[1]柳博文 王宝剑 李建国 高春雨△ 高景华△ 冯敏山 李建 刘广伟.摇拔戳手法治疗外侧踝关节扭伤的在体力学参数及相关影响因素[J].中国中医骨伤科杂志,2021,29(04):27-31.
　LIU Bowen WANG Baojian LI Jianguo GAO ChunyuGAO Jinghua FENG Minshan LI Jian LIU Guangwei.Physical Parameters and Related Influencing Factors of LateralAnkle Sprain Treated by Rotating-Traction-Poking Manipulation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(04):27-31.
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摇拔戳手法治疗外侧踝关节扭伤的在体力学参数及相关影响因素()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年04期
页码:
27-31
栏目:
临床研究
出版日期:
2021-04-15

文章信息/Info

Title:
Physical Parameters and Related Influencing Factors of LateralAnkle Sprain Treated by Rotating-Traction-Poking Manipulation
文章编号:
1005-0205(2021)04-0027-05
作者:
柳博文1 王宝剑1 李建国1 高春雨1△ 高景华1△ 冯敏山1 李建2 刘广伟3
1中国中医科学院望京医院(北京,100102)
2北京理工大学
3中医正骨技术北京市重点实验室
Author(s):
LIU Bowen1 WANG Baojian1 LI Jianguo1 GAO Chunyu1△GAO Jinghua1△ FENG Minshan1 LI Jian2 LIU Guangwei3
1Wangjing Hospital of the Chinese Academy of Traditional Chinese Medicine,Beijing 100102,China; 2Beijing Institute of Technology,Beijing 100081,China; 3Beijing Key Laboratory of Traditional Chinese Orthopedics and Traumatology,Beijing 100102,China.
关键词:
在体力学参数;  正骨手法;  外侧踝关节扭伤
Keywords:
physical parameters;  lateral ankle sprain;  bone setting manipulation
分类号:
R684.7
文献标志码:
A
摘要:
目的:探讨摇拔戳手法治疗外侧踝关节扭伤的在体力学参数的特点及患者个体特征(身高、体质量、体质量指数等)对摇拔戳手法在体力学参数的影响。方法:同一手法操作者运用手法力学测量手套对60例外侧踝关节扭伤患者(男45例,女15例; 年龄18～47岁,平均(26.4±4.74)岁)施行摇拔戳手法的操作,测量其在体力学参数(摇法、拔伸、拔伸操作时手指的最大作用力),探讨并分析摇拔戳手法在体力学参数特点及不同患者所具备的个体特征对摇拔戳手法操作带来的影响。结果:研究得到了摇拔戳手法操作手指作用力-时间曲线图,整个过程中拇指为主要施力者,作用力最大,示指及中指作用力次之。经多元线性回归分析,拇指、示指、中指在摇转踝部时的最大作用力均与患者体质量有显著相关性,拇指、示指、中指拔伸、戳按踝部时的最大作用力与患者个体特征(身高、体质量、体质量指数等)之间均无显著相关性。结论:摇拔戳作为一种复合手法,在具体操作过程中拇指、示指、中指协同用力,具有轻柔、均匀、稳定、连续的特点。摇拔戳手法操作中,患者的体质量可以作为摇法作用力的重要影响因素。
Abstract:
To explore the characteristics of the physical parameters of the treatment of lateral ankle sprain by rotating-traction-poking manipulation and the influence of individual characteristics(height,weight,body mass index,etc.)on the physical parameters.Methods:The same manipulation operator used manipulation mechanics measuring gloves to perform rotating-traction-poking manipulation on 60 patients with lateral ankle sprain(male 45,female 15; age 18 to 47 years old,average(26.4±4.74)years old).The physical parameters(maximum force of fingers during rotating-traction-poking manipulation)were measured and analyzed.Besides,the influence of the characteristics of physical parameters and individual characteristics of different patients on rotating-traction-poking manipulation were explored and analyzed.Results:The force-time curve of rotating-traction-poking manipulation was obtained.In the whole process,thumb was the main force,with the greatest force,followed by index finger and middle finger.By multiple regression analysis,the maximum forces of thumb,index finger and middle finger in ankle rotation were significantly correlated with the patient’s weight,but there was no significant correlation between the maximum force of thumb,index finger,middle finger and individual characteristics(height,weight,body mass index,etc.).Conclusion:As a kind of compound manipulation,rotating-traction-poking manipulation changes regularly with the cooperation of thumb,index finger and middle finger.It has the characteristics of gentle,uniform,stable and continuous.In the manipulation of rotating-traction-poking,the patient’s weight is an important factor affecting the shaking force.

参考文献/References:

[1] DOHERTY C, DELAHUNT E, CAULFIELD B,et al.The incidence and prevalence of ankle sprain injury:a systematic review and meta-analysis of prospective epidemiological studies[J].Sports Med,2014,44(1):123-140.
[2] KEMLER E, VAN D P I, BACKX F,et al.A systematic review on the treatment of acute ankle sprain:brace versus other functional treatment types[J].Sports Medicine,2011,41(3):185-197.
[3] TENFORDE A S,YIN A,HUNT K J.Foot and ankle injuries in runners[J].Physical Medicine & Rehabilitation Clinics of North America,2016,27(1):121-137.
[4] 高春雨,程灏,高景华,等.摇拔戳手法改善急性外侧踝关节扭伤疼痛及肿胀程度的临床研究[J].北京中医药,2015,34(1):3-6.
[5] 高春雨,高景华,王庆甫,等.摇拔戳手法治疗急性外踝关节扭伤的临床研究[J].中国中医骨伤科杂志,2015,23(1):10-13.
[6] 高景华,林志义,丁洪磊,等.摇拔戳手法改善急性外踝扭伤患者功能障碍的疗效观察[J].中国中医骨伤科杂志,2013,21(12):14-16.
[7] 梁龙,朱立国,于杰,等.中医手法量化及生物力学研究探析[J].世界中西医结合杂志,2020,15(6):1165-1168.
[8] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:64-65.
[9] 孙树椿.实用推拿手法操作图谱[M].北京:中国医药科技出版社,1988:114-115.
[10] 曲绵域,于长隆.实用运动医学[M].北京:北京大学医学出版社,2003:55.
[11] 李正言,李兵,张帅,等.高年资医生与低年资医生颈部定点定向扳法力学参数特征研究[J].中国中医骨伤科杂志,2019,27(12):18-21.
[12] 范志勇,李黎,田强,等.林氏腰椎提拉旋转斜扳手法力学特点分析[J].医用生物力学,2018,33(1):70-75.
[13] PEI Y, MATHEMATICS D O, UNIVERSITY T N.The influence of interpolation algorithm in the digital elevation model on slope and aspect-take mountain li as an example[J].Journal of Taiyuan Normal University,2017,11(3):89-97.
[14] 王宽,邓真,王辉昊,等.力学测量在评估颈痛及手法治疗领域的应用[J].中国骨伤,2016,29(7):668-672.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金面上项目(81473694)
△通信作者 E-mail:高景华gaojinghua2019@hotmail.com高春雨gaochunyu8526@sina.com
更新日期/Last Update: 2021-04-15