中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (17): 3187-3190.doi: 10.3969/j.issn.1673-8225.2011.17.035

• 骨与关节综述 bone and joint review • 上一篇    下一篇

三维步态分析系统在儿童运动功能评价中的运用

胡  玲，肖  农，陈玉霞   

  1. 重庆医科大学附属儿童医院(儿童发育疾病研究省部共建教育部重点实验室；儿科学重庆市重点实验室；重庆市儿童发育重大疾病诊治与预防国际科技合作基地)康复中心，重庆市400014
  • 收稿日期:2010-12-07 修回日期:2011-03-23 出版日期:2011-04-23 发布日期:2011-04-23
  • 通讯作者: 肖农，硕士，重庆医科大学附属儿童医院康复中心，重庆市 400014 xiaonongwl@163.com
  • 作者简介:胡玲，女，1986年生，重庆市人，汉族，2009年中国医科大学毕业，主要从事神经康复方面的研究。 huling47542463@sohu.com

Three-dimensional gait analysis system in the evaluation of children’s motor function

Hu Ling, Xiao Nong, Chen Yu-xia   

  1. Rehabilitation Center, Children Hospital of Chongqing Medical University (Ministry of Education Key Laboratory of Child Development and Disorders; Key Laboratory of Pediatrics in Chongqing, CSTC2009CA5002;Chongqing International Science and Technology Cooperation Center for Child Development and Disorders), Chongqing  400014, China
  • Received:2010-12-07 Revised:2011-03-23 Online:2011-04-23 Published:2011-04-23
  • Contact: Xiao Nong, Master, Rehabilitation Center, Children Hospital of Chongqing Medical University, Chongqing 400014, China xiaonongwl@163.com
  • About author:Hu Ling, Rehabilitation Center, Children Hospital of Chongqing Medical University, Chongqing 400014, China huling47542463@sohu.com

PDF

702

被引次数

9

摘要：

背景：三维步态分析系统是一组通过网络将运动分析系统，动态体表肌电图和压力板连接起来的系统。
目的：利用三维步态分析提供的实时力学等数据，对步态进行运动学和动力学方法定量评定，为异常运动儿童患者提供相关客观依据。
方法：应用计算机检索1991-01/2010-02PubMed数据库(http://www.ncbi.nlm.nih.gov/PubMed)，检索词为“Three-dimensional gait analysis，children”。检索文献量总计136篇，选择三维步态分析系统在儿童运动功能评价中科研及其临床应用方面的文献，排除陈旧及重复实验文章，同一领域文献则选择近期发表或发表在权威杂志的文章，最终纳入28篇符合标准的文献。
结果与结论：三维步态分析系统的可靠性优于视觉步态分析。可诊断并分析异常运动，作治疗前评价，治疗后的效果评价和预后评价。在国外科研和成人运动功能评估中运用广泛，但在儿童运动功能评价中的运用还不是很成熟。

关键词: 三维步态分析系统, 运动功能, 评价, 儿童, 数字化医学

Abstract:

BACKGROUND: Three-dimensional gait analysis (3DGA) system is an analysis system which connects motion analysis system, surface electromyography and pressure plate though a set of network. It analyzes kinematics and dynamic of the gait using the providing real-time data such as mechanics and optics.
OBJECTIVE: To introduce the quantitative evaluation of human gait function with 3DGA so as to analyze abnormal motion, design training plan of rehabilitative therapy, evaluate rehabilitative curative effect, make orthosis and provide objective evidence for patients of children.
METHODS: We searched for articles about gait analysis between January 1991 and February 2010 in PubMed database with the key words of “three dimensional gait analysis and children” in English. A total of 136 articles were retrieved. We chose the articles about the evaluation of the scientific research and clinic in children's motion function by 3DGA system and eliminated obsolete and repeated trials ones. We chose articles which published recently or published in an authoritative magazine among the same field literatures. Finally, 28 articles were selected.
RESULTS AND CONCLUSION: There liability in 3DGA surpasses that in observational gait analysis (OGA) as a means of assessment. The major components of 3DGA are motion analysis system, pressure plat and the surface EMG. Musculoskeletal models response to the basic anatomy and structure in the 3DGA system. 3DGA system is an advanced tool that can assess human gait objectively, which is widely used in assessment of motion function of children. Application of 3DGA system for motion function in children: the diagnosis and analysis of abnormal gait, assessment before a certain treatment, assessment of the effectiveness and prognosis. 3DGA system is a reliable and systemic tool to assess the effectiveness of clinical trail. It is widely used abroad in research and assessment of motor function in adults. But it is not mature in evaluation of motor function in children.

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