[1]韦以锋,林方政,侯宇,等.林定坤教授仰卧顺势拔伸手法的力学特征研究[J].中国中医骨伤科杂志,2025,33(06):21-27+33.[doi:10.20085/j.cnki.issn1005-0205.250604]
　WEI Yifeng,LIN Fangzheng,HOU Yu,et al.Biomechanical Analysis of Professor Lin Dingkun's Supine Traction Manipulation Technique[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(06):21-27+33.[doi:10.20085/j.cnki.issn1005-0205.250604]
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林定坤教授仰卧顺势拔伸手法的力学特征研究()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年06期
页码:
21-27+33
栏目:
临床研究
出版日期:
2025-06-15

文章信息/Info

Title:
Biomechanical Analysis of Professor Lin Dingkun's Supine Traction Manipulation Technique
文章编号:
1005-0205(2025)06-0021-07
作者:
韦以锋1; 林方政2; 侯宇3; 4; 詹吉恒3; 4; 罗俊华3; 4; 祁冀3; 4; 曾小龙4; 5; 冯敏山2; 李永津3; 4; 林定坤3; 4△
1广州中医药大学第二临床医学院(广州,510405) 2中国中医科学院望京医院 3广东省中医院 4广州市颈椎生物力学实验室 5广东新黄埔中医药联合创新研究院
Author(s):
WEI Yifeng1; LIN Fangzheng2; HOU Yu3; 4; ZHAN Jiheng3; 4; LUO Junhua3; 4; QI Ji3; 4; ZENG Xiaolong4; 5; FENG Minshan2; LI Yongjin3; 4; LIN Dingkun3; 4△
1The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510405,China; 2Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China; 3Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120,China; 4Guangzhou Cervical Biomechanics Laboratory,Guangzhou 510006,China; 5Guangdong Xinhuangpu Institute of Integrated Traditional Chinese and Western Medicine,Guangzhou 510715,China.
关键词:
仰卧顺势拔伸手法;  在体力学研究;  手法;  生物力学
Keywords:
supine method;  in physical research;  manipulation technique;  biomechanics
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.250604
文献标志码:
A
摘要:
目的:探讨林定坤教授仰卧顺势拔伸手法的力学特征及其与受试者个体特征的关系,为该手法的标准化操作和临床推广提供科学数据支持。方法:手法创始人佩戴手法力学测量手套后对65例健康成年受试者施行仰卧顺势拔伸手法的操作,手套测试区域分为辅助手以及主发力手分区(从A到H)。测量其在体力学参数,探讨并分析名老专家手法的在体力学参数特点以及不同的个体特征对手法的影响。结果:研究得到的操作手指作用力-时间曲线图提示手法分为四部分。峰值力方面:主要发力区域为A、C点,相关性分析结果显示,发力期内A点与颈围、颈宽正相关,差异有统计学意义(P<0.05); B点与身高、体重、颈围、体重指数、头围正相关,差异有统计学意义(P<0.05); C点与头围负相关(P<0.05); F点与身高负相关(P<0.05)。发力期内D点、E点、G点与身高、体重、颈围、颈宽、体重指数、头围六个因素皆无明显关联。调整期、平台期内C点与身高负相关,差异有统计学意义(P<0.05); F点与身高负相关,差异有统计学意义(P<0.05),与体重、颈宽、头围存在负相关性,差异有统计学意义(P<0.05); A点、D点、G点、H点在调整期、平台期内与六因素皆无明显关联。结论:仰卧顺势拔伸手法作为一种拔伸整复手法,其操作可细分为四个阶段,具有力度均匀、稳定、连续的特点。在具体操作过程中,辅助手(下颌)第四掌骨远端、主发力手(后枕部)大鱼际中部第一掌骨中部为主要发力点,其余部分均为辅助协同用力。两手的合力可视作恒定大小,在发力期内辅助手的各区域力随着受试者的身高、体重、头围、颈围、颈宽增大而增大,发力手随着受试者头围、身高的增加而减小; 调整期内辅助手力度不会随着受试者的身高、体重、头围、颈围、颈宽而发生变化,发力手随着受试者的身高、体重、头围、颈宽增大导致发力困难而减小。仰卧顺势拔伸手法在临床应用中展现了显著的疗效,并为手法的标准化操作及临床推广提供了重要数据支持。
Abstract:
Objective:To explore the mechanical characteristics of Professor Lin Dingkun's supine stretching technique and its relationship with the individual characteristics of the subjects,and to provide scientific data support for the standardized operation and clinical promotion of this technique.Methods:After wearing the gloves for technique and mechanics measurement,the founder performed the operation on 65 healthy adults.The glove test area was divided into auxiliary hand and main force hand partition from A to H.The physical parameters were measured after manipulation,and the characteristics of the manual parameters and the individual characteristics of different patients were explored and analyzed.Results:The force-time curve graph of the operating finger was divided into four parts.Peak force:the main force area was points A and C.The correlation analysis showed that point A and neck width were positive(P<0.05); point B was positively associated with height,weight,neck circumference,body mass index(BMI)and head circumference(P<0.05); point C was negative with head circumference(P<0.05); and point F was negatively associated with height(P<0.05).During the power period,point D,E and G were not significantly associated with six factors:height,weight,neck circumference,neck width,BMI and head circumference.During the adjustment period and platform period:point C showed a negative correlation with height(P<0.05); point F showed a negative correlation with height(P<0.05),weight,neck width and head circumference(P<0.05),point A,D,G,and H had no obvious correlation with six factors during the adjustment period and platform period.Conclusion:As a kind of stretching and extension technique,its operation can be subdivided into four stages,with the characteristics of uniform,stable and continuous strength.In the specific operation process,the distal part of the fourth metacarpal of the auxiliary hand(jaw)and the central part of the first metacarpal of the middle of the main hand(posterior occipital)are the main power points,and the other parts are auxiliary cooperative force.The resultant force of the two hands can be seen as a constant magnitude,and the force of each area of the auxiliary hand during the driving force period varies increase with the patient's height,weight,head circumference,neck circumference and neck width,and the dominant hand decreases as the patient's head circumference and height increase.During the adjustment period,the force of the auxiliary hand does not change with the patient's height,weight,head circumference,neck circumference,or neck width.The force of the dominant hand decreases as the patient's height,weight,head circumference,and neck width increase,leading to difficulty in exerting force.The supine homeostatic stretching technique demonstrates significant therapeutic effects in clinical applications and provides important data support for the standardized operation and clinical promotion of the technique.

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备注/Memo

备注/Memo:
基金项目:岐黄学者工作室项目(国中医药人教司〔2022〕6号)
林定坤广东省名中医传承工作室项目(0103030912)
广东省新黄埔中医药联合创新研究项目(2021IR008)
△通信作者 E-mail:lindingkun@126.com
更新日期/Last Update: 2025-06-15