[Analysis of multichannel intermuscular coupling characteristics during rehabilitation after stroke]

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2019 Oct 25;36(5):720-727. doi: 10.7507/1001-5515.201807025.
[Article in Chinese]

Abstract

To better analyze the problem of abnormal neuromuscular coupling related to motor dysfunction for stroke patients, the functional coupling of the multichannel electromyography (EMG) were studied and the difference between stroke patients and healthy subjects were further analyzed to explore the pathological mechanism of motor dysfunction after stroke. Firstly, the cross-frequency coherence (CFC) analysis and non-negative matrix factorization (NMF) were combined to construct a CFC-NMF model to study the linear coupling relationship in bands and the nonlinear coupling characteristics in different frequency ratios during elbow flexion and extension movement. Furthermore, the significant coherent area and sum of cross-frequency coherence were respectively calculated to quantitatively describe the intermuscular linear and nonlinear coupling characteristics. The results showed that the linear coupling relationship between multichannel muscles was different in frequency bands and the overall coupling was stronger in low frequency band. The linear coupling strength of the stroke patients was lower than that of the healthy subjects in different frequency bands especially in beta and gamma bands. For the nonlinear coupling, the intermuscular coupling strength of stroke patients in different frequency ratios was significantly lower than that of the healthy subjects, and the coupling strength in the frequency ratio 1∶2 was higher than that in the frequency ratio 1∶3. This method can provide a theoretical basis for exploring the intermuscular coupling mechanism of patients with motor dysfunction.

针对中风康复患者运动功能障碍相关的神经肌肉异常耦合问题,本文研究多通道肌电信号间的功能耦合特性,对比分析健康人和中风患者的肌间耦合特征,进而挖掘中风康复患者运动功能障碍产生的病理机制。首先将交叉频率相干分析与非负矩阵分解相结合,构建交叉频率相干分析-非负矩阵分解模型,研究健康人和中风患者上肢肘关节屈伸运动中相关肌肉的线性耦合关系以及不同频率比下的肌间非线性耦合特性,并分别计算显著性相干面积和相干性值之和,定量描述多通道肌间线性和非线性耦合特性。结果表明:多通道肌间线性耦合关系存在频段差异,低频段内呈现的整体耦合性较强;中风患者肌间线性耦合强度在不同频段内均低于健康被试对照组,且在 beta 和 gamma 频段的耦合强度差异更加明显。对于肌间非线性耦合,不同频率比下的中风患者肌间耦合强度明显低于健康被试对照组,同时在频率比为 1∶2 下的耦合强度略高于频率比为 1∶3 下的耦合强度。本文方法能为探索运动功能障碍患者的肌间耦合机制提供理论基础。.

Keywords: coherence; electromyography; intermuscular coupling; non-negative matrix factorization; stroke patient.

MeSH terms

  • Case-Control Studies
  • Electromyography*
  • Humans
  • Muscle, Skeletal / physiopathology*
  • Stroke / physiopathology*
  • Stroke Rehabilitation*

Grants and funding

国家自然科学基金(61673336);河北省自然科学基金(F2015203372);河北省高等学校科学技术研究项目(QN2016094)