Underwater and land dual-purpose shoulder joint functional proprioception measuring device
Technical Field
The invention relates to the technical field of proprioception measurement, in particular to an underwater and land dual-purpose shoulder joint functional proprioception measuring device.
Background
The shoulder joint is the joint with the most complex functions of the human body, and is also the joint with the most easily damaged upper limb, for example, one of common injuries of swimmers is the shoulder joint, and in addition, various high-incidence diseases such as scapulohumeral periarthritis and shoulder joint dislocation in the mass population can influence the functional activities of the shoulder joint, thereby causing great influence on the athletic ability and the life quality.
The functional activity of the shoulder joint strongly depends on active and passive dynamic neuromuscular control, which is mainly regulated by a complex proprioceptive system, a large number of proprioceptive receptors are distributed in anatomical structures such as a joint capsule, a tendon, muscles and the like of the shoulder joint, the receptors can transmit sensory information such as spatial position, pressure, tension, speed and the like of the joints, the tendon and the muscle to the brain, the brain processes the transmitted information and feeds instructions back to musculoskeletal system, and corresponding actions are made, so that the measuring of the proprioception of the shoulder joint is of great significance for preventing the occurrence of injury, diagnosing the degree of the shoulder joint injury and defining a treatment mode.
However, the existing shoulder joint proprioception measuring device is high in manufacturing cost, complex in operation and long in time consumption, multiple professionals are required to complete measurement together, the existing measuring technology and equipment are carried out in a laboratory, the measurement cannot be completed in a functional state, and the obtained result cannot reflect the real proprioception level; in addition, no underwater proprioception measuring equipment exists at home and abroad, and therefore an underwater and land dual-purpose shoulder joint functional proprioception measuring device is provided.
Disclosure of Invention
Aiming at the defects in the prior art, the invention provides an underwater and land dual-purpose shoulder joint functional proprioception measuring device.
The invention provides the following technical scheme: a functional proprioception measuring device for an underwater and land shoulder joint comprises an adjusting pipeline, a positioning pipeline, a movable positioning bolt, a fixed pipeline, a fixing screw, a stable frame, a stop sign plate, a position jack, a stable positioning pipeline device, a triangular support frame, a supporting heightening pipe and a three-way pipe, wherein the outer surface of one end of the adjusting pipeline is symmetrically provided with the stop sign plate, the outer surface of the middle part of the adjusting pipeline is provided with the positioning pipeline, the movable positioning bolt is arranged between the adjusting pipeline and the positioning pipeline, and the outer surface of the positioning pipeline is provided with the position jack;
the outer surface of the middle part of the positioning pipeline is provided with a three-way pipe and a stable positioning pipeline device, the stable positioning pipeline device is positioned at one end of the three-way pipe, the outer surface of the lower end of the three-way pipe is fixedly provided with a supporting and heightening pipe, and the outer surface of the lower end of the supporting and heightening pipe is fixedly provided with a triangular support frame;
the outer surface of the middle part of the positioning pipeline is provided with a fixed pipeline and a stable positioning pipeline device, the stable positioning pipeline device is located at the upper end of the fixed pipeline, a stable frame is arranged on the outer surface of one side of the fixed pipeline, and the stable frame is located between the fixed pipeline and a fixed screw.
Preferably, a thread dismounting head is arranged between the stop sign plate and the adjusting pipeline, and the outer surface of the middle part of the stop sign plate is detachably connected with the outer surface of one end of the adjusting pipeline through the thread dismounting head.
Preferably, the number of the position jacks is four, two centimeters are arranged between the two groups of the position jacks, the outer surface of one end of the movable positioning bolt penetrates through the adjusting pipeline and the positioning pipeline through the position jacks, and the adjusting pipeline penetrates through the positioning pipeline.
Preferably, the fixing screw penetrates through the stabilizing frame and the fixing pipeline to be detachably connected with the positioning pipeline.
Preferably, the height of the supporting and height-increasing pipe is 50cm, the outer surface of the upper end of the supporting and height-increasing pipe is fixedly installed with the outer surface of the middle part of the positioning pipeline through a three-way pipe, and the adjusting height of the triangular support frame is 66-168 cm.
An underwater backstroke and freestyle shoulder joint functional proprioception measuring device combining the structural features of the right 1 to the right 4, the operation method is as follows:
the first step is as follows: assembling and debugging the device, placing the stable frame beside the swimming pool, placing the stop sign plate 10cm above the horizontal plane of the shore and perpendicular to the swimming pool, and fixing the positioning pipeline by using a stable positioning pipeline device and a fixing screw;
the second step is that: the examinee adjusts the position to make the hand stop in the central position of the stop sign board when the examinee finishes the free-swimming and backstroke motions, the measurer inserts the different positions of the insertion holes respectively by using the movable positioning bolts, so as to change the height of the stop sign board, three wheels appear in four heights in sequence, and the examinee is required to finish the motions and remember the corresponding feelings of the four positions;
the third step: measuring, and adjusting the movable positioning pins to enable the height of the stop sign board to appear at random according to the sequence of a preset random sequence table, so that a subject can quickly judge the adjusted height, no wrong feedback exists, and four positions in the random sequence table appear 10 times respectively;
the fourth step: the subject judgment feedback was recorded and the area under the AUC curve was analyzed.
A land shoulder joint functional proprioception measurement device incorporating the structural features of claims 1 to 5, the method of operation comprising:
the first step is as follows: the device was assembled and debugged with the subject standing 10cm behind the vertical plane of the stop sign;
the second step is that: the examinee adjusts the position to stop the hand at the center of the stop sign board when the action of shoulder joint anteflexion/extension is finished, the measurer inserts the different positions of the insertion holes respectively by using the movable positioning bolts, so as to change the height of the stop sign board, three wheels appear at the four heights in sequence, and the examinee is required to finish the action and remember the corresponding feelings of the four positions;
the third step: measuring, and adjusting the movable positioning pins to enable the height of the stop sign board to appear at random according to the sequence of a preset random sequence table, so that a subject can quickly judge the adjusted height, no wrong feedback exists, and four positions in the random sequence table appear 10 times respectively;
the fourth step: the subject judgment feedback was recorded and the area under the AUC curve was analyzed.
Compared with the prior art, the invention has the following beneficial effects:
the device for measuring the functional proprioception of the shoulder joint for both underwater use and land use can realize the measurement of the proprioception of the shoulder joint during underwater backstroke and freestyle swimming and can also measure the proprioception of the shoulder joint when standing on the land. The whole device has simple structure, convenient assembly and low manufacturing cost, and can complete the measurement of the functional proprioception of the shoulder joint under two different environments underwater and onshore.
Drawings
FIG. 1 is a schematic structural view of an underwater shoulder joint functional proprioception measurement device of the present invention;
FIG. 2 is a schematic diagram of the architecture of the present invention terrestrial shoulder joint functional proprioception measurement device.
FIG. 3 is a ROC graph of the receiver operating characteristics of the land-based shoulder functional proprioception measurement device of the present invention.
In the figure: 1. adjusting the pipeline; 2. positioning the pipeline; 3. a movable positioning bolt; 4. fixing the pipeline; 5. fixing screws; 6. a stabilizing frame; 7. a stop sign board; 8. a position jack; 9. stably positioning the pipeline device; 10. a triangular support frame; 11. supporting the riser; 12. a three-way pipe.
Detailed Description
To make the objects, technical solutions and advantages of the embodiments of the present disclosure clearer, technical solutions of the embodiments of the present disclosure will be clearly and completely described below with reference to the accompanying drawings of the embodiments of the present disclosure, and in order to keep the following description of the embodiments of the present disclosure clear and concise, detailed descriptions of known functions and known parts of the disclosure are omitted to avoid unnecessarily obscuring the concepts of the present disclosure.
Referring to fig. 1-2, an underwater and land dual-purpose shoulder joint functional proprioception measuring device comprises an adjusting pipeline 1, a positioning pipeline 2, a movable positioning bolt 3, a fixed pipeline 4, a fixed screw 5, a stable frame 6, a stop sign plate 7, a position jack 8, a stable positioning pipeline device 9, a triangular support frame 10, a support heightening pipe 11 and a three-way pipe 12, wherein the stop sign plate 7 is symmetrically installed on the outer surface of one end of the adjusting pipeline 1, the positioning pipeline 2 is arranged on the outer surface of the middle part of the adjusting pipeline 1, the movable positioning bolt 3 is arranged between the adjusting pipeline 1 and the positioning pipeline 2, and the position jack 8 is arranged on the outer surface of the positioning pipeline 2;
the outer surface of the middle part of the positioning pipeline 2 is provided with a three-way pipe 12 and a stable positioning pipeline device 9, the stable positioning pipeline device 9 is positioned at one end of the three-way pipe 12, the outer surface of the lower end of the three-way pipe 12 is fixedly provided with a supporting heightening pipe 11, and the outer surface of the lower end of the supporting heightening pipe 11 is fixedly provided with a triangular support frame 10 for land measurement;
the middle part surface of positioning tube 2 is provided with fixed pipeline 4 and stabilizes positioning tube 9, stabilizes positioning tube 9 and is located the upper end of fixed pipeline 4, and one side surface of fixed pipeline 4 is provided with stable frame 6, and stable frame 6 is located between fixed pipeline 4 and fixed screw 5 for underwater measurement.
Stop and be provided with screw thread dismouting head between sign board 7 and the regulation pipeline 1, the middle part surface that stops sign board 7 can be dismantled through screw thread dismouting head and the one end surface of adjusting pipeline 1 and be connected, can make things convenient for the dismouting to stop sign board 7 and install the different positions at the regulation pipeline 1.
The quantity of position jack 8 is four groups, is two centimetres between two sets of position jacks 8, and the one end surface of activity location round pin 3 runs through regulation pipeline 1 and positioning pipeline 2 through position jack 8, adjusts pipeline 1 and runs through positioning pipeline 2, can guarantee that the distance between two sets of position jacks 8 is the same, guarantees to measure the precision of gained data.
The fixing screw 5 penetrates through the stabilizing frame 6 and the fixing pipeline 4 to be detachably connected with the positioning pipeline 2, so that the fixing pipeline 4 can be guaranteed to be stable.
The height of the supporting and increasing pipe 11 is 50cm, the outer surface of the upper end of the supporting and increasing pipe 11 is fixedly arranged with the outer surface of the middle part of the positioning pipeline 2 through a three-way pipe 12, the adjusting height of the triangular support frame 10 is 66-168cm, and the height can be adjusted according to the height of a subject to finish land measurement.
An underwater backstroke and freestyle shoulder joint functional proprioception measuring device combining the structural features of the right 1 to the right 4, the operation method is as follows:
the first step is as follows: the device is assembled and debugged according to the proprioception measurement requirement of the underwater shoulder joint, the stop sign board 7 is arranged on the horizontal plane of the shore for 10cm and is vertical to the swimming pool, the fixed pipeline 2 is fixed by using the stable positioning pipeline device 9, and the free swimming and the backstroke are measured in the same steps;
the second step is that: the examinee adjusts the position to make his hand stop in stopping the central position of the marking plate 7 when doing the free-swimming or backstroke movements, the measurer inserts the different positions of the insert hole 8 separately by using the movable positioning pin 3, thus change the height of the stopping marking plate 7, the examinee moves the shoulder joint in the swimming pool in the posture of backstroke or free-swimming, make the palm touch the stopping marking plate 7, the four positions appear three rounds in order, ask the examinee to remember the corresponding sense of the four positions;
the third step: and measuring, wherein the heights of the stop mark plates 7 are randomly appeared 10 times at each position by adjusting the movable positioning pins 3 according to the sequence of a preset random sequence table, so that the testee can quickly judge the adjusted heights without wrong feedback.
The fourth step: data were recorded and AUC was analyzed to calculate the area of the curve.
A land shoulder joint functional proprioception measurement device incorporating the structural features of claims 1 to 5, the method of operation comprising:
the first step is as follows: the device is assembled and debugged according to the requirement of proprioception measurement of the shoulder joint on land, and a subject stands 10cm behind the vertical plane of the stop sign plate 7;
the second step is that: the examinee adjusts the position to stop the hand at the center of the stop sign board 7 when the action of shoulder joint anteflexion or extension is finished, the measurer inserts the movable positioning bolts 3 into different positions of the position insertion holes 8 respectively so as to change the height of the stop sign board 7, and three wheels appear at the four heights in sequence, so that the examinee is required to finish the action and remember the corresponding feelings of the four positions;
the third step: and measuring, wherein the heights of the stop mark plates 7 are randomly appeared 10 times at each position by adjusting the movable positioning pins 3 according to the sequence of a preset random sequence table, so that the testee can quickly judge the adjusted heights without wrong feedback.
The fourth step: data were recorded and area under AUC curve was analyzed.
The measurement result calculation method comprises the following steps:
inputting the random serial numbers of the positions of the 40 times and the feedback serial numbers of the testees into a computer, and performing statistics and calculation by using a signal detection principle to obtain a proprioceptive function AUC score.
First, raw data will be entered into a table (example) shown in a computer program:
the frequency of subject determination for each stop sign position is then calculated:
the cumulative frequency of subject's determination of the position of two adjacent stop signs is then calculated (stop sign positions 1 and 2 are taken as examples):
and converting the cumulative frequency into a cumulative probability:
plotting a ROC curve of the operating characteristics of the subject according to the accumulated frequency, calculating the area of the ROC curve (the area of the shaded portion is expressed as AUC):
AUC=A+B+C+D
=1/2(0.1×0.6)+1/2[(0.6+0.8)×0.5]+1/2[(0.8+0.9)× 0.3]+1/2[(0.9+1.0)×0.1]
=0.730(units)
similarly, calculating the AUC parameters of the stop marker plate positions 2-3 and 3-4, and finally averaging to obtain an average AUC score, wherein the average AUC is between 0.500 and 1.000, and the closer the value is to 1.000, the better the subject can distinguish and identify the stop positions of the 4 stop marker plates, so that the subject has excellent proprioceptive function; values closer to 0.5000 indicate that subjects had less proprioceptive function in the context of shoulder joint function in 4 locations, and the calculations were performed within the ROC curve analysis of the SPSS version 21 self-contained program.
The above embodiments are only exemplary embodiments of the present invention, and are not intended to limit the present invention, and the scope of the present invention is defined by the claims. Various modifications and equivalents may be made by those skilled in the art within the spirit and scope of the present invention, and such modifications and equivalents should also be considered as falling within the scope of the present invention.