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1.
男性新生儿血红蛋白正常参考值与中国地理因素   总被引:1,自引:0,他引:1  
目的:为制定中国男性新生儿血红蛋白正常参考值的统一标准提供科学依据。方法:收集了中国78个单位用氰化高铁血红蛋白(HiCN)法测定的5169例男性新生儿血红蛋白正常参考值,运用相关分析和回归分析的方法,研究了其与地理因素的关系。结果:发现男性新生儿血红蛋白正常参考值与中国地理因素之间有很显著的相关关系(F=17.93)。用逐步回归分析的方法推导出了一个回归方程:Y=156.8+0.01670X1+0.4140X3-0.008596X5±25.1。结论:如果知道了中国某地的地理因素,就可以用回归方程估算这个地区的血红蛋白正常参考值。依据血红蛋白正常参考值与地理因素的依赖关系把中国分为青藏区、西南区、西北区、东南区、华北区、东北区等六个区。  相似文献   

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为制定中国健康中年男性全血比粘度参考值的统一标准提供科学依据,本文收集了中国各地用毛细管法测定的健康中年男性全血比粘度参考值,并对其与海拔高度的关系进行了研究,发现随着海拔高度的逐渐增高,健康中年男性全血比粘度参考值也在逐渐的增大,相关性很显著,用一元回归分析的方法推导出了一个回归方程,如果知道了中国某地的海拔高度,就可以用回归方程估算这个地区的健康中年男性全血比粘度参考值。  相似文献   

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Neck pain is a prevalent condition and clinical examination techniques are limited and unable to assess out-of-plane motion. Recent works investigating cervical kinematics during neck circumduction (NC), a dynamic 3D task, has shown the ability to discern those with and without neck pain. The purposes of this study were to establish 1) confidence and prediction intervals of head-to-torso kinematics during NC in a healthy cohort, 2) a baseline summative metric to quantify the duration and magnitude of deviations outside the prediction interval, and 3) the reliability of NC. Thirty-nine participants (25.6 ± 6.3 years, 19F/20M) without neck pain completed left and right NC. A two-way smoothing spline analysis of variance was utilized to determine the mean-fitted values and 90% confidence and prediction intervals for NC. A standardized effect size was calculated and aggregated across all axes (Delta RMSD aggregate), as a summative metric of motion quality. Confidence and prediction intervals were comparable for left and right NC and demonstrated excellent reliability. The average sum of the Delta RMSD aggregate was 2.76 ± 0.55 for left NC and 2.74 ± 0.63 for right NC. The results of this study demonstrate the feasibility of utilizing normative intervals of a NC task to assess head-to-torso kinematics.  相似文献   

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The purpose of this research was to compare children’s lower extremity muscle activity and kinematics while walking at fast pace and training at fast speeds with and without motor-assistance on a pediatric-modified motor-assisted elliptical. Twenty-one children without disabilities were recruited and fifteen completed all three training conditions at self-selected fast pace. Repeated-measures ANOVAs identified muscle demand (peak, mean, duration) differences across device conditions and fast walking. Root mean square error compared overall kinematic profiles and statistical parametric mapping identified kinematic differences between conditions. Motor-assisted training reduced lower extremity muscle demands compared to training without the motor’s assistance (16 of 21 comparisons) and to fast walking (all but one comparison). Training without the motor’s assistance required less muscle effort than fast walking (16 of 21 comparisons). Kinematic differences between device conditions and fast walking were greater distally (thigh, knee, ankle) than proximally (trunk, pelvis, hip). In summary, transitioning from training with to without the motor’s assistance promoted progressively greater activity across the lower extremity muscles studied, with sagittal plane kinematic changes most apparent at the distal joints. Our findings highlight how motor-assistance can be manipulated to customize physiologic challenges to lower extremity muscles prior to fast overground walking.  相似文献   

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BackgroundRecovery of hand function after stroke represents the hardest target for clinicians. Robot-assisted therapy has been proved to be effective for hand recovery. Nevertheless, studies aimed to refer patients to the best therapy are missing.MethodsWith the aim to identify which clinical features are predictive for referring to robot-assisted hand therapy, 174 stroke patients were assessed with: Fugl-Meyer Assessment (FMA), Functional Independence Measure (FIM), Reaching Performance Scale (RPS), Box and Block Test (BBT), Modified Ashworth Scale (MAS), Nine Hole Pegboard Test (NHPT). Moreover, patients ability to control the robot with residual force and surface EMG (sEMG) independently, was checked. ROC curves were calculated to determine which of the measures were the predictors of the event.ResultssEMG control (AUC = 0.925) was significantly determined by FMA upper extremity (FMUE) (>24/66) and sensation (>23/24) sections, MAS at Flexor Carpi (<3/4) and total MAS (>4/20). Force control (AUC = 0.928) was correlated only with FMUE (>24/66).ConclusionsFMUE and MAS were the best predictors of preserved ability to control the device by two different modalities. This finding opens the possibility to plan specific therapies aimed at maximizing the highest functional outcome achievable after stroke.  相似文献   

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Verified computational models represent an efficient method for studying the relationship between articular geometry, soft-tissue constraint, and patellofemoral (PF) mechanics. The current study was performed to evaluate an explicit finite element (FE) modeling approach for predicting PF kinematics in the natural and implanted knee. Experimental three-dimensional kinematic data were collected on four healthy cadaver specimens in their natural state and after total knee replacement in the Kansas knee simulator during a simulated deep knee bend activity. Specimen-specific FE models were created from medical images and CAD implant geometry, and included soft-tissue structures representing medial–lateral PF ligaments and the quadriceps tendon. Measured quadriceps loads and prescribed tibiofemoral kinematics were used to predict dynamic kinematics of an isolated PF joint between 10° and 110° femoral flexion. Model sensitivity analyses were performed to determine the effect of rigid or deformable patellar representations and perturbed PF ligament mechanical properties (pre-tension and stiffness) on model predictions and computational efficiency.Predicted PF kinematics from the deformable analyses showed average root mean square (RMS) differences for the natural and implanted states of less than 3.1° and 1.7 mm for all rotations and translations. Kinematic predictions with rigid bodies increased average RMS values slightly to 3.7° and 1.9 mm with a five-fold decrease in computational time. Two-fold increases and decreases in PF ligament initial strain and linear stiffness were found to most adversely affect kinematic predictions for flexion, internal–external tilt and inferior–superior translation in both natural and implanted states. The verified models could be used to further investigate the effects of component alignment or soft-tissue variability on natural and implant PF mechanics.  相似文献   

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We have combined high-speed video motion analysis of leg movements with electromyogram (EMG) recordings from leg muscles in cockroaches running on a treadmill. The mesothoracic (T2) and metathoracic (T3) legs have different kinematics. While in each leg the coxa-femur (CF) joint moves in unison with the femur-tibia (FT) joint, the relative joint excursions differ between T2 and T3 legs. In T3 legs, the two joints move through approximately the same excursion. In T2 legs, the FT joint moves through a narrower range of angles than the CF joint. In spite of these differences in motion, no differences between the T2 and T3 legs were seen in timing or qualitative patterns of depressor coxa and extensor tibia activity. The average firing frequencies of slow depressor coxa (Ds) and slow extensor tibia (SETi) motor neurons are directly proportional to the average angular velocity of their joints during stance. The average Ds and SETi firing frequency appears to be modulated on a cycle-by-cycle basis to control running speed and orientation. In contrast, while the frequency variations within Ds and SETi bursts were consistent across cycles, the variations within each burst did not parallel variations in the velocity of the relevant joints. Accepted: 24 May 1997  相似文献   

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葛淼 《蛇志》1998,10(2):5-7
目的为制定中国健康老年前期人全血比粘度参考值的统一标准提供科学依据。方法收集了全国各地用毛细管法测定的健康老年前期人全血比粘度参考值,并对其与地理因素的关系进行了研究。结果发现海拔高度是影响健康老年前期人全血比粘度参考值最主要的因素,随着海拔高度的逐渐增大,健康老年前期人全血比粘度参考值也在逐渐的增大,相关性很显著。用逐步回归分析的方法推导出了二个回归方程。结论如果知道了中国某地的地理因素,就可以用这二个回归方程估算这个地区的健康老年前期人全血比粘度参考值。依据健康老年前期人全血比粘度参考值与地理因素的依赖关系把中国分为青藏区,西南区,西北区,东南区,华北区,东北区等六个区。  相似文献   

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Summary Procedures for selecting among parental varieties to be used in the synthesis of composites are discussed. In addition to the criterion based on the mean and variance of composites of the same size (k) proposed by Cordoso (1976), we suggest the index Ij=w1vj+w2 j or Ij=(2/k) Ij for a preliminary selection among parental varieties. We show that by increasing k (size of the composite) Ij tends to gj, the general combining ability effect. Such a criterion is particularly important when n, the number of parental varieties, is large, so that the number of possible composites (Nc=2n–n–1) becomes too large to be handled when using the common prediction procedures. Yield data from a 9 × 9 variety diallel cross were used for illustration.  相似文献   

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The distribution of the Hosmer-Lemeshow chi-square type goodness-of-fit tests (?g, ?g) for the logistic regression model are examined via simulations designed to examine their behavior when most of the estimated probabilities are small or are expected to fall in a few deciles. The results of the simulations show statistic ?g should be used when the two outcome groups (y = 0, 1) are not well separated, Δ≤2, where Δ2 is the Mahalanobis distance. Statistic ?g should be used when Δ ≥ 8. Either statistic may be used when 2 ≦ Δ ≦ 8. All tests should be used with caution when the proportion in the sample with y = 1 is less than 0.1.  相似文献   

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To validate the assumption that the center of rotation in the glenohumeral (GH) joint can be described based on the geometry of the joint, two methods for calculation of the GH rotation center were compared. These are a kinematic estimation based on the calculation of instantaneous helical axes, and a geometric estimation based on a spherical fit through the surface of the glenoid. Four fresh cadaver arms were fixed at the scapula and fitted with electromagnetic sensors. Each arm was moved in different directions while at the same time the orientation of the humerus was recorded. Subsequently, each specimen was dissected and its glenoid and humeral head surfaces were digitized. Results indicate no differences between the methods. It is concluded that the method to estimate the GH center of rotation as the center of a sphere through the glenoid surface, with the radius of the humeral head, appears to be valid.  相似文献   

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Hip joint moments are an important parameter in the biomechanical evaluation of orthopaedic surgery. Joint moments are generally calculated using scaled generic musculoskeletal models. However, due to anatomical variability or pathology, such models may differ from the patient's anatomy, calling into question the accuracy of the resulting joint moments. This study aimed to quantify the potential joint moment errors caused by geometrical inaccuracies in scaled models, during gait, for eight test subjects. For comparison, a semi-automatic computed tomography (CT)-based workflow was introduced to create models with subject-specific joint locations and inertial parameters. 3D surface models of the femora and hemipelves were created by segmentation and the hip joint centres and knee axes were located in these models. The scaled models systematically located the hip joint centre (HJC) up to 33.6 mm too inferiorly. As a consequence, significant and substantial peak hip extension and abduction moment differences were recorded, with, respectively, up to 23.1% and 15.8% higher values in the image-based models. These findings reaffirm the importance of accurate HJC estimation, which may be achieved using CT- or radiography-based subject-specific modelling. However, obesity-related gait analysis marker placement errors may have influenced these results and more research is needed to overcome these artefacts.  相似文献   

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A predictive P-value is proposed to measure the difference between an actual and predicted outcome in assessing the validity of an hypothesized prediction model. The concept is illustrated by applications to multiple regression prediction and to the validation of forecast models.  相似文献   

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For the model x=a+e, y=b+d estimators of Pearson's coefficient of correlation and of the line of regression between a and b are presented. The problem of prediction is dealt with.  相似文献   

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This study investigated changes in patellofemoral (PF) kinematics for different loading configurations of the quadriceps muscle: single line of action (SL), physiological-based multiple lines of action (ML), weak vastus medialis (WVM), and weak vastus lateralis (WVL). Fourteen cadaveric knees were flexed from 15° to 120° knee flexion using a loading rig with the ability to load different heads of the quadriceps and hamstring muscles in their anatomical orientation. PF rotation in the sagittal plane) and medial lateral translation were significantly different (p<0.05) for SL and ML, with maximum differences of 2.8° and 0.9 mm at 15° and 45° knee flexion, respectively. Compared to the ML, the WVM induced an average lateral shift of 1.5 mm and an abduction rotation of 0.8°, whereas a 0.9 mm medial shift and 0.6° adduction rotation was seen when simulating a WVL. The difference in the sagittal plane resultant force orientation of 26° between SL and ML was the major contributor to the change in PF rotation in the sagittal plane, while the difference in the frontal plane resultant force orientation of both the WVM and WVL from the ML (17° medial and 8° lateral, respectively) were the primary reasons for the change in PF frontal plane rotation and medial lateral translation. The two PF kinematic were significantly different from the ML for WVM and WVL (p<0.05). The results suggest that quadriceps muscle loading configuration can have a large influence on PF kinematics during full extension but less in deeper flexion. Therefore, using quadriceps single line loading for simulating activities with low flexion angles might not be sufficient to accurately replicate the physiological condition.  相似文献   

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Musculoskeletal models are widely used to investigate joint kinematics and predict muscle force during gait. However, the knee is usually simplified as a one degree of freedom joint and knee ligaments are neglected. The aim of this study was to develop an OpenSim gait model with enhanced knee structures. The knee joint in this study included three rotations and three translations. The three knee rotations and mediolateral translation were independent, with proximodistal and anteroposterior translations occurring as a function of knee flexion/extension. Ten elastic elements described the geometrical and mechanical properties of the anterior and posterior cruciate ligaments (ACL and PCL), and the medial and lateral collateral ligaments (MCL and LCL). The three independent knee rotations were evaluated using OpenSim to observe ligament function. The results showed that the anterior and posterior bundles of ACL and PCL (aACL, pACL and aPCL, pPCL) intersected during knee flexion. The aACL and pACL mainly provided force during knee flexion and adduction, respectively. The aPCL was slack throughout the range of three knee rotations; however, the pPCL was utilised for knee abduction and internal rotation. The LCL was employed for knee adduction and rotation, but was slack beyond 20° of knee flexion. The MCL bundles were mainly used during knee adduction and external rotation. All these results suggest that the functions of knee ligaments in this model approximated the behaviour of the physical knee and the enhanced knee structures can improve the ability to investigate knee joint biomechanics during various gait activities.  相似文献   

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The fixed position of force plates has led researchers to pursue alternative methods of determining centre of pressure (CoP) location. To date, errors reported using alternative methods to the force plate during dynamic tasks have been high. The aim of this study was to investigate the accuracy of a motion analysis marker-based system to determine CoP during a two-legged hopping task. Five markers were attached to the left and right feet of eight healthy adults (5 females, 3 males, age: 25.0±2.8 years, height: 1.75±0.07 m, mass: 71.3±11.3 kg). Multivariate forward stepwise and forced entry linear regression was used with data from five participants to determine CoP position during quiet standing and hopping at various frequencies. Maximum standard error of the estimate of CoP position was 12 mm in the anteroposterior direction and 8 mm in the mediolateral. Cross-validation was performed using the remaining 3 participants. Maximum root mean square difference between the force plate and marker method was 14 mm for mediolateral CoP and 20 mm for anteroposterior CoP during 1.5 Hz hopping. Differences reduced to a maximum of 7 mm (mediolateral) and 14 mm (anteroposterior) for the other frequencies. The smallest difference in calculated sagittal plane ankle moment and timing of maximum moment was during 3.0 Hz hopping, and largest at 1.5 Hz. Results indicate the marker-based method of determining CoP may be a suitable alternative to a force plate to determine CoP position during a two-legged hopping task at frequencies greater than 1.5 Hz.  相似文献   

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Identification of scapular dyskinesis and evaluation of interventions depend on the ability to properly measure scapulothoracic (ST) motion. The most widely used measurement approach is the acromion marker cluster (AMC), which can yield large errors in extreme humeral elevation and can be inaccurate in children and patient populations. Recently, an individualized regression approach has been proposed as an alternative to the AMC. This technique utilizes the relationship between ST orientation, humerothoracic orientation and acromion process position derived from calibration positions to predict dynamic ST orientations from humerothoracic and acromion process measures during motion. These individualized regressions demonstrated promising results for healthy adults; however, this method had not yet been compared to the more conventional AMC. This study compared ST orientation estimates by the AMC and regression approaches to static ST angles determined by surface markers placed on palpated landmarks in typically developing adolescents performing functional tasks. Both approaches produced errors within the range reported in the literature for skin-based scapular measurement techniques. The performance of the regression approach suffered when applied to positions outside of the range of motion in the set of calibration positions. The AMC significantly underestimated ST internal rotation across all positions and overestimated posterior tilt in some positions. Overall, root mean square errors for the regression approach were smaller than the AMC for every position across all axes of ST motion. Accordingly, we recommend the regression approach as a suitable technique for measuring ST kinematics in functional motion.  相似文献   

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