基于动态平衡测试膝骨关节炎患者脑电特征
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北京市自然科学基金项目(7222300)


Electroencephalography Characteristics of Patients with Knee Osteoarthritis Based on Dynamic Balance Tests
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    摘要:

    目的 探讨动态平衡测试期间膝骨关节炎(knee osteoarthritis , KOA)患者区别于健康受试者的脑电特征,研究大脑活动和膝骨关节炎之间的联系和影响。方法 15名KOA患者和17名健康受试者进行起立行走测试(timed up and go test , TUGT)和5次坐立测试(5-times sit to stand, 5STS),记录受试者大脑皮层中央叶CZ、C3、C4,顶叶PZ、P3、P4和枕叶OZ、O1、O2这 9 个电极δ(0.5~4 Hz)、θ(4~8 Hz)、α(8~14 Hz)、β(14~30 Hz)4个频段的脑电特征,并进行时域和频域分析。结果 KOA患者进行5STS时,δ频段C4、P3、P4电极和θ频段C4、P3、P4电极以及β频段P3、P4电极的时域幅值明显高于健康受试者(P<0.05);β频段P3、P4和O2电极的脑电信号功率明显高于健康受试者。而KOA患者在进行TUGT时,除θ频段PZ电极的时域幅值明显比健康受试者低(P<0.05),其余频段的各个电极与健康受试者相比均无显著性差异;θ频段C3、CZ、C4、PZ、P4、O1、OZ、O2电极和α频段CZ、P3、PZ和OZ电极以及β频段CZ、P4、OZ和O2电极的脑电信号功率明显比健康受试者低(P<0.05)。结论 与健康受试者相比,在KOA患者进行 5STS期间,大脑顶叶区域的活动更强,而在TUGT期间,KOA患者的中央叶、顶叶和枕叶区域的大脑活动则比健康受试者弱。研究结果可为临床医生对KOA的预防和治疗提供一定参考。

    Abstract:

    Objective To explore the electroencephalography (EEG) characteristics of patients with knee osteoarthritis (KOA) which are different from those of healthy subjects during dynamic balance tests, and study the connection and influence between brain activity and KOA. Methods: Fifteen patients with KOA and 17 healthy subjects performed the timed up to go test (TUGT) and 5-times sit to stand test (5STS) . The EEG characteristics of the 4 frequency bands, namely δ (0.5–4 Hz), θ (4–8 Hz), α (8–14 Hz) and β (14–30 Hz)?of 9 electrodes including CZ, C3, C4 in the central lobe, PZ, P3, P4 in the parietal lobe, and OZ, O1, O2 in the occipital lobe of the cerebral cortex of the subjects were recorded. Time and frequency domain analysis were conducted. Results During 5STS, the time-domain amplitudes of electrodes C4, P3, and P4 in the δ band, electrodes C4, P3, and P4 in the θ band, and electrodes P3 and P4 in the β band of KOA patients were significantly higher than those of healthy subjects (P<0.05); the power of electroencephalogram signals of electrodes P3, P4, and O2 in the β band was significantly higher than that of healthy subjects. During TUGT, except that the time-domain amplitude of electrode PZ in the θ band of KOA patients was significantly lower than that of healthy subjects (P<0.05), there was no significant difference in all electrodes in other frequency bands; the power of electroencephalogram signals of electrodes C3, CZ, C4, PZ, P4, O1, OZ, O2 in the δ band and electrodes CZ, P3, PZ, and OZ in the α band and electrodes CZ, P4, OZ, and O2 in the β band was significantly lower than that of healthy subjects (P<0.05). Conclusions Compared with healthy subjects, the activity in the parietal lobe area of the brain of KOA patients during 5STS was stronger, while the brain activity in the central lobe, parietal lobe, and occipital lobe areas of KOA patients during TUGT was weaker than that of healthy subjects. This study may provide some references for clinicians in the prevention and treatment of KOA.

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杨博见,徐澍雷,张昊华,张宽,闫松华.基于动态平衡测试膝骨关节炎患者脑电特征[J].医用生物力学,2025,40(2):271-277

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  • 收稿日期:2024-07-20
  • 最后修改日期:2024-09-19
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  • 在线发布日期: 2025-04-25
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