先天性馬蹄內(nèi)翻足Ponseti法治療后其表面肌電研究
發(fā)布時(shí)間：2018-11-02 20:07
【摘要】：【目的】先天性馬蹄內(nèi)翻足(congenital clubfoot,CCF)是兒童最常見的先天性四肢畸形之一,病因尚不清楚。本研究旨在探討表面肌電檢測(cè)技術(shù)在Ponseti治療后先天性馬蹄內(nèi)翻足患兒中的臨床意義�！痉椒ā勘狙芯坎捎檬ǖ辣砻婕‰妶D遙測(cè)儀對(duì)Ponseti治療后的8名單側(cè)先天性馬蹄內(nèi)翻足患兒進(jìn)行表面肌電檢測(cè),所有患兒均可自主平地行走9 m,在步態(tài)行進(jìn)過程中同時(shí)測(cè)量患側(cè)與對(duì)側(cè)小腿脛前肌、腓腸肌內(nèi)側(cè)頭、腓骨肌的表面肌電信號(hào),利用美國(guó)Noraxon公司專用信號(hào)處理軟件MyoResearch獲得所測(cè)肌肉的平均振幅(μV)、平均頻率(Hz)、中位頻率(Hz),采用SPPSS16.0統(tǒng)計(jì)軟件利用配對(duì)t檢驗(yàn)分別比較患側(cè)和對(duì)側(cè)各表面肌電參數(shù)的差異�！窘Y(jié)果】結(jié)果發(fā)現(xiàn)8名Ponseti治療后的單側(cè)先天性馬蹄內(nèi)翻足患兒在步態(tài)模式下其患側(cè)脛前肌、腓腸肌內(nèi)側(cè)頭和腓骨肌表面肌電圖的平均振幅較對(duì)側(cè)雖無明顯統(tǒng)計(jì)學(xué)差異但具有臨床意義。另外,8名患兒患側(cè)脛前肌、腓腸肌內(nèi)側(cè)頭、腓骨肌表面肌電的平均頻率明顯高于對(duì)側(cè)(P0.05),患側(cè)脛前肌和腓腸肌內(nèi)側(cè)頭表面肌電的中位頻率高位對(duì)側(cè)(P0.05),而腓骨肌表面肌電的中位數(shù)頻率無明顯統(tǒng)計(jì)學(xué)差異�！窘Y(jié)論】利用表面肌電檢測(cè)技術(shù)對(duì)先天性馬蹄內(nèi)翻足患兒雙側(cè)小腿肌群的功能進(jìn)行評(píng)估,可能為判斷Ponseti治療后先天性馬蹄內(nèi)翻足患兒的預(yù)后及何時(shí)需進(jìn)一步手術(shù)治療提供客觀、可靠的依據(jù)。
[Abstract]:Objective: congenital equinovarus foot (congenital clubfoot,CCF) is one of the most common congenital extremities in children. The purpose of this study was to investigate the clinical significance of surface electromyography in children with congenital equinovarus after Ponseti treatment. [methods] Sixteen-channel surface electromyography telemeter was used to detect the congenital of 8 sides of Ponseti after Ponseti treatment. The surface electromyography was performed in children with equinovarus. All the children were able to walk on their own for 9 m.The surface electromyography of the affected and contralateral tibial anterior muscle, the medial gastrocnemius head and the fibula muscle were measured simultaneously during the gait movement. Obtaining the mean amplitude (渭 V), mean frequency (Hz), median frequency (Hz),) of the muscle measured by MyoResearch, a special signal processing software for Noraxon Company, USA SPPSS16.0 software was used to compare the difference of electromyography parameters between the affected side and the contralateral side by paired t test. [results] the results showed that 8 children with congenital equinovarus had their tibial anterior muscles in gait mode after Ponseti treatment. The mean amplitude of the surface electromyography of the medial head of gastrocnemius and the sural muscle of gastrocnemius was not significantly different from that of the contralateral, but had clinical significance. In addition, the average frequency of the surface myography of the affected tibial anterior muscle, the medial head of gastrocnemius and the sural muscle of the gastrocnemius was significantly higher than that of the contralateral (P0.05), and the median frequency of the surface myography of the anterior tibial muscle and the medial head of the gastrocnemius was higher than that of the contralateral side (P0.05). But there was no significant difference in median frequency of sural myoelectric activity. [conclusion] the function of bilateral leg muscle group in children with congenital horseshoe varus foot was evaluated by surface electromyography. It may provide an objective and reliable basis for judging the prognosis of children with congenital horseshoe varus after Ponseti treatment and when further surgical treatment is needed.
【學(xué)位授予單位】：上海交通大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R726.8
本文編號(hào)：2306824
[Abstract]:Objective: congenital equinovarus foot (congenital clubfoot,CCF) is one of the most common congenital extremities in children. The purpose of this study was to investigate the clinical significance of surface electromyography in children with congenital equinovarus after Ponseti treatment. [methods] Sixteen-channel surface electromyography telemeter was used to detect the congenital of 8 sides of Ponseti after Ponseti treatment. The surface electromyography was performed in children with equinovarus. All the children were able to walk on their own for 9 m.The surface electromyography of the affected and contralateral tibial anterior muscle, the medial gastrocnemius head and the fibula muscle were measured simultaneously during the gait movement. Obtaining the mean amplitude (渭 V), mean frequency (Hz), median frequency (Hz),) of the muscle measured by MyoResearch, a special signal processing software for Noraxon Company, USA SPPSS16.0 software was used to compare the difference of electromyography parameters between the affected side and the contralateral side by paired t test. [results] the results showed that 8 children with congenital equinovarus had their tibial anterior muscles in gait mode after Ponseti treatment. The mean amplitude of the surface electromyography of the medial head of gastrocnemius and the sural muscle of gastrocnemius was not significantly different from that of the contralateral, but had clinical significance. In addition, the average frequency of the surface myography of the affected tibial anterior muscle, the medial head of gastrocnemius and the sural muscle of the gastrocnemius was significantly higher than that of the contralateral (P0.05), and the median frequency of the surface myography of the anterior tibial muscle and the medial head of the gastrocnemius was higher than that of the contralateral side (P0.05). But there was no significant difference in median frequency of sural myoelectric activity. [conclusion] the function of bilateral leg muscle group in children with congenital horseshoe varus foot was evaluated by surface electromyography. It may provide an objective and reliable basis for judging the prognosis of children with congenital horseshoe varus after Ponseti treatment and when further surgical treatment is needed.
【學(xué)位授予單位】：上海交通大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R726.8
【參考文獻(xiàn)】
相關(guān)期刊論文 前8條
1 李戰(zhàn)春;管仲良;;改良Ponseti方法治療早期先天性馬蹄內(nèi)翻足的神經(jīng)電生理研究[J];浙江創(chuàng)傷外科;2013年01期
2 馬勝;;不同負(fù)荷運(yùn)動(dòng)中下肢肌表面肌電圖的變化[J];中國(guó)組織工程研究;2013年07期
3 付艷;李世其;陳振國(guó);;基于表面肌電信號(hào)對(duì)比分析的膝下假肢爬梯補(bǔ)償機(jī)制研究[J];人類工效學(xué);2012年04期
4 潘衛(wèi);楊進(jìn);;腓骨長(zhǎng)短肌功能性電刺激對(duì)腦卒中患者足內(nèi)翻的影響觀察[J];中國(guó)傷殘醫(yī)學(xué);2012年10期
5 黃萍;齊進(jìn);鄧廉夫;陳博;;正常青年人自然步態(tài)下肢肌的表面肌電圖分析[J];中國(guó)組織工程研究;2012年20期
6 黃立男;陳宏偉;葉曉勤;季林紅;謝雁鳴;;經(jīng)皮電神經(jīng)刺激在機(jī)器人輔助上肢運(yùn)動(dòng)訓(xùn)練中對(duì)表面肌電信號(hào)的影響[J];中國(guó)康復(fù)醫(yī)學(xué)雜志;2010年10期
7 胡南;羅元芝;梅海波;唐進(jìn);張曉桂;;先天性馬蹄內(nèi)翻足患兒的神經(jīng)肌電圖分析[J];中國(guó)當(dāng)代兒科雜志;2008年02期
8 張成普;吉士俊;周永德;劉衛(wèi)東;;先天性馬蹄內(nèi)翻足小腿肌肉組化分型及電鏡觀察[J];中華小兒外科雜志;1993年01期
，本文編號(hào)：2306824
本文鏈接：http://sikaile.net/yixuelunwen/waikelunwen/2306824.html
最近更新
教材專著
