[1]高春雨 冯敏山 朱立国△ 高景华 银河 魏戌 陈忻 展嘉文 李健.坐位腰椎旋转手法的在体力学参数及相关影响因素研究[J].中国中医骨伤科杂志,2018,26(08):21-25.
　GAO Chunyu FENG Minshan ZHU Liguo GAO Jinghua YIN He WEI Xu CHEN Xin ZHAN Jiawen LI Jian.Mechanical and Related Factors Study of Seated Lumbar Rotation Manipulation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(08):21-25.
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坐位腰椎旋转手法的在体力学参数及相关影响因素研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年08期
页码:
21-25
栏目:
临床研究
出版日期:
2018-08-02

文章信息/Info

Title:
Mechanical and Related Factors Study of Seated Lumbar Rotation Manipulation
文章编号:
1005-0205(2018)08-0021-05
作者:
高春雨1 冯敏山1; 2 朱立国1; 2△ 高景华1 银河1 魏戌1 陈忻1 展嘉文1 李健3
1中国中医科学院望京医院脊柱二科(北京,100102) 2中医正骨技术北京市重点实验室 3北京理工大学自动化研究所
Author(s):
GAO Chunyu1 FENG Minshan1; 2 ZHU Liguo1; 2△ GAO Jinghua1 YIN He1 WEI Xu1 CHEN Xin1 ZHAN Jiawen1 LI Jian3
1Department of the Second Spinal Orthopedics, Wangjing Hospital of the Chinese Academy of Traditional Chinese Medicine,Beijing 100102,China; 2Beijing Key Laboratory of Traditional Chinese Orthopedics and Traumatology, Beijing 100102,China; 3Institute of Automation, Beijing Institute of Technology, Beijing 100081,China.
关键词:
退行性腰椎滑脱症;  坐位腰椎旋转手法;  生物力学;  影响因素
Keywords:
Keywords: degenerative lumbar spondylolisthesis;  seated lumbar rotation manipulation;  biomechanics;  influence factors
分类号:
R681.5
文献标志码:
A
摘要:
目的:研究坐位腰椎旋转手法操作的在体力学参数并进行初步分析验证,对该操作手法出现的影响因素进行探讨,从而增加手法操作的临床意义。方法:采用在体力学测量仪,对同一手法操作者对30例退行性腰椎滑脱症患者[男18例,女12例; 年龄45～61岁,平均(52.33±2.34)岁]施行坐位腰椎旋转手法的操作过程进行动态记录,以测量其在体力学参数(预加载力、最大作用力、旋扳力、拇指最大推扳力),探讨并分析不同患者所具备的个体特征对坐位腰椎旋转手法操作带来的影响。结果:1)坐位腰椎旋转手法在体力学参数平均值如下:预加载力(3.74±0.21)kg,最大作用力(7.86±0.24)kg,旋扳力(6.44±0.15)kg,拇指最大推扳力(8.69±0.39)kg.2)左右手施行的坐位腰椎旋转手法有着相近的力学参数,左右手的手法操作在临床应用上并无较大区别。3)经多元线性回归分析,受试者的身高、体质量、体质量指数与操作者的预加载力有显著的相关性(R>0.5,P<0.05); 受试者的身高、年龄对操作者的旋扳力与最大作用力有显著的相关性(R>0.5,P<0.05)。结论:在坐位腰椎旋转手法操作过程中,受试者的年龄、体质量、身高等均是重要的影响因素。
Abstract:
Abstract Objective: In this observational trial, the biomechanical parameters of seated lumbar rotation manipulation are recorded, analyzed and verified preliminarily.At the same time, the influence factors of the manipulation are discussed in depth, in order to enhance the clinical significance of this manipulation.Methods: 30 patients with degenerative lumbar spondylolisthesis [18 males and 12 females, from 45 to 61years old, average(52.33 ± 2.34)years old] were recruited.They had been operated the seated lumbar rotation manipulation by the same manipulator.During the manipulation, the biomechanical parameters of the 30 patients were dynamically traced by the body mechanics measurement instrument, including the magnitude of the preload force, the peak force, the rotary thrust force and the thumb thrust force, to explore and analyze the influence of individual physical characteristics on the manipulation.Results:1)The average of biomechanical parameters of the seated lumbar rotation manipulation were as follows:the preload force was(3.74±0.21)kg, the peak force was(7.86±0.24)kg, the rotary thrust force was(6.44±0.15)kg, the thumb thrust force was(8.69±0.39)kg.2)The manipulation done by right or left hand show the similar parameters.Therefore, there is no difference between the manipulation of left and right hand in clinical application.3)According to multivariate linear regression analysis, the preload force has prominent correlation(R>0.5,P<0.05)with height, weight and BMI; the peak force and the rotary thrust force have prominent correlation(R>0.5,P<0.05)with height and age.Conclusion:Age, height, weight and BMI are important influencing factors of seated lumbar rotation manipulation.

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备注/Memo

备注/Memo:
基金项目:中国中医科学院优势创新团队项目(YS1314) 国家自然科学基金面上项目(81473694) △通信作者 E-mail:zhlg95@aliyun.com
更新日期/Last Update: 2018-08-02