg

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