基于牵张反射阈值的上肢痉挛评定方法与装置及其效度信度研究

被引：16

作者：

胡保华 ^{[1
]}

穆景颂 ^{[2
]}

朱宗俊 ^{[3
]}

赵鹏鹏 ^{[1
]}

王勇 ^{[1
]}

机构：

[1] 合肥工业大学机械工程学院

[2] 安徽省立医院康复医学科

[3] 安徽中医药大学第一附属医院针灸康复科

来源：

自动化学报 | 2018年 / 44卷 / 01期

关键词：

痉挛; 牵张反射阈值; 加速度; 改良Ashworth量表;

D O I：

暂无

中图分类号：

R496 [康复医学工程];

学科分类号：

100232 [康复医学];

摘要：

针对目前临床痉挛评定主观性大,信度与效度有待提高的问题,提出了一种新的基于牵张反射阈值的痉挛评定方法,利用关节角加速度变化判定牵张反射阈值,通过设计相应装置检验了牵张反射阈值在上肢痉挛评定中的信度与效度,并探讨了加速度变化在上肢痉挛评定中的信度与效度.4位检查者利用改良Ashworth量表(Modified Ashworth scale,MAS)及该痉挛检测装置对招募的22例伴随有上肢痉挛症状的受试者进行了痉挛评定.将评定过程中采集的牵张反射阈值以及加速度平均变化值(Acceleration mean variance,AMV)与MAS评分进行相关性分析,显示牵张反射阈值数据与MAS评分显著相关,相关性满足(r=-0.831～-0.953,P<0.05),AMV与MAS评分相关性满足(r=0.665～0.900,P<0.05).它们重测信度分别满足(r=0.890～0.962,P<0.05)和(r=0.632～0.928,P<0.05).实验结果表明该方法及装置可为痉挛评定提供一种实用的定量分析手段.

引用

页码：129 / 139

页数：11

共 15 条

[1]

Safety and efficacy of abobotulinumtoxinA for hemiparesis in adults with upper limb spasticity after stroke or traumatic brain injury: a double-blind randomised controlled trial [J].

Gracies, Jean-Michel ;

Brashear, Allison ;

Jech, Robert ;

McAllister, Peter ;

Banach, Marta ;

Valkovic, Peter ;

Walker, Heather ;

Marciniak, Christina ;

Deltombe, Thierry ;

Skoromets, Alexander ;

Khatkova, Svetlana ;

Edgley, Steven ;

Gul, Fatma ;

Catus, France ;

De Fer, Beatrice Bois ;

Vilain, Claire ;

Picaut, Philippe .

LANCET NEUROLOGY, 2015, 14 (10) :992-1001

[2]

The relation between spasticity and muscle behavior during the swing phase of gait in children with cerebral palsy [J].

Bar-On, Lynn ;

Molenaers, Guy ;

Aertbelien, Erwin ;

Monari, Davide ;

Feys, Hilde ;

Desloovere, Kaat .

RESEARCH IN DEVELOPMENTAL DISABILITIES, 2014, 35 (12) :3354-3364

[3]

The relationship between isokinetic muscle strength and spasticity in the lower limbs of stroke patients [J].

Abdollahi, I. ;

Taghizadeh, A. ;

Shakeri, H. ;

Eivazi, M. ;

Jaberzadeh, S. .

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES, 2015, 19 (02) :284-290

[4]

Inter-rater reliability of the Modified Ashworth Scale and modified Modified Ashworth Scale in assessing poststroke elbow flexor spasticity [J].

Kaya, Taciser ;

Karatepe, Altinay Goksel ;

Gunaydin, Rezzan ;

Koc, Aysegul ;

Ercan, Ulku Altundal .

INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH, 2011, 34 (01) :59-64

[5]

Portable measurement system for the objective evaluation of the spasticity of hemiplegic patients based on the tonic stretch reflex threshold.[J].Keo Sik Kim;Jeong Hwan Seo;Chul Gyu Song.Medical Engineering and Physics.2010, 1

[6]

Upper limb motor and sensory impairments in children with hemiplegic cerebral palsy. Can they be measured reliably? [J].

Klingels, K. ;

De Cock, P. ;

Molenaers, G. ;

Desloovere, K. ;

Huenaerts, C. ;

Jaspers, E. ;

Feys, H. .

DISABILITY AND REHABILITATION, 2010, 32 (05) :409-416

[7]

Spasticity measurement based on tonic stretch reflex threshold in stroke using a portable device [J].

Calota, Andra ;

Feldman, Anatol G. ;

Levin, Mindy F. .

CLINICAL NEUROPHYSIOLOGY, 2008, 119 (10) :2329-2337

[8]

Linear spring-damper model of the hypertonic elbow: reliability and validity.[J].Patrick H. McCrea;Janice J. Eng;Antony J. Hodgson.Journal of Neuroscience Methods.2003, 1

[9]

Biomechanical examination of a commonly used measure of spasticity [J].

Pandyan, AD ;

Price, CIM ;

Rodgers, H ;

Barnes, MP ;

Johnson, GR .

CLINICAL BIOMECHANICS, 2001, 16 (10) :859-865

[10]

关节角度重置法、运动最小阈值测量法和力量重现法的相关性研究 [J].

李林 ;

纪仲秋 ;

李艳霞 ;

刘威彤 .

天津体育学院学报, 2016, 31 (01) :36-40

← 1 2 →