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A New Method for Functional Evaluation of Motor Commands in Patients with Cerebellar Ataxia

机译:小脑性共济失调患者运动命令功能评估的新方法

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摘要

Quantitative evaluation of motor functions of patients with cerebellar ataxia is vital for evidence-based treatments and has been a focus in previous investigations of movement kinematics. Due to redundancy of the musculoskeletal system, muscle activities contain more information than the movement kinematics. Therefore, it is preferable to analyze causal anomalies of muscle activities to evaluate motor functions in patients. Here we propose a new method to evaluate the motor functions at the level of muscle activities and movement kinematics. Nineteen patients and 10 control subjects performed two movement tasks of the wrist joint, a step-tracking task and a pursuit task, with a manipulandum. The movements of the wrist joint and activities of the four wrist prime movers were recorded. We developed a linear model for the wrist joint to approximate the causal relationship between muscle activities and movement kinematics in terms of the wrist joint torque. We used a canonical correlation analysis to verify the causality between the muscle activities and the movement kinematics in the model. We found that the activities of the four muscles were related almost entirely to the position and velocity, with negligible correlation with the acceleration of the wrist joint. Moreover, the ratio of the weights for position- and velocity-related torque components characterized the contents of the muscle activities in terms of the movement kinematics. Next, we compared the ratios for the two movement tasks between the controls and patients. In control subjects, the ratios indicated clear task-specific changes that conformed to the functional requirements of the tasks. In contrast, in patients, the task-specific changes diminished highly significantly. The present results indicate that this ability to accommodate motor commands to the task requirements provides a novel quantitative parameter to characterize motor functions in patients with cerebellar ataxia.
机译:小脑共济失调患者运动功能的定量评估对于基于证据的治疗至关重要,并且已成为先前运动运动学研究的重点。由于肌肉骨骼系统的冗余,肌肉运动比运动学包含更多的信息。因此,最好分析肌肉活动的因果异常以评估患者的运动功能。在这里,我们提出了一种在肌肉活动和运动运动学水平上评估运动功能的新方法。 19名患者和10名对照受试者使用manipulandum进行了腕关节的两项运动任务,一步跟踪任务和追踪任务。记录腕关节的运动和四个腕原动机的活动。我们为腕部关节开发了一个线性模型,以根据腕部关节扭矩估算肌肉活动与运动学之间的因果关系。我们使用规范的相关性分析来验证模型中肌肉活动与运动学之间的因果关系。我们发现,四块肌肉的活动几乎完全与位置和速度相关,而与腕关节的加速度相关性可忽略不计。此外,位置和速度相关的扭矩分量的权重比以运动运动学来表征肌肉活动的内容。接下来,我们比较了对照组和患者之间两项运动任务的比率。在对照对象中,比率表明符合任务功能要求的明确的任务特定更改。相反,在患者中,特定任务的变化大大降低。目前的结果表明,这种适应运动指令以适应任务要求的能力提供了一种新颖的定量参数来表征小脑性共济失调患者的运动功能。

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