首页|外加膝关节辅助力矩对下肢关键肌群肌力的影响分析

外加膝关节辅助力矩对下肢关键肌群肌力的影响分析

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目的 以减小步行时的膝关节合力为目标,基于受试者在正常步行状态下的膝关节合力和膝关节力矩,计算解析减少不同程度的膝关节合力所需的辅助力矩,并研究多种步速下辅助力矩对下肢关键肌群肌力的影响规律.方法 通过三维光学动作捕捉系统及测力台采集人体在慢速步速、正常步速以及快速步速下的运动学和动力学数据.基于OpenSim生物力学计算平台计算下肢关键肌群肌力、膝关节合力及膝关节力矩,然后将膝关节合力按照减少5%、10%、15%、20%的目标进行等比缩减,在MATLAB中采用全局优化算法计算得到辅助力矩,最后分析辅助力矩对下肢关键肌群的影响规律.结果 辅助力矩随膝关节合力减少的程度而增加,并且不同步速下辅助力矩的平均相关系数为0.87,最高相关系数为0.96.施加辅助力矩后,腘绳肌、股四头肌、腓肠肌的肌力分别在支撑相初期、支撑相中期、支撑相末期和预摆期减少的平均比例最大,并且在慢速步速下上述三个肌群肌力减少的平均比例最大,其值分别为31%、26%和23%.结论 膝关节辅助力矩主要通过减弱下肢关键肌群的肌力来减少膝关节合力.本研究的结果提示不同步速下对膝关节施加特定幅度和变化趋势的辅助力矩,能够达到防止膝关节过载损伤等目的,可为主动机械外骨骼等辅助设备的驱动策略提供数据参考.
Influence of the assistive torque of knee joint on the strength of lower limb muscles
Objective Aiming to reduce the knee joint force during walking,the required assistive torque was assessed based on the calculated knee joint force and torque of subjects during normal walking. The effect of the assistive torque on lower limb muscle strength during different walking speeds was investigated. Methods The kinematics and kinetics data of human subjects at three walking speeds were collected by using 3D optical motion capture system and force plates. The knee joint force,knee joint torque and lower limb muscle strength were calculated based on OpenSim biomechanics software. The assistive torque was calculated by using the global optimization algorithm in MATLAB and used to achieve the purpose of reducing knee joint force by 5%,10%,15% and 20%,repectively. The influence of the assistive torque on the lower limb muscle activities was analyzed. Results The assistive torque increased with the decrease of knee joint force,and the average correlation coefficient of assistive torque at different walking speed was 0.87,and the highest correlation coefficient was 0. 96. After applying the assistive torque,muscle strength of hamstring,quadriceps femoris and gastrocnemius decreased the most in the early, middle, late and pre-swing phases. The average ratio of muscle strength of the three muscle groups decreased the most at the slow speed, with the decrease of 31%, 26% and 23%, respectively. Conclusions Assistive torque of knee joint mainly reduces the resultant force of knee joint by decreasing the lower limb muscle strength. It is therefore suggested that the assistive knee joint torque with suitable amplitude and profile might be one of the solutions to prevent the knee joint overload. Furthermore,it provides insights on the driving strategy of assistive equipment such as active mechanical exoskeleton.

gaitknee joint forcemuscle forceassistive torqueexoskeleton

王凡杰、梁雯琦、赵文瑞、樊澳、侯宏杰、杨鹏飞

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西北工业大学生命学院 西安 710072

空间生物实验模拟技术国防重点学科实验室 西安710072

步行 膝关节合力 肌力 辅助力矩 外骨骼

载人航天工程航天医学实验领域项目中央高校基本科研业务费专项

HYZHXM01003D5000220188

2024

北京生物医学工程
北京市心肺血管疾病研究所

北京生物医学工程

CSTPCD
影响因子:0.474
ISSN:1002-3208
年,卷(期):2024.43(2)
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