法医学杂志 ›› 2014, Vol. 30 ›› Issue (2): 88-92.DOI: 10.3969/j.issn.1004-5619.2014.02.003

• 论著 • 上一篇    下一篇

正常人下肢肌姿势诱发反射检测及影响因素

程冬梅1,2,周晓蓉2,范利华2,杨小萍2,陈  芳2   

  1. (1. 苏州大学医学部法医学系,江苏 苏州 215123; 2. 司法部司法鉴定科学技术研究所 上海市法医学重点实验室,上海 200063)
  • 发布日期:2014-04-25 出版日期:2014-04-28
  • 通讯作者: 通信作者:周晓蓉,女,副主任法医师,主要从事法医临床学研究;E-mail:blueforest-rong@163.com 通信作者:范利华,女,主任法医师,主要从事法医临床学研究;E-mail:flhua191@sohu.com
  • 基金资助:

    “十二五”国家科技支撑计划项目(2012BAK16B03);上海市法医学重点实验室资助项目(13DZ2271500)

Posture Evoked Response Detecting in Normal Lower Limb Muscle and Its Influencing Factors

CHENG DONG-MEI1,2, ZHOU XIAO-RONG2, FAN LI-HUA2, YANG XIAO-PING2, CHEN FANG2   

  1. (1. Department of Forensic Medicine, Medical College of Soochow University, Suzhou 215123, China; 2. Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, P.R. China, Shanghai 200063, China)
  • Online:2014-04-25 Published:2014-04-28
  • About author:程冬梅(1987—),女,安徽宿州人,硕士研究生,主要从事法医临床学研究;E-mail:630125949@qq.com

摘要: 目的 分析不同刺激方式下,正常人下肢肌姿势诱发反射的潜伏期及影响因素。 方法 利用动态平衡仪支持面旋转刺激(Toes-up和Toes-down)和水平移动刺激(Forward和Backward)诱导正常人下肢产生姿势反射,用表面肌电仪在胫前肌及腓肠肌记录肌电的潜伏期,分析不同刺激方式下,左右侧别的差异,以及性别、身高对潜伏期的影响。 结果 (1)在Toes-up和Backward刺激下,胫前肌潜伏期长于腓肠肌;在Toes-down和Forward刺激方式下,腓肠肌潜伏期长于胫前肌。(2)左右肢的潜伏期差异无统计学意义。(3)男性的潜伏期多较女性长。(4)随着身高的增加,潜伏期逐渐延长。 结论 不同刺激方式、性别及身高均对下肢肌姿势诱发反射的潜伏期有影响,然而在同一个体,可不考虑身高及性别的影响。

关键词: 法医学, 诱发电位, 肌, 骨骼, 动态姿势图

Abstract: Objective To analyze the latency of posture evoked response of normal lower limb muscle in different stimulations and explore its influencing factors. Methods The normal lower limb was induced to produce postural evoked response by the dynamic posturography through two kinds of perturbations, the supporting surface rotation stimulation (Toes-up and Toes-down) and the horizontal perturbation stimulation (Forward and Backward). The latencies of tibialis anterior muscle and gastrocnemius muscle were recorded by surface electromyography acquisition system. The differences of the left and right limb, gender and height on the latency of postural evoked response were analyzed. Results (1) Under the Toes-up and Backward perturbation, the latency of tibialis anterior muscle was longer than gastrocnemius muscle; under the Toes-down and Forward perturbation, the latency of gastrocnemius muscle was longer than tibialis anterior muscle. (2) The latencies of left limb and right limb had no significant difference. (3) The latency in male was longer than that in female. (4) The latency gradually increased with the increase of height. Conclusion In the postural evoked response, different perturbations, gender and height have significant impacts on the latency of posture evoked response of lower limb muscle. However, the effect of height and gender should be not considered referring to the same individual.

Key words: forensic medicine, evoked potentials, muscle, skeletal, dynamic posturography

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