脑卒中患者运动过程中动力学特征的智能预测
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天津体育学院

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Intelligent prediction of dynamic characteristics during exercise in stroke patients
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    摘要:

    从脑卒中患者中获取垂直地面反作用力(vertical ground reaction force,vGRF)数据具有很高的挑战性,分析预测脑卒中患者的vGRF和髋膝踝关节力矩(Joint Moment)在运动生物力学中具有非常高的价值。目的 使用主成分分析(principal component analysis,PCA)和BP神经网络(BP neural networks)来预测脑卒中患者行走时患侧髋膝踝的关节力矩。方法 30例脑卒中患者(年龄61.5±3.5岁,体重68.2±2.4 kg,身高167.2±3.4 cm)通过8镜头Qualisys红外光点高速运动捕捉系统和Kistler三维测力台同步采集运动学数据和动力学数据。通过Opensim来计算脑卒中患者髋膝踝患侧关节力矩,采用PCA来筛选累积贡献率达到 99%的初始变量,采用标准均方根误差( normalized root mean squared error,NRMSE)、均方根误差( root mean squared error,RMSE )、平均绝对百分比误差(mean absolute percentage error,MAPE)和平均绝对误差(mean absolute error,MAE)、R2作为PCA—BP模型的评价指标。使用肯德尔 W(Kendall's W)系数评价计算关节力矩与预测力矩之间的一致性。结果 PCA数据显示躯干、骨盆、患侧髋关节、膝关节和踝关节在x、y、z轴(x、y、z分别为矢状、冠状、垂直轴)对患侧髋膝踝关节力矩具有显著影响。预测值与测量值间NRMSE为5.14%~8.86%,RMSE为0.184~0.371,MAPE为3.5~4%,MAE为0.143~0.248 ,R2为0.998~0.999。结论 建立的PCA—BP模型可准确预测脑卒中患者行走时的髋膝踝关节力矩,显著缩短测量时间。在脑卒中患者的步态分析中本模型可代替传统的关节力矩计算,为获得脑卒中患者生物力学数据提供新的途径,帮助脑卒中患者临床治疗提供有效的方法。

    Abstract:

    Obtaining vertical ground reaction force (vGRF) data from stroke patients is highly challenging, and analyzing and predicting vGRF and joint moment in stroke patients has high value in sports biomechanics. Objective: Use principal component analysis (PCA) and BP neural networks to predict the joint torque of the affected side of the hip, knee, and ankle in stroke patients during walking. Method: Thirty stroke patients(age 61.5±3.5 years old, weight 68.2±2.4 kg, height 167.2±3.4 cm)were synchronously collected kinematic and dynamic data using an 8-lens Qualisys infrared point high-speed motion capture system and a Kistler three-dimensional force measurement platform. Calculate hip knee ankle joint torque in stroke patients using Opensim, screen initial variables with a cumulative contribution rate of 99% using PCA, and use normalized root mean square error (NRMSE), root mean square error (RMSE), mean absolute percentage error (MAPE), and mean absolute error (MAE) R2 serves as an evaluation indicator for the PCA-BP model. Evaluate the consistency between calculated joint torque and predicted torque using Kendall's W coefficient. Result: PCA data shows that the trunk, pelvis, affected hip joint, knee joint, and ankle joint have a significant impact on the torque of the affected hip, knee, and ankle joint on the x, y, and z axes (sagittal, coronal, and vertical axes, respectively)..The NRMSE between predicted and measured values is 5.14%~8.86%, RMSE is 0.184~0.371, MAPE is 3.5-4%, MAE is 0.143~0.248, and R2 is 0.998~0.999. Conclusion: The established PCA-BP model can accurately predict the hip knee ankle joint torque of stroke patients during walking, significantly shortening the measurement time. This model can replace traditional joint torque calculation in gait analysis of stroke patients, providing a new approach to obtain biomechanical data of stroke patients and an effective method for clinical treatment of stroke patients.

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  • 收稿日期:2023-10-08
  • 最后修改日期:2023-11-21
  • 录用日期:2023-11-22
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