膝骨关节炎患者下肢表面肌电信号特征及其运动康复的研究进展  

Characteristics of lower limb surface electromyography in patients with knee osteoarthritis and progress in their exercise rehabilitation

作　　者：邵云博 郭珈宜 李峰 李健强 姚可心 SHAO Yunbo;GUO Jiayi;LI Feng;LI Jianqiang;YAO Kexin(Luoyang Pingle Orthopedic-Traumatological College,Henan University of Chinese Medicine,Zhengzhou 410307,China;Department of Osteoarthropathy,Luoyang Orthopedic-Traumatological Hospital of Henan Province(Henan Provincial Orthopedic Hospital),Luoyang 471002,Henan Province,China)

机构地区：[1]河南中医药大学洛阳平乐正骨学院,郑州410307 [2]河南省洛阳正骨医院(河南省骨科医院)骨关节病科,河南洛阳471002

出　　处：《医学新知》2024年第8期927-935,共9页New Medicine

基　　金：中医药传承与创新人才工程(仲景工程)中医药拔尖人才(豫卫中医函〔2021〕15号)。

摘　　要：膝骨关节炎(knee osteoarthritis,KOA)是临床上常见的关节退行性病变,长期KOA患者所出现的下肢肌肉无力、关节不稳等导致运动功能受损的表现,能够通过表面肌电技术进行捕捉,表征形式以下肢肌肉的激活顺序、激活程度、协调运动模式和疲劳模式等方面的异常信号为主。运动康复治疗是改善KOA患者下肢运动功能、降低KOA复发几率的必要手段,利用表面肌电技术拓展运动功能的评估方式,能够为KOA患者制定长期、有针对性、高效率的康复锻炼疗法和肌力训练提供科学的参考依据,进一步丰富KOA的康复锻炼方法。本文旨在对KOA患者肌肉的异常电-生理表征和运动康复方案进行综述,以提升表面肌电在KOA运动康复领域的指导价值。Knee osteoarthritis(KOA)is a common joint degenerative disease in clinical practice.The symptoms of lower limb muscle weakness,joint instability and other impaired motor function in long-term KOA patients can be captured by surface electromyography technology,and the representation form are mainly abnormal signals in the activation sequence,activation degree,coordinated movement pattern and fatigue pattern of lower limb muscles.Sports rehabilitation therapy is a necessary means to improve the lower limb motor function of KOA patients and reduce the recurrence rate of KOA.Using surface electromyography technology to expand the evaluation method of motor function can provide a scientific reference for KOA patients to develop long-term,targeted and efficient rehabilitation exercise therapy and muscle strength training,thereby further enriching the rehabilitation exercise methods of KOA.This article aims to review the abnormal electro-physiological characterization of KOA patients'muscles and exercise rehabilitation programs,to enhance the guiding value of surface electromyography in the field of KOA exercise rehabilitation.

关 键 词：膝骨关节炎 关节退行性病变 表面肌电信号 运动康复 股四头肌 

分 类 号：R684.3[医药卫生—骨科学]