不同病程髌股关节痛患者跑步地面反作用力特征的支持向量机分析
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国家自然科学基金项目(32401091)


Support Vector Machine Analysis on Ground Reaction Force Characteristics of Patients with Patellofemoral Pain in Different Disease Courses
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    摘要:

    目的 通过支持向量机(support vector machine,SVM)分类器和特征选择方法探究髌股关节痛(patellofemoral pain, PFP)患者跑步中的动力学特征,为PFP的预防与康复提供理论支持。方法 使用SVM分类模型,根据受试者跑步的动力学特征对健康人(n=13)、PFP长病程患者(n=13)和PFP短病程患者(n=10)进行分类分析。通过特征选择方法筛选出对分类最有效的最小特征集。结果 构建的分类模型准确率达83.3%。筛选到的最小特征集中包含3个关键特征,其中PFP短病程患者表现为冲击谷值和主动峰值出现时间的延迟,而PFP长病程患者则表现为冲击峰-冲击谷斜率较低。结论 PFP短病程患者的主要表现是缓冲过程延长和蹬伸动作延迟,PFP长病程患者最主要的表现是垂直反作用力冲击峰-冲击谷斜率较低。这些特征揭示了PFP在不同病程的特异性特征,为制定个性化的康复方案提供依据。

    Abstract:

    Objective To investigate the dynamic features of patients with patellofemoral pain (PFP) during running by using support vector machine (SVM) classifier and feature selection methods, so as to provide theoretical support for the prevention and rehabilitation of PFP. Methods An SVM classification model was used to classify healthy individuals (n=13), PFP patients with long-term disease course (n=13), and PFP patients with short-term disease course (n=10) based on their dynamic features during running. The most effective minimum feature set was selected through feature selection methods. Results The accuracy rate of the constructed classification model was 83.3%. The minimum feature set selected contained 3 key features. PFP patients with short-term disease course showed a delay in the appearance of impact valleys and active peaks, while PFP patients with long-term disease course showed a lower impact peak-valley slope. Conclusions PFP patients with short-term disease course mainly showed a prolonged shock absorption process and a delayed propulsion action, while PFP patients with long-term disease course showed the most significant feature of having a lower vertical reaction force impact peak-valley slope. These features revealed the specific characteristics of PFP at different stages of the disease, providing a basis for developing individualized rehabilitation programs.

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史鹏程,李翰君,时会娟.不同病程髌股关节痛患者跑步地面反作用力特征的支持向量机分析[J].医用生物力学,2025,40(2):284-290

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  • 收稿日期:2024-09-09
  • 最后修改日期:2024-11-21
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  • 在线发布日期: 2025-04-25
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