[1]李嘉,孙嘉堃,刘向阳,等.人体形态自动化测量软件在人体形态检查中的应用价值研究[J].中医正骨,2023,35(07):6-10.
　LI Jia,SUN JiaKun,LIU Xiangyang,et al.Applied values of automated human body shape measurement software in clinical examination of human body shape[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(07):6-10.
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人体形态自动化测量软件在人体形态检查中的应用价值研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期数:
2023年07期
页码:
6-10
栏目:
临床研究
出版日期:
2023-07-20

文章信息/Info

Title:
Applied values of automated human body shape measurement software in clinical examination of human body shape
作者:
李嘉1; 孙嘉堃2; 刘向阳1; 谢功能3; 覃国忠4; 冯敏山5; 朱立国5; 闵存云1; 蔺福辉4; 陈超6
(1.广东省人民医院,广东 广州 510080; 2.广东中卡云计算有限公司,广东 广州 510040; 3.郴州市第一人民医院,湖南 郴州 423001; 4.深圳平乐骨伤科医院/深圳市坪山区中医院,广东 深圳 518010; 5.中国中医科学院望京医院,北京 100102; 6.南方医科大学南方医院,广东 广州 510515)
Author(s):
LI Jia1; SUN JiaKun2; LIU Xiangyang1; XIE Gongneng3; QIN Guozhong4; FENG Minshan5; ZHU Liguo5;  MIN Cun-yun1; LIN Fuhui4; CHEN Chao6
1.Guangdong Provincial People's Hospital,Guangzhou 510080,Guangdong,China2.Guangdong Zhongka Cloud Computing Co.,LTD,Guangzhou 510040,Guangdong,China3.The First People's Hospital of Chenzhou,Chenzhou 423001,Hunan,China4.Shenzhen Pingle Orthopedic Hospital(Shenzhen Pingshan District Hospital of Traditional Chinese medicine),Shen-zhen 518010,Guangdong,China5.Wangjing Hospital of CACMS,Beijing 100102,China6.Nanfang Hospital,Southern Medical University,Guangzhou 510515,Guangdong,China
关键词:
身体形态;  测量;  软件;  自动化;  算法
Keywords:
body shape;  measure;  software;  automation;  algorithms
摘要:
目的:探讨人体形态自动化测量软件在人体形态检查中的应用价值。方法:以2021年6月至2022年6月在南方医科大学南方医院儿科就诊的患者为研究对象。采用人体形态自动化测量软件测量受试者的肩平衡角、髋平衡角、脊柱侧弯角、左膝关节内外翻角、右膝关节内外翻角、躯干前后倾角及右膝过伸角等7个人体形态指标,并与2名骨科医生通过体格检查人工测量的结果进行比较,分析软件测量结果与人工测量结果的一致性。结果:①一般情况。共纳入160例受试者,男79例、女81例; 年龄 7～15岁,中位数11岁; 身高90～178 cm,中位数119 cm; 体质量10～78 kg,中位数34 kg。②软件测量结果与人工测量结果的一致性分析结果。Bland-Altman一致性分析结果显示,肩平衡角[软件测量:(2.060°,2.120°); 人工测量:(2.200°,2.100°)]、髋平衡角[软件测量:(1.870°,2.162°); 人工测量:(1.850°,2.125°)]、脊柱侧弯角[软件测量:(0.570°,1.140°); 人工测量:(0.750°,1.300°)]、左膝关节内外翻角[软件测量:(-2.665°,5.855°); 人工测量:(-2.750°,5.475°)]、右膝关节内外翻角[软件测量:(-2.555°,3.917°); 人工测量:(-2.350°,4.500°)]、躯干前后倾角[软件测量:(2.730°,2.548°); 人工测量:(3.100°,3.300°)]及右膝过伸角[软件测量:(20.300°,31.090°); 人工测量:(21.350°,30.250°)]7个人体形态指标的软件测量结果与人工测量结果差值的均数均位于0附近,变异系数均小于5%。Spearman相关分析显示,7个人体形态指标的软件测量结果与人工测量结果均呈正相关(肩平衡角:rs=0.920,P=0.001; 髋平衡角:rs=0.955,P=0.001; 脊柱侧弯角:rs=0.889,P=0.001; 左膝关节内外翻角:rs=0.979,P=0.001; 右膝关节内外翻角:rs=0.982,P=0.001; 躯干前后倾角:rs=0.823,P=0.001; 右膝过伸角:rs=0.970,P=0.001)。结论:人体形态自动化测量软件可准确测量多个人体形态评估指标,可用于人体形态检查。
Abstract:
Objective:To explore the applied values of automated human body shape(HBS)measurement software in clinical HBS examination.Methods:The children who were treated in the pediatric department of Nanfang Hospital of Southern Medical University from June 2021 to June 2022 were selected out as the subjects.The body shape indicators,including shoulder balance angle,hip balance angle,scoliosis angle,left knee varus-valgus angles,right knee varus-valgus angles,trunk forward-backward tilt angles and right knee hyperextension angle,were measured by using the automated HBS measurement software,and the results were compared with those measured manually by two orthopedic surgeons through medical examination of the same children.The consistency of the measuring results was analyzed between the 2 measuring methods.Results:①One hundred and sixty children were included in the study,and they consisted of 79 boys and 81 girls and ranged in age from 7 to 15 years(Median=11 yrs),body height from 90 to 178 cm(Median=119 cm)and body mass from 10 to 78 kg(Median=34 kg).②The results of Bland-Altman consistency analysis showed that the mean value of the differences between the two kinds of measuring results of body shape indicators,including shoulder balance angle(software measurement:(2.060°,2.120°); manual measurement:(2.200°,2.100°)),hip balance angle(software measurement:(1.870°,2.162°); manual measurement:(1.850°,2.125°)),scoliosis angle(software measurement:(0.570°,1.140°); manual measurement:(0.750°,1.300°)),left knee varus-valgus angles(software measurement:(-2.665°,5.855°); manual measurement:(-2.750°,5.475°)),right knee varus-valgus angles(software measurement:(-2.555°,3.917°); manual measurement:(-2.350°,4.500°)),trunk forward-backward tilt angles(software measurement:(2.730°,2.548°); manual measurement:(3.100°,3.300°))and right knee hyperextension angle(software measurement:(20.300°,31.090°); manual measurement:(21.350°,30.250°)),hoverd around zero,and the variation coefficients were all less than 5%.The results of Spearman correlation analysis showed that the 7 body shape indicators measured by software were positively correlated with those measured by manual means(shoulder balance angle:rs=0.920,P=0.001; hip balance angle:rs=0.955,P=0.001; scoliosis angle:rs=0.889,P=0.001; left knee varus-valgus angles:rs=0.979,P=0.001; right knee varus-valgus angles:rs=0.982,P=0.001; trunk forward-backward tilt angles:rs=0.823,P=0.001; right knee hyperextension angle:rs=0.970,P=0.001).Conclusion:The automated HBS measurement software can accurately measure multiple body shape assessment indicators,so it can be used in clinical HBS examination.

参考文献/References:

[1] 王帆,尹建东,刘洋.患儿家属影像检查辐射风险认知调查及分析[J].卫生职业教育,2022,40(6):114-115.
[2] 聂雄志.运动康复疗法对高低肩的治疗[J].当代体育科技,2018,8(25):223-224.
[3] 刘文平,刘伶燕,胡盈盈,等.普拉提运动对大学生圆肩驼背体态矫正的研究[J].体育时空,2018(4):141-142.
[4] MAGEE D J.骨科检查评估:第4版[M].罗卓荆,译.北京:人民军医出版社,2007.
[5] 张晓娟,张英泽.测量人体骨科相关骨骼形态学参数的临床意义[J].中华老年骨科与康复电子杂志,2021,7(5):260-263.
[6] 于英,陈继华,卢学良.基于网格模型的三维人体自动化测量方法[J].图学学报,2018,39(2):352-356.
[7] 沈林勇,杭辉冬,赵检,等.基于姿态传感器的脊柱形态测量技术[J].传感技术学报,2018,31(6):841-846.
[8] 张经惠,沈林勇,宋薇,等.用于日常体表监测的三维脊柱形态测量技术[J].生物医学工程学杂志,2020,37(5):809-817.
[9] 郑伟,王兴伟,苏芳,等.歼击机飞行员颈后部三维形态数字化测量研究[J].中华航空航天医学杂志,2014,25(1):23-26.
[10] 任弘,王馨塘,吴晓薇,等.三维人体扫描技术在身体形态测量中的应用[J].北京体育大学学报,2013,36(1):51-54.
[11] 邱晓文,贺西京,黄思华,等.人体脊柱三维运动测量分析方法新进展[J].中国骨伤,2015,28(5):476-481.
[12] 顾蒙蒙,郝矿荣.基于KNN算法的跑步姿态监测[J].信息通信,2017,173(5):53-54.
[13] 张丹.基于大数据技术深度学习算法的图像处理技术研究[J].光源与照明,2021(3):65-66.
[14] 张克智,魏国强,冯泽,等.深度学习技术在智能图像处理中的应用研究[J].现代信息科技,2021,5(10):15-19.
[15] 邱松炜,于晓巍.深度学习在骨关节疾病影像学诊断中的应用[J].中国医学影像学杂志,2022,30(6):635-640.
[16] 孙泽宇,李波,朱欢叶,等.青少年特发性脊柱侧凸矫形手术肩平衡评价指标的研究进展[J].生物骨科材料与临床研究,2020,17(2):77-80.
[17] 翁德雨,周金明,王梅生,等.PFNA内固定治疗对老年髋部骨折患者关节活动度及平衡能力的影响[J].武警后勤学院学报(医学版),2021,30(12):33-35.
[18] 郭燕梅,黄鹏,陈蔚,等.老年单、双膝痛骨关节炎患者的平衡功能及其跌倒风险对比分析[J].中国康复理论与实践,2012,18(1):25-29.
[19] 燕文海,马楠山,张坤,等.从矢状位平衡谈脊柱疾病治疗的整体观[J].中华中医药杂志,2022,37(5):2672-2676.
[20] 侯俊景,牟利民,马原.退变性脊柱侧凸矢状面平衡的研究进展[J].浙江医学,2022,44(20):2232-2237.

备注/Memo

备注/Memo:
基金项目:广州市科技计划项目(201604020095) 通讯作者:陈超 E-mail:chenchao_smu@163.com
更新日期/Last Update: 1900-01-01