大腦運動控制評估系統之研製與臨床評估

The Development and Clinical Evaluation of Brain Motor Control Assessment System

陳友倫(Yu-Luen Chen) ； 張恆雄(Walter H. Chang) ； 張傳濱(Chuan-Pin Chang) ； 林晉豐(Jeen-Fong Lin) ； 鄧復旦(Fuk-Tan Tang) ； 郭德盛(Te-Son Kuo)

《Journal of Medical and Biological Engineering》 20卷1期 (2000/03) Pp. 49-65

摘要

In clinical diagnosis, spinal cord injury (SCI) patients can generally be classified into two major groups: 1) complete spinal cord injury, those individuals who have lost all sensory and motor functions after injury; 2) incomplete spinal cord injury, those who have several degree of sensory and motor recovery after injury. Recently, investigators have found that a great proportion of complete SCI patients show some residual superaspinal control monitored by multi-channel surface electromyography (SEMG). The term discomplet SCI was given to denote the patient still have some residual supraspinal control. Recording techniques of SEMG of lower limbs and trunk can be used to test nerve and muscle responses from the complete SCI group to determine whether or not a patient are discomplete SCI. This technique is called the brain motor control assessment (BMCA). The BMCA could be used to: 1) determine whether or not a patient has a discomplete injury; 2) decide the strategy of rehabilitation and/or intervention program; 3) determine whether or not the motor control pattern has improved after rehabilitation to other forms of intervention program. In this study, a new modified motor control profile (MCP) was applied to denote the total motor performance of SCI. There are 10 normal subjects, 10 incomplete and 20 complete SCI were recruited. Among the complete SCI, 8 discomplete SCI patients were found. Independent t-test and ANOVA test were applied. Results showed the difference between complete and discomplete SCI is significant; p＜0.05, and also showed the significant difference among normal, complete SCI, discomplete SCI and incomplete SCI; p＜0.05. Therefore, this development and integration of BMCA system had a great potential of clinical applications.

關鍵字

脊髓損傷 ； 大腦運動控制評估 ； 表面肌電圖 ； 運動控制剖析

並列摘要

In clinical diagnosis, spinal cord injury (SCI) patients can generally be classified into two major groups: 1) complete spinal cord injury, those individuals who have lost all sensory and motor functions after injury; 2) incomplete spinal cord injury, those who have several degree of sensory and motor recovery after injury. Recently, investigators have found that a great proportion of complete SCI patients show some residual superaspinal control monitored by multi-channel surface electromyography (SEMG). The term discomplet SCI was given to denote the patient still have some residual supraspinal control. Recording techniques of SEMG of lower limbs and trunk can be used to test nerve and muscle responses from the complete SCI group to determine whether or not a patient are discomplete SCI. This technique is called the brain motor control assessment (BMCA). The BMCA could be used to: 1) determine whether or not a patient has a discomplete injury; 2) decide the strategy of rehabilitation and/or intervention program; 3) determine whether or not the motor control pattern has improved after rehabilitation to other forms of intervention program. In this study, a new modified motor control profile (MCP) was applied to denote the total motor performance of SCI. There are 10 normal subjects, 10 incomplete and 20 complete SCI were recruited. Among the complete SCI, 8 discomplete SCI patients were found. Independent t-test and ANOVA test were applied. Results showed the difference between complete and discomplete SCI is significant; p＜0.05, and also showed the significant difference among normal, complete SCI, discomplete SCI and incomplete SCI; p＜0.05. Therefore, this development and integration of BMCA system had a great potential of clinical applications.

並列關鍵字

SCI(spinal cord injury) ； SEMG(surface electromyography) ； BMCA(brain motor control assessment) ； MCP(motor control profile)