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有无测力的T/A分析:正常范围评估中的问题

T/A-analysis with or without measuring force: problems in the evaluation of normal limits.

作者信息

Finsterer J, Mamoli B

机构信息

II. Neurologische Abteilung, NKH Rosenhügel, Vienna.

出版信息

Electromyogr Clin Neurophysiol. 1994 Jun;34(4):215-24.

PMID:8082607
Abstract

Turn/amplitude-analysis (TAA) has been applied to interference patterns of the right m. biceps brachii and the right m. rectus femoris of 33 healthy women aged 19 to 53 years. Interference patterns were recorded at 20, 40 and 60% +/- 10% of both muscles maximum force. The dependency of the turn/amplitude-parameters (T/A-parameters) on age, muscle and force is discussed. Normal limits for individual means of the T/A-parameters were calculated in form of the +/- 2 SD. Normal limits for single values were calculated in form of clouds. Both methods were applied to the values of each force level (20, 40 and 60%) and of all force levels together (10-70%). Clouds of the present study were clearly different from those of Stålberg. Evaluating individual means rates of false positive results were higher compared to those of single values. Rates of false positive results for single values and individual means of the parameters T/S and A/T were lower at the 20% force level than at the higher force levels and without measuring force. For the application of the TAA we advise every electrophysiological laboratory 1) to evaluate single values instead of individual means, 2) to use clouds instead of the +/- 2 SD as normal limits, 3) to measure force until a modified cloud-method will be applicable and 4) to elaborate its own normal limits.

摘要

转动/幅度分析(TAA)已应用于33名年龄在19至53岁的健康女性右侧肱二头肌和右侧股直肌的干涉图。在两块肌肉最大力量的20%、40%和60%±10%时记录干涉图。讨论了转动/幅度参数(T/A参数)对年龄、肌肉和力量的依赖性。T/A参数个体均值的正常范围以±2标准差的形式计算。单个值的正常范围以云图的形式计算。这两种方法都应用于每个力量水平(20%、40%和60%)以及所有力量水平(10%-70%)的值。本研究的云图与斯塔尔伯格的云图明显不同。与单个值相比,评估个体均值时假阳性结果的发生率更高。参数T/S和A/T的单个值和个体均值的假阳性结果发生率在20%力量水平时低于较高力量水平且不测量力量时。对于TAA的应用,我们建议每个电生理实验室:1)评估单个值而非个体均值;2)使用云图而非±2标准差作为正常范围;3)测量力量,直到适用改进的云图方法;4)制定自己的正常范围。

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