[1]卜寒梅,王旭,冯天笑,等.不同条件下旋提手法对颈椎关节突关节软骨应力的影响[J].中国中医骨伤科杂志,2024,32(03):35-39+44.[doi:10.20085/j.cnki.issn1005-0205.240307]
　BU Hanmei,WANG Xu,FENG Tianxiao,et al.Influence of Rotation-Traction Manipulation on Articular Cartilage Stress of Cervical Facet under Different Conditions[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(03):35-39+44.[doi:10.20085/j.cnki.issn1005-0205.240307]
点击复制

不同条件下旋提手法对颈椎关节突关节软骨应力的影响()
分享到：

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

卷:
第32卷
期数:
2024年03期
页码:
35-39+44
栏目:
临床研究
出版日期:
2024-03-15

文章信息/Info

Title:
Influence of Rotation-Traction Manipulation on Articular Cartilage Stress of Cervical Facet under Different Conditions
文章编号:
1005-0205(2024)03-0035-05
作者:
卜寒梅1; 王旭1; 冯天笑1; 王平2; 朱立国1; 3; 魏戌1; 3△
1中国中医科学院望京医院(北京,100102)
2天津中医药大学第一附属医院
3中医正骨技术北京市重点实验室
Author(s):
BU Hanmei1; WANG Xu1; FENG Tianxiao1; WANG Ping2; ZHU Liguo1; 3; WEI Xu1; 3△
1Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China; 2First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381,China; 3Beijing Key Laboratory of Traditional Chinese Orthopedics and Traumatology,Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China.
关键词:
旋提手法;  颈椎;  关节突关节软骨;  应力;  三维有限元
Keywords:
rotation-traction manipulation;  cervical vertebra;  articular cartilage;  stress;  three-dimensional finite element
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.240307
文献标志码:
A
摘要:
目的:观察不同方向及不同大小提扳力的旋提手法对颈椎关节突关节软骨的应力影响。方法:基于验证过的颈椎C3～C7三维有限元模型,模拟颈椎左侧旋提手法,分别加载中立位、不同定位方向、相同提扳力+不同定位方向以及相同定位方向+不同大小提扳力,比较C3～C7各节段双侧关节突关节软骨峰值应力情况。结果:在中立位时,最大峰值应力集中于双侧C6～C7节段; 在不同定位方向时,最大峰值应力集中于旋转同侧C4～C5节段; 在不同定位方向联合相同提扳力以及相同定位方向联合不同大小提扳力时,最大峰值应力均集中于旋转对侧C6～C7节段。结论:不同方向及不同大小提扳力的旋提手法对颈椎关节突关节软骨应力集中节段均有不同影响。
Abstract:
Objective:To observe the efficacy of rotation-traction manipulation with different directions and different forces on the stress of cervical facet articular cartilage.Methods:Based on the verified three-dimensional finite element model of cervical spine C3C7,the left cervical spine rotation-traction manipulation was simulated,and the neutral position,different positioning directions,the same lifting force combined with different positioning directions,and the same positioning direction combined with different lifting forces were respectively loaded,and the peak stress of bilateral facet articular cartilage at each segment of C3C7 was compared.Results:At the neutral position,the maximum peak stress was concentrated in bilateral C6C7 segments.The maximum peak stress is concentrated in the C4C5 segment on the same side of rotation at different orientation directions.When the same lifting force is combined with different positioning directions and different lifting forces are combined with the same positioning directions,the maximum peak stress is concentrated in the C6C7 segment on the opposite side of the rotation.Conclusion:The different directions and sizes of the lifting forces with rotation-traction manipulation have different effects on the stress concentration segments of the articular cartilage of the cervical facet.

参考文献/References:

[1] WANG C,TIAN F,ZHOU Y,et al.The incidence of cervical spondylosis decreases with aging in the elderly,and increases with aging in the young and adult population:a hospital-based clinical analysis[J].Clin Interv Aging,2016,11:47-53.
[2] 世界中医药学会联合会骨质疏松专业委员会,上海中医药大学附属龙华医院,中日友好医院,等.颈椎病中西医结合诊疗专家共识[J].世界中医药,2023,18(7):918-922.
[3] 刘广伟,冯敏山,朱立国,等.基于虚拟现实技术的旋提手法下颈椎间孔结构变化动态分析[J].中国组织工程研究,2023,27(9):1346-1351.
[4] 朱立国,冯敏山,魏戌,等.个体因素对颈椎旋提手法操作影响的在体力学研究[J].中国中医骨伤科杂志,2011,19(9):14-17.
[5] 冯敏山,朱立国,王尚全,等.颈椎旋提手法教学机器人的稳定性研究[J].中国骨伤,2017,30(3):241-246.
[6] 霍路遥,符碧峰,冯天笑,等.颈椎旋提手法教学机器人用于旋提手法规范化培训的自身对照研究[J].中国中医骨伤科杂志,2021,29(5):6-11.
[7] KAGAWA E,NIMURA A,NASU H,et al.Fibrous connection between cervical nerve and zygapophysial joint and implication of the cervical spondylotic radiculopathy:an anatomic cadaveric study[J].Spine(Phila Pa 1976),2021,46(13):E704-E709.
[8] OTTARDI C,GALBUSERA F,LUCA A,et al.Finite element analysis of the lumbar destabilization following pedicle subtraction osteotomy[J].Med Eng Phys,2016,38(5):506-509.
[9] LUCA A,OTTARDI C,LOVI A,et al.Anterior support reduces the stresses on the posterior instrumentation after pedicle subtraction osteotomy:a finite-element study[J].Eur Spine J,2017,26(Suppl 4):450-456.
[10] LEE S H,IM Y J,KIM K T,et al.Comparison of cervical spine biomechanics after fixed- and mobile-core artificial disc replacement:a finite element analysis[J].Spine(Phila Pa 1976),2011,36(9):700-708.
[11] PANJABI M M,CRISCO J J,VASAVADA A,et al.Mechanical properties of the human cervical spine as shown by three-dimensional load-displacement curves[J].Spine(Phila Pa 1976),2001,26(24):2692-2700.
[12] 王宇,雷建银,辛浩,等.椎间盘退变颈椎(C2-C7)在正常承载与推拿下的有限元分析[J].中国组织工程研究,2020,24(27):4278-4284.
[13] 魏戌,王旭,孙凯,等.中医手法治疗颈椎病的研究现状与展望[J].中华中医药杂志,2020,35(10):4781-4784.
[14] 童美萍,王辉昊,詹红生,等.颈椎整骨手法的运动学与动力学研究[J].医用生物力学,2023,38(1):65-70.
[15] 冯敏山,韩昶晓,梁栋柱,等.旋提手法对下颈椎椎体位移影响的体外生物力学特征[J].中国组织工程研究,2023,27(18):2820-2823.
[16] 邬黎平,陈曦,樊继宏,等.颈椎拔伸旋转手法内在应力的实时监测[J].中国临床解剖学杂志,2010,28(5):578-581.
[17] BONO C M,GHISELLI G,GILBERT T J,et al.North American Spine Society:an evidence-based clinical guideline for the diagnosis and treatment of cervical radiculopathy from degenerative disorders[J].Spine J,2011,11(1):64-72.
[18] QUARRINGTON R D,THOMPSON-BAGSHAW D W,JONES C F.The effect of axial compression and distraction on cervical facet cartilage apposition during shear and bending motions[J].Ann Biomed Eng,2022,50(5):540-548.
[19] 阴涛,罗彬,高强,等.悬吊运动疗法结合推拿理筋手法对神经根型颈椎病患者上肢感觉功能的影响[J].医用生物力学,2022,37(1):169-173.

备注/Memo

备注/Memo:
基金项目:北京市科技新星计划交叉合作课题(20220484228)
北京市科技新星计划项目(Z191100001119025)
国家级非物质文化遗产代表性项目(160202013000190004,102160222020130009015)
△通信作者 E-mail:weixu.007@163.com
更新日期/Last Update: 2024-03-15