柔性传感阵列穴位刚度量化与颈椎病中医分型
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1.安徽信息工程学院机械工程学院(汽车工程学院)芜湖241000;2.安徽理工大学机电工程学院淮南232001; 3.浙江中医药大学附属第一医院杭州310000

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TH89;TN6

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安徽省教育厅自然科学研究重大项目(2023AH040383)、安徽信息工程学院校级科技创新平台和科研团队专项(AXG2025_kjc_49)资助项目


Flexible sensor arraybased quantification of acupoint stiffness and traditional Chinese medicine classification of cervical spondylosis
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1.School of Mechanical Engineering (School of Automotive Engineering), Anhui Institute of Information Technology, Wuhu 241000, China; 2.School of Mechanical and Electrical Engineering, Anhui University of Science and Technology, Huainan 232001, China; 3.The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310000, China

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    摘要:

    针对中医颈椎触诊中“穴位瘀滞”状态缺乏客观定量标准的问题,提出了一种基于柔性传感阵列的穴位组织刚度量化方法,并评估其在颈椎病中医病理分型中的有效性。该系统采用镓铟合金聚偏二氟乙烯(GaIn-PVDF)垂直分布的可穿戴式柔性传感阵列,以微接触、低生理负荷方式贴附于颈部穴位区域。借助GaIn应变单元对皮肤受力形变的高敏响应,结合赫兹接触理论建立了从传感器电阻变化到穴位处组织等效刚度的量化模型。模型输出的组织刚度值与临床邵氏硬度值之间具有强相关性(皮尔逊相关系数为0.96),表明该模型能够有效反映穴位组织的真实僵硬程度。在此基础上,融合了穴位电生理参数和压敏阈值,构建了基于主成分分析(principal component analysis,PCA)与K近邻(k-nearest neighbors, KNN)的多参数中医病理分型模型,其多分类总体预测准确率达85.7%。进一步地,将该传感阵列应用于颈部活动度的监测,构建了融合中医病理分型与西医颈部活动度的综合评估框架。此外,利用PVDF单元的压电效应,将穴位按压信号映射为游戏虚拟角色的动作,实现了人机交互,提升了康复训练的趣味性。本研究为中医穴位诊断的客观化与数字化提供了一种新的技术路径,在家庭健康管理与智慧康复场景中展现出良好的应用潜力。

    Abstract:

    To address the lack of objective and quantitative criteria for the “acupoint stagnation” state in cervical spine palpation in traditional Chinese medicine (TCM), this study proposed a quantitative method for assessing acupoint tissue stiffness based on a flexible sensing array, and evaluated its effectiveness in the TCM pathological classification of cervical spondylosis. A wearable, vertically distributed flexible sensing array made of gallium-indium alloy and polyvinylidene fluoride (GaIn-PVDF) was employed and attached to the cervical acupoint region in a micro-contact and low physiological burden manner. By leveraging the high-sensitivity response of the GaIn strain unit to skin deformation under force and incorporating Hertz contact theory, a quantitative model was established to convert sensor resistance changes into the equivalent stiffness of tissue at the acupoint. The tissue stiffness output by the model showed a strong correlation with clinical Shore hardness values (Pearson correlation coefficient = 0.96), indicating that the proposed model can effectively reflect the true stiffness of acupoint tissue. On this basis, acupoint electrophysiological parameters and pressure sensitivity thresholds were integrated, and a multi-parameter TCM pathological classification model based on principal component analysis (PCA) and K-nearest neighbor (KNN) was constructed, achieving an overall multi-class prediction accuracy of 85.7%. Furthermore, the proposed sensing array was applied to monitor cervical range of motion, and a comprehensive evaluation framework integrating TCM pathological classification with Western medicine cervical range of motion was established. In addition, the piezoelectric effect of the PVDF unit was utilized to map acupoint pressing signals into the actions of a virtual game character, realizing human-computer interaction and enhancing patient engagement in rehabilitation training. This work provides a new technical pathway for the objectification and digitalization of TCM acupoint diagnosis and demonstrated good potential for use in home health management and smart rehabilitation scenarios.

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李梦,汪艳,杨晓琪,胡雪琴,彭晶晶,赵梁婧.柔性传感阵列穴位刚度量化与颈椎病中医分型[J].电子测量与仪器学报,2026,40(7):103-114

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  • 在线发布日期: 2026-09-20
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