[1]张军 刘强△ 孙树椿 王飞.基于退变腰椎间盘模型的旋转手法对椎体角度位移的影响[J].中国中医骨伤科杂志,2016,24(05):1-4.
　ZHANG Jun LIU Qiang SUN Shuchun WANG Fei.The Effect of Rotational Manipulation on the Angle Displacement of Vertebral Body Based on the Model of Degenerated Lumbar Intervertebral Disc[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(05):1-4.
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基于退变腰椎间盘模型的旋转手法对椎体角度位移的影响
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年05期
页码:
1-4
栏目:
实验研究
出版日期:
2016-05-15

文章信息/Info

Title:
The Effect of Rotational Manipulation on the Angle Displacement of Vertebral Body Based on the Model of Degenerated Lumbar Intervertebral Disc
文章编号:
1005-0205(2016)05-0001-04
作者:
张军1 刘强1△ 孙树椿1 王飞2
1.中国中医科学院望京医院(北京,100700)
2.空军总院中西医结合正骨科
△.通信作者 E-mail:15811570832@163.com
Author(s):
ZHANG Jun1 LIU Qiang1△ SUN Shuchun1 WANG Fei2
1.Chinese Academy of Chinese Medical Sciences,Beijing 100700,China;
2.The Department of TCM Manipulative Orthopedics of Air Force General Hospital,Beijing 100142,China.
关键词:
旋转手法;  扳法;  腰椎间盘;  角度位移
Keywords:
rotational manipulation;  pulling method;  lumbar discs;  angle displacement
分类号:
R-33
文献标志码:
A
摘要:
目的:在模拟椎间盘退变基础上,分析卧位旋转手法时腰椎体角度位移变化,探讨旋转手法对椎间盘的力学作用机制。方法:通过Motion运动捕捉系统采集12具腰椎间盘病理状态椎体左右旋转屈伸、侧弯角度位移。结果:1)右旋转各间盘组内屈伸、侧弯、旋转角度位移差异无统计学意义(P>0.05),轴向旋转角度位移有小于屈伸、侧弯角度位移的趋势。旋转角度位移L3>L4>L5,侧弯角度位移L3>L4>L5.2)左旋转L5椎体角度位移旋转小于屈伸,差异有统计学意义(P<0.05); 其余各间盘组内屈伸、侧弯、旋转角度位移差异无统计学意义(P>0.05)。3)L3椎体在左右旋转时,侧弯角度位移差异有统计学意义(P<0.05),左旋转L3椎体侧弯角度位移小于右旋转,其余方向的角度位移差异无统计学意义(P>0.05); L4,L5椎体在左右旋转时,屈伸、侧弯、旋转角度位移在三种方向的变化差异无统计学意义(P>0.05)。结论:1)旋转手法治疗腰椎间盘突出症的力学机制是脊柱的共轭运动。2)旋转手法对不同椎体作用力的效果不一致。3)侧转运动的力学作用机制应进一步研究。
Abstract:
Objective:To analyze the changes of the angle displacement of vertebral body during the rotation of the horizontal position and to explore the mechanism of the mechanical action of the intervertebral disc by simulating the intervertebral disc degeneration.Methods:12 lumbar discs were collected by motion capture system,and the left and right rotation flexion and extension,lateral bending angle and displacement of the lumbar discs were collected.Results:1)There was no significant difference(P>0.05)in flexion and extension,lateral bending and rotation angle between the two groups.The displacement of axial rotation angle was smaller than that of flexion extension and lateral bending.Rotation angle displacement:L3>L4>L5; lateral bending angle displacement:L3>L4>L5.2)The rotation of the left turn L5 vertebral body angle displacement is smaller than that of the flexion and extension,and there is statistical difference(P<0.05).There is no significant difference between the other groups(P>0.05)in flexion extension,lateral bending and rotation angle displacement.3)L3 vertebral lateral bending angle displacement of the left rotating was less than that of right rotation,and the difference was statistically significant(P<0.05).There were no statistical differences in the changes of left and right rotation,flexion extension,lateral bending and rotation angle displacement of the L5 and L4 vertebral body.Conclusion:1)The mechanical mechanism of rotational manipulation in the treatment of lumbar disc herniation is the conjugate movement of the spine.2)The effect of rotation manipulation on different vertebral bodies was not consistent.3)Further research on the mechanical mechanism of the side turn movement should be carried out.

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备注/Memo

备注/Memo:
基金项目:2010年国家自然科学基金(81072824)
2014年国家自然科学基金(81373657)
更新日期/Last Update: 2016-05-15